DR. CAROLYN JOHANNA MARTIN (MD) – Emergency Medicine Physician, NPI 1831175462

DR. CAROLYN JOHANNA MARTIN (MD) is a healthcare provider. based in Vancouver, Washington. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 25889 (AZ). The NPI Number for DR. CAROLYN JOHANNA MARTIN (MD) is 1831175462

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. CAROLYN JOHANNA MARTIN (MD)
NPI
1831175462
Phone
(360) 514-2142
Address
PO BOX 1600
Enumeration Date
15 December 2005
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3605142142
Graduation Year
1996 (30 years ago)
PAC ID
7517969355
Group Practice PAC ID
3870526858
Professional Enrollment ID
I20100914000023
Address ID
WA986643225VA600XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:20State licenses:4Digital endpointsOther names

1,206 EMERGENCY MEDICINE in WA

Provider Addresses for DR. CAROLYN JOHANNA MARTIN (MD)

  • Vancouver Post Office, 2700, Caples Avenue, Bagley Downs, Vancouver, Clark County, Washington, 98661, United States

    VANCOUVER, WA 986681600

    Phone: (360) 514-2142

    Type: Mailing

  • 400 NE MOTHER JOESPH PLACE

    VANCOUVER, WA 98664

    Phone: (360) 514-2142

    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: 2010-09-14

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
I20100914000023IEmergency MedicineWATBD

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
99285Emergency department visit with high level of medical decision making124123$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only9172$0
99284Emergency department visit with moderate level of medical decision making5048$0
99291Critical care, first 30-74 minutes4040$0
View full utilization report →

Insurance plans in this area (ZIP 98668)

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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: 3870526858View full group profile
NameSpecialtyState
Emergency MedicineMD
Emergency MedicineWA
Emergency MedicineOH
-CA
Emergency MedicineIL
-CA
Emergency MedicineWI
Emergency MedicineTX
Emergency MedicinePA
Emergency MedicineFL

Reviews

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Frequently asked questions

Can I use this page to confirm DR. CAROLYN JOHANNA MARTIN (MD)'s NPI?
Yes. DR. CAROLYN JOHANNA MARTIN (MD) is listed with NPI 1831175462 in the public NPI dataset.
Is DR. CAROLYN JOHANNA MARTIN (MD) listed as active for patients and plans?
The listing shows DR. CAROLYN JOHANNA MARTIN (MD) as active in the NPI system.
What taxonomy line describes DR. CAROLYN JOHANNA MARTIN (MD)?
For research purposes, treat DR. CAROLYN JOHANNA MARTIN (MD) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. CAROLYN JOHANNA MARTIN (MD) on a map?
Expect Vancouver, Washington as a primary anchor for DR. CAROLYN JOHANNA MARTIN (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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