DANIEL MARTINO (PA-S) – Physician Assistant, NPI 1770733255

DANIEL MARTINO (PA-S) is a healthcare provider. based in Cornelius, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-S. They hold a License No. PA150160 (OR). The NPI Number for DANIEL MARTINO (PA-S) is 1770733255

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL MARTINO (PA-S)
NPI
1770733255
Phone
Not provided
Address
85 N 12TH AVE
Enumeration Date
22 September 2008
Last Update Date
25 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034721338
Graduation Year
2009 (17 years ago)
PAC ID
4385788058
Group Practice PAC ID
7113823881
Professional Enrollment ID
I20100218000427
Address ID
OR971289272MC115XXLNXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:17State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

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Provider Addresses for DANIEL MARTINO (PA-S)

  • North 12th Avenue, Cornelius, Metro, Washington County, Oregon, 97113-8912, United States

    CORNELIUS, OR 971139029

    Phone:

    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: 2010-02-18

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100218000427IPhysician AssistantORTBD

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 97113)

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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: 7113823881View full group profile
NameSpecialtyState
Physician AssistantOR
Nurse PractitionerOR
-OR
Emergency Medicine, Family PracticeOR
Family PracticeOR
Physician AssistantOR
Physician AssistantOR
Mental Health CounselorTX
Physician AssistantOR
Family PracticeOR

Reviews

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Frequently asked questions

What number should I use to identify DANIEL MARTINO (PA-S) for billing?
Administrative and clinical systems typically use NPI 1770733255 for DANIEL MARTINO (PA-S).
Should I treat DANIEL MARTINO (PA-S) as an active provider?
Patients and plans typically see DANIEL MARTINO (PA-S) as active in the national extract.
What services align with DANIEL MARTINO (PA-S)'s listing?
DANIEL MARTINO (PA-S)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DANIEL MARTINO (PA-S)?
DANIEL MARTINO (PA-S) is associated with Cornelius, Oregon in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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