THERESA K MARTIN (PA) – Surgical Physician Assistant, NPI 1134176340

THERESA K MARTIN (PA) is a healthcare provider. based in Puyallup, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9103689 (FL). The NPI Number for THERESA K MARTIN (PA) is 1134176340

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
THERESA K MARTIN (PA)
NPI
1134176340
Phone
(253) 697-7550
Address
11212 SUNRISE BLVD E
Enumeration Date
31 May 2006
Last Update Date
17 July 2012

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
7194020200
Graduation Year
2005 (21 years ago)
PAC ID
1557374733
Group Practice PAC ID
5799972725
Professional Enrollment ID
I20240515000160
Address ID
CO809203487CO4105XPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for THERESA K MARTIN (PA)

  • 11212 SUNRISE BLVD E

    #201

    PUYALLUP, WA 983748847

    Phone: (253) 697-7550

    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)

CMS reports 3 Open Payments records for all available years, with a total value of $47.

Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: Orthofix Medical, Inc. ($16).

Total Amount

$47

General + Research + Ownership

Payments

3

Total payment records

General Amount

$47

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

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: 2024-05-15

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
I20240515000160IPhysician AssistantCOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes10780$0
20610Aspiration and/or injection of fluid from large joint3620$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1715$0
View full utilization report →

Insurance plans in this area (ZIP 98374)

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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: 5799972725View full group profile
NameSpecialtyState
Physician AssistantIL
Plastic And Reconstructive SurgeryGA
Physician AssistantCO
Orthopedic SurgeryCO
Physician AssistantCO
Physician AssistantCO
Plastic And Reconstructive Surgery, Hand SurgeryTX
-CO
Physician AssistantCO
Orthopedic SurgeryCO

Reviews

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Frequently asked questions

What is the standard ID for THERESA K MARTIN (PA) in the U.S.?
In the U.S., THERESA K MARTIN (PA) is identified by NPI 1134176340.
Quick check: is THERESA K MARTIN (PA) active?
Public NPPES data shows THERESA K MARTIN (PA) with an active NPI status right now.
What does the directory say THERESA K MARTIN (PA) does?
Insurance directories may phrase it differently, but here THERESA K MARTIN (PA) maps to Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to THERESA K MARTIN (PA)?
THERESA K MARTIN (PA) is associated with Puyallup, Washington in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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