STEPHEN KELLY MARTIN (PH.D.) – Clinical Neuropsychologist, NPI 1144233297

STEPHEN KELLY MARTIN (PH.D.) is a healthcare provider. based in Tyler, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 4740 (TX). The NPI Number for STEPHEN KELLY MARTIN (PH.D.) is 1144233297

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN KELLY MARTIN (PH.D.)
NPI
1144233297
Phone
(903) 258-9938
Address
3800 PALUXY DR
Enumeration Date
13 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9032589938
Graduation Year
1991 (35 years ago)
PAC ID
6901813757
Professional Enrollment ID
I20060320000347
Address ID
TX757031665TY3800XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

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Provider Addresses for STEPHEN KELLY MARTIN (PH.D.)

  • 3800, Paluxy Drive, Tyler, Smith County, Texas, 75703, United States

    SUITE 450

    TYLER, TX 757031629

    Phone: (903) 258-9938

    Fax: (903) 534-8104

    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: 2006-03-20

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
I20060320000347IClinical PsychologistTXTBD

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
96139Administration of psychological or neuropsychological test by technician, each additional 30 minutes2,618290$0
96133Evaluation of neuropsychological test, each additional hour958286$0
90791Psychiatric diagnostic evaluation291290$0
96138Administration of psychological or neuropsychological test by technician, first 30 minutes291290$0
96132Evaluation of neuropsychological test, first hour288286$0
View full utilization report →

Insurance plans in this area (ZIP 75703)

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Provider's Procedures

STEPHEN KELLY MARTIN (PH.D.) performs procedures in CLINICAL PSYCHOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHOLOGIST, CLINICALTX96118Neuropsychological testing, interpretation, and report by psychologist or physician per hour1064257

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Frequently asked questions

What federal number belongs to STEPHEN KELLY MARTIN (PH.D.)?
The federal identifier for STEPHEN KELLY MARTIN (PH.D.) is NPI 1144233297.
Does this profile mean STEPHEN KELLY MARTIN (PH.D.) is currently active?
Yes — STEPHEN KELLY MARTIN (PH.D.) appears active in the national provider directory.
Does STEPHEN KELLY MARTIN (PH.D.) list a primary specialty?
If you are matching referrals, note Clinical Neuropsychologist for STEPHEN KELLY MARTIN (PH.D.). Clinical services aligned with this taxonomy classification.
What location shows for STEPHEN KELLY MARTIN (PH.D.)?
We surface Tyler, Texas for STEPHEN KELLY MARTIN (PH.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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