MICAH DESHAUN MARTIN (AGNP-C) – Adult Health Nurse Practitioner, NPI 1073002960
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
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Provider Addresses for MICAH DESHAUN MARTIN (AGNP-C)
5275 TOWN AND COUNTRY BLVD APT 2448
FRISCO, TX 750346257
Phone: (918) 814-5898
Type: Mailing
Valwood Parkway, Carrollton, Dallas County, Texas, 75234, United States
CARROLLTON, TX 750068312
Phone: (918) 814-5898
Type: Location
5200 HARRY HINES BLVD
DALLAS, TX 752357709
Phone: (214) 590-8000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $191.
Total Amount is formed as General ($191) + Research ($0) + Ownership ($0) = $191.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: COLOPLAST CORP ($116).
Total Amount
$191
General + Research + Ownership
Payments
4
Total payment records
General Amount
$191
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| COLOPLAST CORP | $116 |
| Smith+Nephew, Inc. | $42 |
| ConvaTec Inc. | $33 |
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: 2018-07-25
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 |
|---|---|---|---|---|
| I20180725000097 | I | Nurse Practitioner | TX | 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 | 89 | 23 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 36 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 15 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 75034)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | IN | |
| Family Practice | MA | |
| - | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX |
Reviews
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