JACOB MARTIN (PA-C) – Physician Assistant, NPI 1225764855

JACOB MARTIN (PA-C) is a healthcare provider. based in Flint, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for JACOB MARTIN (PA-C) is 1225764855

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
JACOB MARTIN (PA-C)
NPI
1225764855
Phone
(810) 733-1200
Address
4466 W BRISTOL RD
Enumeration Date
26 July 2022
Last Update Date
30 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8107331200
Graduation Year
2022 (4 years ago)
PAC ID
9133597024
Group Practice PAC ID
6800888124
Professional Enrollment ID
I20221128000677
Address ID
MI485073170FL4466XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:3State licenses:0Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for JACOB MARTIN (PA-C)

  • 4466 W BRISTOL RD

    FLINT, MI 485073170

    Phone: (810) 733-1200

    Mailing address matches the actual address.

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: 2022-11-28

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
I20221128000677IPhysician 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
J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg1,20012$0
J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose49278$0
20610Aspiration and/or injection of fluid from large joint415134$0
99213Established patient office or other outpatient visit, 20-29 minutes141105$0
73630X-ray of foot, minimum of 3 views6036$0
View full utilization report →

Insurance plans in this area (ZIP 48507)

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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: 6800888124View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Orthopedic SurgeryMI
Physical Therapist In Private PracticeMI
-MI
Internal Medicine, Physical Medicine And RehabilitationMI
Physical Therapist In Private PracticeMI
Orthopedic SurgeryMI
-MI
-MI
Orthopedic SurgeryMI

Reviews

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Frequently asked questions

Is JACOB MARTIN (PA-C) listed with a National Provider Identifier?
Yes — JACOB MARTIN (PA-C) has NPI 1225764855 on file in the registry.
Active or inactive — what applies to JACOB MARTIN (PA-C)?
You should see JACOB MARTIN (PA-C) as active in CMS-hosted NPPES data.
What clinical focus is listed for JACOB MARTIN (PA-C)?
At a glance, JACOB MARTIN (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is JACOB MARTIN (PA-C) located near Flint?
JACOB MARTIN (PA-C) currently maps to Flint, Michigan in this extract.
When was this NPI issued?
Enumeration for JACOB MARTIN (PA-C) is noted as July 26, 2022 where the registry provides it.

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