KATELYN ROSE MARTIN (PA) – Medical Physician Assistant, NPI 1588145601
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for KATELYN ROSE MARTIN (PA)
3708 ROUND HILL RD APT 11
SWANSEA, IL 622261221
Phone:
Type: Mailing
Drive In, Gewerbegebiet 'Königreich', Straubing-Ost, Straubing, Bavaria, 94315, Germany
FREEBURG, IL 622434082
Phone: (618) 539-0067
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 68 Open Payments records for all available years, with a total value of $1,320.
Total Amount is formed as General ($1,320) + Research ($0) + Ownership ($0) = $1,320.
Last reported payment date: 2024-12-07 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($412).
Total Amount
$1,320
General + Research + Ownership
Payments
68
Total payment records
General Amount
$1,320
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $412 |
| Lilly USA, LLC | $336 |
| Astellas Pharma US Inc | $72 |
| Dexcom, Inc. | $58 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $47 |
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: 2025-04-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190313000873 | I | Physician Assistant | IL | TBD |
| I20250408000572 | I | Physician Assistant | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | AZ | |
| Orthopedic Surgery | MO | |
| Orthopedic Surgery | MO | |
| - | MO | |
| Orthopedic Surgery | MO | |
| - | MO | |
| Orthopedic Surgery | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | IL |
Reviews
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