KEVIN LEE MARTIN (DO) – Family Medicine Physician, NPI 1740922327

KEVIN LEE MARTIN (DO) is a healthcare provider. based in Higginsville, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 2023027654 (MO). The NPI Number for KEVIN LEE MARTIN (DO) is 1740922327

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN LEE MARTIN (DO)
NPI
1740922327
Phone
(660) 262-7751
Address
1200 W 22nd St
Enumeration Date
12 April 2022
Last Update Date
30 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6607477751
Graduation Year
2022 (4 years ago)
PAC ID
4183124563
Group Practice PAC ID
4183904865
Professional Enrollment ID
I20250820004609
Address ID
MO640933103WA513XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

Provider Addresses for KEVIN LEE MARTIN (DO)

  • 1200 W 22nd St

    Higginsville, MO 640371420

    Phone: (660) 262-7751

    Fax: (660) 584-6149

    Type: Location

  • 1423 N JEFFERSON AVE # B100

    SPRINGFIELD, MO 658021917

    Phone: (417) 269-8787

    Fax: (417) 269-8750

    Type: Mailing

  • 513 BURKARTH RD

    WARRENSBURG, MO 640933103

    Phone: (660) 747-7751

    Fax: (660) 747-8398

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Dexcom, Inc. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dexcom, Inc.$23
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: 2025-08-20

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
I20250820004609IFamily PracticeMOTBD

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 64037)

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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: 4183904865View full group profile
NameSpecialtyState
-MO
Family PracticeMO
Family PracticeMO
Family PracticeMO
Family PracticeMO
Nurse PractitionerMO
Nurse PractitionerMO
Family PracticeMO

Reviews

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Frequently asked questions

Is KEVIN LEE MARTIN (DO) listed with a National Provider Identifier?
Yes — KEVIN LEE MARTIN (DO) has NPI 1740922327 on file in the registry.
Active or inactive — what applies to KEVIN LEE MARTIN (DO)?
You should see KEVIN LEE MARTIN (DO) as active in CMS-hosted NPPES data.
What expertise is attributed to KEVIN LEE MARTIN (DO)?
KEVIN LEE MARTIN (DO)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is KEVIN LEE MARTIN (DO) associated with Higginsville?
Public fields place KEVIN LEE MARTIN (DO) around Higginsville, Missouri. Always confirm the exact site before visiting.
Can I trust this NPI listing for KEVIN LEE MARTIN (DO)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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