MR. ANTHONY MARTIN (PA-C) – Surgical Physician Assistant, NPI 1740254598

MR. ANTHONY MARTIN (PA-C) is a healthcare provider. based in Johnstown, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 7676 (WI). The NPI Number for MR. ANTHONY MARTIN (PA-C) is 1740254598

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. ANTHONY MARTIN (PA-C)
NPI
1740254598
Phone
(702) 686-4877
Address
545 BLUFF ST
Enumeration Date
16 February 2006
Last Update Date
17 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6083242000
Graduation Year
1996 (30 years ago)
PAC ID
3779615794
Group Practice PAC ID
7012827983
Professional Enrollment ID
I20240131002278
Address ID
WI535661569MO515XXAVEX300

Contacts

Secure Messaging
wolfeboroorthopedicsurg@gohnh.allscriptsdirect.net
Secure Messaging
amartin501753@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience95
Completeness85
Years active:20State licenses:5Other namesUpdated within 12 months

3,678 PHYSICIAN ASSISTANT in WI

Provider Addresses for MR. ANTHONY MARTIN (PA-C)

  • 545 BLUFF ST

    JOHNSTOWN, PA 159052621

    Phone: (702) 686-4877

    Type: Mailing

  • 3200 E Racine St

    Janesville, WI 535462343

    Phone: (608) 371-8000

    Fax: (608) 371-8932

    Type: Location

  • 240 S MAIN ST

    WOLFEBORO, NH 038944411

    Phone: (603) 569-7690

    Type: Mailing

  • Great Plains Health, 601, West Leota Street, North Platte, Lincoln County, Nebraska, 69101, United States

    NORTH PLATTE, NE 691016525

    Phone: (308) 534-6655

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $78.

Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Bioventus LLC ($32).

Total Amount

$78

General + Research + Ownership

Payments

3

Total payment records

General Amount

$78

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20150602001111IPhysician AssistantNETBD
I20220113000317IPhysician AssistantNHTBD
I20240131002278IPhysician AssistantWITBD

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 15905)

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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: 7012827983View full group profile
NameSpecialtyState
U R O L O G YWA
-WI
O P T O M E T R YWI
N E U R O S U R G E R YNE
-WI
Physician AssistantWI
Family PracticeWI
Cardiovascular Disease (Cardiology)TX
-WI
Family PracticeWI

Reviews

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Frequently asked questions

How do I look up MR. ANTHONY MARTIN (PA-C) by NPI?
Use NPI 1740254598 when you need to reference MR. ANTHONY MARTIN (PA-C) in forms, claims, or directories.
Is MR. ANTHONY MARTIN (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MR. ANTHONY MARTIN (PA-C) treat or focus on?
Patients typically see MR. ANTHONY MARTIN (PA-C) under the specialty Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. ANTHONY MARTIN (PA-C)?
The page summarizes Johnstown, Pennsylvania for MR. ANTHONY MARTIN (PA-C); expand the address list for detail.
What if Johnstown, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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