MARIAH J MARTIN (PA-C) – Physician Assistant, NPI 1124578802
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for MARIAH J MARTIN (PA-C)
510 SW Ramsey Ave
Grants Pass, OR 975275554
Phone: (541) 789-4673
Fax: (541) 789-2121
Type: Location
420, Chestnut Street, Ashland, Jackson County, Oregon, 97520, United States
ASHLAND, OR 975201545
Phone:
Type: Mailing
2828, East Barnett Road, Medford, Jackson County, Oregon, 97504, United States
MEDFORD, OR 975048342
Phone: (541) 774-5853
Type: Location
PO BOX 4749
MEDFORD, OR 97501
Phone: (541) 789-4111
Fax: (541) 789-5518
Type: Mailing
3011 E BARNETT RD
MEDFORD, OR 97504
Phone: (541) 789-4673
Fax: (541) 789-2121
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $293.
Total Amount is formed as General ($293) + Research ($0) + Ownership ($0) = $293.
Last reported payment date: 2024-08-28 • Largest payer in this snapshot: Astellas Pharma US Inc ($184).
Total Amount
$293
General + Research + Ownership
Payments
7
Total payment records
General Amount
$293
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $184 |
| E.R. Squibb & Sons, L.L.C. | $38 |
| Amgen Inc. | $25 |
| Novartis Pharmaceuticals Corporation | $17 |
| Eisai Inc. | $16 |
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: 2016-11-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161118001446 | I | Physician Assistant | OR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 591 | 248 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 83 | 62 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 77 | 66 | $0 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 13 | 12 | $0 |
Insurance plans in this area (ZIP 97527)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Physician Assistant | OR | |
| - | OR | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | OR | |
| Interventional Cardiology, Internal Medicine | MA | |
| Nurse Practitioner | OR | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | OR | |
| Cardiovascular Disease (Cardiology) | OR | |
| Internal Medicine | OR | |
| H E M A T O L O G Y/ O N C O L O G Y | OR |
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