MR. KENNETH JR. MARTIN (AU.D.) – Audiologist, NPI 1093743858

MR. KENNETH JR. MARTIN (AU.D.) is a healthcare provider. based in Longview, Texas. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.. They hold a License No. 51369 (TX). The NPI Number for MR. KENNETH JR. MARTIN (AU.D.) is 1093743858

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
MR. KENNETH JR. MARTIN (AU.D.)
NPI
1093743858
Phone
(903) 234-8151
Address
PO BOX 3324
Enumeration Date
29 June 2006
Last Update Date
16 August 2010

Doctor Profile

Medical School Name
AT STILL UNIVERSITY, ARIZONA SCHOOL OF DENTISTRY & ORAL HLTH
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
2961556717
Professional Enrollment ID
I20090813000586
Address ID
TX756015330Lo710XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

665 QUALIFIED AUDIOLOGIST in TX

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Provider Addresses for MR. KENNETH JR. MARTIN (AU.D.)

  • Longview Post Office, Hillside Road, Longview Shops, Page Moss, Huyton, Liverpool, Liverpool City Region, England, L36 8BJ, United Kingdom

    LONGVIEW, TX 756063324

    Phone: (903) 234-8151

    Fax: (903) 234-8758

    Type: Mailing

  • 710, North High Street, Longview, Gregg County, Texas, 75601, United States

    LONGVIEW, TX 756015330

    Phone: (903) 234-8151

    Fax: (903) 234-8758

    Type: Location

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: 2009-08-13

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
I20090813000586IQualified AudiologistTXTBD

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
92557Comprehensive hearing and speech recognition test252251$0
92567Test to assess middle ear function228226$0
View full utilization report →

Insurance plans in this area (ZIP 75606)

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Reviews

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Frequently asked questions

Does MR. KENNETH JR. MARTIN (AU.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. KENNETH JR. MARTIN (AU.D.) uses 1093743858.
Does CMS list MR. KENNETH JR. MARTIN (AU.D.) as active?
Yes — MR. KENNETH JR. MARTIN (AU.D.) is active in the NPI listing used on this page.
What is MR. KENNETH JR. MARTIN (AU.D.) best known for clinically?
Directory data describes MR. KENNETH JR. MARTIN (AU.D.) with Audiologist. Clinical services aligned with this taxonomy classification.
What address line appears for MR. KENNETH JR. MARTIN (AU.D.)?
MR. KENNETH JR. MARTIN (AU.D.)'s geographic hint is Longview, Texas in our summary view.
Is the information about MR. KENNETH JR. MARTIN (AU.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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