WALTER E. MARTIN (M.D.) – Internal Medicine Physician, NPI 1619944600

WALTER E. MARTIN (M.D.) is a healthcare provider. based in Saint petersburg, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 9605 (MT). The NPI Number for WALTER E. MARTIN (M.D.) is 1619944600

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
WALTER E. MARTIN (M.D.)
NPI
1619944600
Phone
(828) 707-4255
Address
11400 4TH ST N APT 307
Enumeration Date
8 March 2006
Last Update Date
28 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8603458535
Graduation Year
1983 (43 years ago)
PAC ID
5395658736
Group Practice PAC ID
1355246950
Professional Enrollment ID
I20250923000290
Address ID
CT064414370HI415XXRDXX300

Contacts

Secure Messaging
wmartin114791@phsdirect.pinnaclehealth.org
Secure Messaging
prohealthphysiciansct@optum360.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness95
Years active:20State licenses:5Other names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for WALTER E. MARTIN (M.D.)

  • 11400 4TH ST N APT 307

    SAINT PETERSBURG, FL 337162927

    Phone: (828) 707-4255

    Type: Location

  • PO BOX 22502

    SAINT PETERSBURG, FL 337422502

    Phone: (828) 707-4255

    Type: Mailing

  • 181 FRANKLIN HEALTH COMMONS

    FARMINGTON, ME 04938

    Phone: (207) 779-2751

    Type: Location

  • 415 KILLINGWORTH RD

    HIGGANUM, CT 064414392

    Phone: (860) 345-8535

    Fax: (860) 345-8678

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-01-31 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150730011500IInternal MedicineMETBD
I20181023001674IInternal MedicinePATBD
I20190510000926IInternal MedicineWITBD
I20250923000290IInternal MedicineCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33716)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355246950View full group profile

Reviews

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Frequently asked questions

How is WALTER E. MARTIN (M.D.) identified in CMS data?
CMS-hosted NPPES data lists WALTER E. MARTIN (M.D.) with NPI 1619944600.
Is WALTER E. MARTIN (M.D.) listed as active for patients and plans?
The listing shows WALTER E. MARTIN (M.D.) as active in the NPI system.
What is WALTER E. MARTIN (M.D.) best known for clinically?
Directory data describes WALTER E. MARTIN (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for WALTER E. MARTIN (M.D.)?
WALTER E. MARTIN (M.D.)'s geographic hint is Saint Petersburg, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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