MARTY MULLINS (PA) – Physician Assistant, NPI 1699778795

MARTY MULLINS (PA) is a healthcare provider. based in Hazard, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA027 (KY). The NPI Number for MARTY MULLINS (PA) is 1699778795

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
MARTY MULLINS (PA)
NPI
1699778795
Phone
(606) 436-0711
Address
210 BLACK GOLD BLVD STE 106
Enumeration Date
23 May 2005
Last Update Date
13 May 2021

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
6064360711
Graduation Year
1981 (45 years ago)
PAC ID
4587821863
Group Practice PAC ID
8123112687
Professional Enrollment ID
I20120130000670
Address ID
KY417012620HA210XXBLVD407
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:21State licenses:1Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

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Provider Addresses for MARTY MULLINS (PA)

  • Black Gold Boulevard, Hazard, Perry County, Kentucky, 41729, United States

    HAZARD, KY 417012620

    Phone: (606) 436-0711

    Fax: (606) 436-0848

    Type: Location

  • PO BOX 959

    HAZARD, KY 417020959

    Phone: (606) 436-0711

    Fax: (606) 435-1322

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 63 Open Payments records for all available years, with a total value of $7,157.

Total Amount is formed as General ($7,157) + Research ($0) + Ownership ($0) = $7,157.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Amgen Inc. ($5,790).

Total Amount

$7,157

General + Research + Ownership

Payments

63

Total payment records

General Amount

$7,157

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2012-01-30

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
I20120130000670IPhysician AssistantKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 41701)

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Provider's Procedures

MARTY MULLINS (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTKY71010X-ray of chest, 1 view, front4738
PHYSICIAN ASSISTANTKY83036Hemoglobin A1C level1616

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: 8123112687View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Family PracticeKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What number should I use to identify MARTY MULLINS (PA) for billing?
Administrative and clinical systems typically use NPI 1699778795 for MARTY MULLINS (PA).
Quick check: is MARTY MULLINS (PA) active?
Public NPPES data shows MARTY MULLINS (PA) with an active NPI status right now.
How should patients interpret MARTY MULLINS (PA)'s specialty?
The extract shows Physician Assistant for MARTY MULLINS (PA). Clinical services aligned with this taxonomy classification.
Is MARTY MULLINS (PA) tied to Hazard, Kentucky?
If you are local to Hazard, Kentucky, MARTY MULLINS (PA) may be relevant to your search.
Why is information missing for MARTY MULLINS (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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