MR. RYAN JACK MARTIN (PAC) – Surgical Physician Assistant, NPI 1124163894

MR. RYAN JACK MARTIN (PAC) is a healthcare provider. based in Dallas, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA03455 (TX). The NPI Number for MR. RYAN JACK MARTIN (PAC) is 1124163894

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. RYAN JACK MARTIN (PAC)
NPI
1124163894
Phone
(214) 345-6000
Address
8440 WALNUT HILL LN STE 610
Enumeration Date
21 February 2007
Last Update Date
1 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
2142202468
Graduation Year
2002 (24 years ago)
PAC ID
0345425401
Group Practice PAC ID
9931529062
Professional Enrollment ID
I20110505000122
Address ID
TX750349635FR3800XPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for MR. RYAN JACK MARTIN (PAC)

  • 8440 WALNUT HILL LN STE 610

    DALLAS, TX 752313815

    Phone: (214) 345-6000

    Fax: (214) 345-6026

    Type: Mailing

  • 3800 Gaylord Pkwy Ste 710

    Frisco, TX 750349635

    Phone: (214) 220-2468

    Fax: (214) 378-3348

    Type: Location

  • 9301 N CENTRAL EXPY STE 500

    DALLAS, TX 752310805

    Phone: (214) 220-2468

    Fax: (469) 232-9738

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $845.

Total Amount is formed as General ($845) + Research ($0) + Ownership ($0) = $845.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Medtronic, Inc. ($584).

Total Amount

$845

General + Research + Ownership

Payments

28

Total payment records

General Amount

$845

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2011-05-05

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
I20110505000122IPhysician AssistantTXTBD

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
72110X-ray of lower and sacral spine, minimum of 4 views286282$0
99214Established patient office or other outpatient visit, 30-39 minutes268238$0
99204New patient office or other outpatient visit, 45-59 minutes134134$0
99213Established patient office or other outpatient visit, 20-29 minutes10796$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion10675$0
View full utilization report →

Insurance plans in this area (ZIP 75231)

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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: 9931529062View full group profile
NameSpecialtyState
Orthopedic SurgeryTX
Orthopedic SurgeryTX
Physician AssistantTX
Nurse PractitionerLA
P O D I A T R YTX
Physician AssistantTX
Physician AssistantTX
Hand Surgery, Orthopedic SurgeryTX
Physician AssistantTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How is MR. RYAN JACK MARTIN (PAC) identified in CMS data?
CMS-hosted NPPES data lists MR. RYAN JACK MARTIN (PAC) with NPI 1124163894.
Does the file indicate MR. RYAN JACK MARTIN (PAC) is practicing under active NPI?
Directory data currently reports MR. RYAN JACK MARTIN (PAC) as active.
What healthcare role does MR. RYAN JACK MARTIN (PAC) hold?
Scheduling teams often label MR. RYAN JACK MARTIN (PAC) under Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MR. RYAN JACK MARTIN (PAC) list a practice location?
Patients near Dallas, Texas may find MR. RYAN JACK MARTIN (PAC) in results; validate coverage separately.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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