MARTIN DALE BEATTY (PA) – Physician Assistant, NPI 1043266885

MARTIN DALE BEATTY (PA) is a healthcare provider. based in Cadillac, Michigan. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. 5601003206 (MI). The NPI Number for MARTIN DALE BEATTY (PA) is 1043266885

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MARTIN DALE BEATTY (PA)
NPI
1043266885
Phone
(866) 898-7139
Address
PO BOX 58
Enumeration Date
25 May 2006
Last Update Date
20 May 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2317758814
Graduation Year
1999 (27 years ago)
PAC ID
7416935911
Group Practice PAC ID
5294770715
Professional Enrollment ID
I20040712000282
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MARTIN DALE BEATTY (PA)

  • PO BOX 58

    CADILLAC, MI 496010058

    Phone: (866) 898-7139

    Fax: (616) 975-9824

    Type: Mailing

  • Munson Healthcare Cadillac Hospital, 400, Hobart Street, Cadillac, Wexford County, Michigan, 49601, United States

    CADILLAC, MI 496012331

    Phone: (231) 876-7200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-07-12

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
I20040712000282IPhysician AssistantMITBD

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
99284Emergency department visit with moderate level of medical decision making8784$0
99285Emergency department visit with high level of medical decision making6864$0
View full utilization report →

Insurance plans in this area (ZIP 49601)

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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: 5294770715View full group profile

Reviews

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Frequently asked questions

How is MARTIN DALE BEATTY (PA) identified in CMS data?
CMS-hosted NPPES data lists MARTIN DALE BEATTY (PA) with NPI 1043266885.
Is MARTIN DALE BEATTY (PA) still practicing?
MARTIN DALE BEATTY (PA) is currently listed as active in the public NPI registry.
What is MARTIN DALE BEATTY (PA) best known for clinically?
Directory data describes MARTIN DALE BEATTY (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MARTIN DALE BEATTY (PA) list a practice location?
Patients near Cadillac, Michigan may find MARTIN DALE BEATTY (PA) in results; validate coverage separately.
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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