KELLY MARTI (PA) – Medical Physician Assistant, NPI 1619095270
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for KELLY MARTI (PA)
20 B PROFESSIONAL PARK
MARYVILLE, IL 62062
Phone: (618) 288-1480
Fax: (618) 288-2407
Type: Mailing
PO BOX 802843
KANSAS CITY, MO 641802843
Phone: (417) 730-6430
Fax: (417) 269-7567
Type: Mailing
1150 STATE HIGHWAY 248 STE 200
BRANSON, MO 656164186
Phone: (417) 336-4112
Fax: (417) 335-4684
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 168 Open Payments records for all available years, with a total value of $2,975.
Total Amount is formed as General ($2,975) + Research ($0) + Ownership ($0) = $2,975.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Abbott Laboratories ($574).
Total Amount
$2,975
General + Research + Ownership
Payments
168
Total payment records
General Amount
$2,975
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $574 |
| AstraZeneca Pharmaceuticals LP | $407 |
| Novartis Pharmaceuticals Corporation | $249 |
| E.R. Squibb & Sons, L.L.C. | $178 |
| Amgen Inc. | $165 |
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: 2014-08-22
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 |
|---|---|---|---|---|
| I20140822000271 | 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.
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 | 210 | 145 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 40 | 35 | $0 |
| 93016 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician | 26 | 26 | $0 |
Insurance plans in this area (ZIP 62062)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| Family Practice | MO | |
| - | MO | |
| - | MO | |
| Family Practice | MO | |
| Physician Assistant | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| R H E U M A T O L O G Y | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO |
Reviews
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