GABRIEL A MARTIN (PA-C) – Physician Assistant, NPI 1376680462

GABRIEL A MARTIN (PA-C) is a healthcare provider. based in Eldorado, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085002604 (IL). The NPI Number for GABRIEL A MARTIN (PA-C) is 1376680462

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
GABRIEL A MARTIN (PA-C)
NPI
1376680462
Phone
(618) 273-7723
Address
1007 US Highway 45 N
Enumeration Date
30 January 2007
Last Update Date
4 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6189974332
Graduation Year
2005 (21 years ago)
PAC ID
1951303270
Group Practice PAC ID
9638083884
Professional Enrollment ID
I20070215000150
Address ID
IL629595270MA3106XDRXX300

Contacts

Secure Messaging
gmartin21052@sih.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness95
Years active:19State licenses:1Other names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for GABRIEL A MARTIN (PA-C)

  • 1007 US Highway 45 N

    Eldorado, IL 629303767

    Phone: (618) 273-7723

    Fax: (618) 351-4834

    Type: Location

  • 117 E CLARK ST

    HARRISBURG, IL 629462702

    Phone: (618) 252-8625

    Fax: (618) 351-4859

    Type: Location

  • Consume, 201, East Main Street, Carbondale, Jackson County, Illinois, 62901, United States

    2G

    CARBONDALE, IL 629013036

    Phone: (618) 521-9875

    Type: Mailing

  • 103, South Washington Street, Carbondale, Jackson County, Illinois, 62901, United States

    SUITE 202

    CARBONDALE, IL 629013030

    Phone: (618) 521-9875

    Type: Location

  • 3106 Outer Dr

    Marion, IL 629595270

    Phone: (618) 998-0888

    Fax: (618) 351-4807

    Type: Location

  • PO BOX 3988

    CARBONDALE, IL 629023988

    Phone: (618) 457-5200

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $1,194.

Total Amount is formed as General ($1,194) + Research ($0) + Ownership ($0) = $1,194.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($412).

Total Amount

$1,194

General + Research + Ownership

Payments

42

Total payment records

General Amount

$1,194

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

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: 2007-02-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070215000150IPhysician AssistantILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5831$0
View full utilization report →

Insurance plans in this area (ZIP 62930)

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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: 9638083884View full group profile
NameSpecialtyState
Physician AssistantIL
-IL
Nurse PractitionerIL
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyIL
-IL
Clinical Social WorkerIL
-IL
Nurse PractitionerIL
P S Y C H I A T R YIL
-IA

Reviews

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Frequently asked questions

What is the 10-digit NPI for GABRIEL A MARTIN (PA-C)?
GABRIEL A MARTIN (PA-C) — NPI 1376680462 — is the standard way to identify this listing.
Is GABRIEL A MARTIN (PA-C) listed as active for patients and plans?
The listing shows GABRIEL A MARTIN (PA-C) as active in the NPI system.
What is GABRIEL A MARTIN (PA-C)'s primary classification?
Physician Assistant is the headline specialty for GABRIEL A MARTIN (PA-C) here. Clinical services aligned with this taxonomy classification.
Where should I expect GABRIEL A MARTIN (PA-C) on a map?
Expect Eldorado, Illinois as a primary anchor for GABRIEL A MARTIN (PA-C) unless the record lists multiple sites.
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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