MS. SHANNON L MARTIN (PA-C) – Physician Assistant, NPI 1427080399
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
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Provider Addresses for MS. SHANNON L MARTIN (PA-C)
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752841656
Phone: (903) 531-5000
Type: Mailing
3, Clark Bass Boulevard, McAlester, Pittsburg County, Oklahoma, 74501, United States
SUITE 2
MCALESTER, OK 74501
Phone: (918) 421-6960
Fax: (918) 421-6963
Type: Location
PO BOX 14950
DALLAS, TX 752841656
Phone: (405) 445-1210
Type: Mailing
2821 E HWY 31 E
SUITE 101
TYLER, TX 75702
Phone: (903) 253-9310
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 $90.
Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.
Last reported payment date: 2023-06-06 • Largest payer in this snapshot: Boston Scientific Corporation ($90).
Total Amount
$90
General + Research + Ownership
Payments
3
Total payment records
General Amount
$90
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $90 |
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: 2004-08-03
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 |
|---|---|---|---|---|
| I20040803000659 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 120 | 113 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 99 | 96 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 26 | 26 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 12 | 12 | $0 |
Insurance plans in this area (ZIP 75284)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| Nurse Practitioner | AZ | |
| Physician Assistant | UT | |
| Nurse Practitioner | TX | |
| Emergency Medicine | TX | |
| Physician Assistant | AR | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX |
Reviews
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