COREY MARTIN – Physician Assistant, NPI 1023861192

COREY MARTIN is a healthcare provider. based in Creve coeur, Missouri. specializing in PHYSICIAN ASSISTANT. They hold a License No. 2024011272 (MO). The NPI Number for COREY MARTIN is 1023861192

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
COREY MARTIN
NPI
1023861192
Phone
(314) 766-2310
Address
11330 OLIVE BLVD STE 150
Enumeration Date
9 April 2024
Last Update Date
9 April 2024

Doctor Profile

Medical School Name
MISSISSIPPI MEDICAL COLLEGE
Secondary Phone
3147821994
Graduation Year
2023 (3 years ago)
PAC ID
7315386356
Group Practice PAC ID
8527417229
Professional Enrollment ID
I20240423003600
Address ID
MO631417149CR11330BLVD302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,854 PHYSICIAN ASSISTANT in MO

Provider Addresses for COREY MARTIN

  • 11330 OLIVE BLVD STE 150

    CREVE COEUR, MO 631417149

    Phone: (314) 766-2310

    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)

CMS reports 10 Open Payments records for all available years, with a total value of $958.

Total Amount is formed as General ($958) + Research ($0) + Ownership ($0) = $958.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Arthrex, Inc. ($490).

Total Amount

$958

General + Research + Ownership

Payments

10

Total payment records

General Amount

$958

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

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: 2024-04-23

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
I20240423003600IPhysician AssistantMOTBD

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 63141)

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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: 8527417229View full group profile
NameSpecialtyState
Orthopedic SurgeryMO
Physician AssistantMO
Orthopedic Surgery, Hand SurgeryMO
Physician AssistantMO
Orthopedic Surgery, Sports MedicineMO

Reviews

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Frequently asked questions

How do payers reference COREY MARTIN?
For COREY MARTIN, use NPI 1023861192 as the unique 10-digit identifier.
Is COREY MARTIN shown as active in public data?
Registry records indicate COREY MARTIN maintains an active NPI.
How would a patient describe COREY MARTIN's focus?
For COREY MARTIN, the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for COREY MARTIN?
Travel planning: use Creve Coeur, Missouri as the reference point for COREY MARTIN, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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