DAVID E MARTIN (PA-C) – Medical Physician Assistant, NPI 1215929690
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,531 PHYSICIAN ASSISTANT in ID
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Provider Addresses for DAVID E MARTIN (PA-C)
PO BOX 2377
POCATELLO, ID 832062377
Phone: (208) 232-7862
Fax: (208) 232-7869
Type: Mailing
845, West Center Street, Pocatello, Bannock County, Idaho, 83204, United States
SUITE 200
POCATELLO, ID 832044205
Phone: (208) 232-6260
Fax: (208) 232-6259
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-12-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041202000183 | I | Physician Assistant | ID | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 38 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 14 | $0 |
Insurance plans in this area (ZIP 83206)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ID | |
| Nurse Practitioner | ID | |
| Family Practice | ID | |
| Family Practice | ID | |
| Family Practice | ID | |
| Physician Assistant | CO | |
| Registered Dietitian Or Nutrition Professional | ID | |
| Family Practice | ID | |
| Physician Assistant | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KS |
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