DR. GREGG A MARTIN (PH.D.) – Psychologist, NPI 1174694558

DR. GREGG A MARTIN (PH.D.) is a healthcare provider. based in Canton, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 4547 (OH). The NPI Number for DR. GREGG A MARTIN (PH.D.) is 1174694558

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. GREGG A MARTIN (PH.D.)
NPI
1174694558
Phone
(330) 492-9200
Address
4760 BELPAR ST NW
Enumeration Date
10 November 2006
Last Update Date
20 March 2011

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
3304929200
Graduation Year
1987 (39 years ago)
PAC ID
4082899372
Group Practice PAC ID
9032197868
Professional Enrollment ID
I20110502000464
Address ID
OH447183603CA4760XNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

Provider Addresses for DR. GREGG A MARTIN (PH.D.)

  • 4760 BELPAR ST NW

    CANTON, OH 447183603

    Phone: (330) 492-9200

    Fax: (330) 492-5454

    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: 2011-05-02

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
I20110502000464IClinical PsychologistOHTBD

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
96132Evaluation of neuropsychological test, first hour177141$0
90791Psychiatric diagnostic evaluation121118$0
96133Evaluation of neuropsychological test, each additional hour8252$0
90832Psychotherapy, 30 minutes5650$0
View full utilization report →

Insurance plans in this area (ZIP 44718)

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Provider's Procedures

DR. GREGG A MARTIN (PH.D.) performs procedures in CLINICAL PSYCHOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHOLOGIST, CLINICALOH96118Neuropsychological testing, interpretation, and report by psychologist or physician per hour254161

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: 9032197868View full group profile
NameSpecialtyState
Orthopedic SurgeryOH
Occupational Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeAL
Orthopedic SurgeryOH
Orthopedic SurgeryOH
Physician AssistantOH
Physician AssistantOH
Orthopedic SurgeryOH
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

What is the registry number for DR. GREGG A MARTIN (PH.D.)?
The registry entry for DR. GREGG A MARTIN (PH.D.) shows NPI 1174694558.
Should I treat DR. GREGG A MARTIN (PH.D.) as an active provider?
Patients and plans typically see DR. GREGG A MARTIN (PH.D.) as active in the national extract.
How should patients interpret DR. GREGG A MARTIN (PH.D.)'s specialty?
The extract shows Psychologist for DR. GREGG A MARTIN (PH.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. GREGG A MARTIN (PH.D.)?
DR. GREGG A MARTIN (PH.D.) is associated with Canton, Ohio in the same public data insurers reference.
Why is information missing for DR. GREGG A MARTIN (PH.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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