JO M MARTIN (MD) – Dermatology Physician, NPI 1013142116

JO M MARTIN (MD) is a healthcare provider. based in Clackamas, Oregon. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. MD163184 (OR). The NPI Number for JO M MARTIN (MD) is 1013142116

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
JO M MARTIN (MD)
NPI
1013142116
Phone
(503) 571-3332
Address
9900 SE SUNNYSIDE RD
Enumeration Date
19 May 2009
Last Update Date
2 October 2020

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5032452415
Graduation Year
2009 (17 years ago)
PAC ID
4880843481
Group Practice PAC ID
1153609813
Professional Enrollment ID
I20130909000128
Address ID
OR972238809TI10215BLVD400

Contacts

Secure Messaging
jmartin673440@oc.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

232 DERMATOLOGY in OR

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Provider Addresses for JO M MARTIN (MD)

  • 9900, Southeast Sunnyside Road, Harmony, Oatfield, Metro, Clackamas County, Oregon, 97015, United States

    NW PERMANENTE PC, PHYSICIANS AND SURGEONS

    CLACKAMAS, OR 970159777

    Phone: (503) 571-3332

    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 2 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Lilly USA, LLC ($28).

Total Amount

$50

General + Research + Ownership

Payments

2

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$28
PFIZER INC.$22
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: 2013-09-09

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
I20130909000128IDermatologyORTBD

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
17003Destruction of precancer skin growth, 2-14 growths33969$0
99213Established patient office or other outpatient visit, 20-29 minutes163152$0
17000Destruction of precancer skin growth, 1 growth9788$0
99214Established patient office or other outpatient visit, 30-39 minutes8373$0
11102Biopsy of related skin growth, first growth7669$0
View full utilization report →

Insurance plans in this area (ZIP 97015)

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Provider's Procedures

JO M MARTIN (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYOR17003Destruction of 2-14 skin growths6115

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: 1153609813View full group profile
NameSpecialtyState
Physician AssistantNV
Physician AssistantID
D E R M A T O L O G YNV
-AK
-ID
D E R M A T O L O G YOH
Physician AssistantTX
Physician AssistantOR
Physician AssistantOR
Physician AssistantWA

Reviews

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Frequently asked questions

What is JO M MARTIN (MD)'s NPI number?
JO M MARTIN (MD)'s NPI is 1013142116 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JO M MARTIN (MD)?
For scheduling context, JO M MARTIN (MD) is shown as active in the registry.
What expertise is attributed to JO M MARTIN (MD)?
JO M MARTIN (MD)'s specialty line reads Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where in Oregon is JO M MARTIN (MD) registered?
Use Clackamas, Oregon as the headline location for JO M MARTIN (MD) here.
Does JO M MARTIN (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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