MRS. MICHELLE MARTIN (PAC) – Medical Physician Assistant, NPI 1003859174
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,728 PHYSICIAN ASSISTANT in KY
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Provider Addresses for MRS. MICHELLE MARTIN (PAC)
PO BOX 330
STANFORD, KY 404840330
Phone: (606) 365-1547
Fax: (606) 365-8380
Type: Mailing
100, Jay Street, Stanford, Lincoln County, Kentucky, 40484, United States
STANFORD, KY 404847511
Phone: (606) 365-1547
Fax: (606) 365-8380
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $680.
Total Amount is formed as General ($680) + Research ($0) + Ownership ($0) = $680.
Last reported payment date: 2024-09-03 • Largest payer in this snapshot: ABBVIE INC. ($257).
Total Amount
$680
General + Research + Ownership
Payments
37
Total payment records
General Amount
$680
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $257 |
| PFIZER INC. | $95 |
| Amgen Inc. | $64 |
| Lilly USA, LLC | $51 |
| Bayer Healthcare Pharmaceuticals Inc. | $34 |
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: 2005-02-16
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 |
|---|---|---|---|---|
| I20050216000018 | I | Physician Assistant | KY | 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 |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 22 | 16 | $0 |
Insurance plans in this area (ZIP 40484)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Obstetrics/Gynecology | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Family Practice | KY | |
| Family Practice | KY | |
| - | KY |
Reviews
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