DR. LAWRENCE MOORER MARTIN (M.D.) – Psychiatry Physician, NPI 1902919202

DR. LAWRENCE MOORER MARTIN (M.D.) is a healthcare provider. based in Medical lake, Washington. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. MD00028148 (WA). The NPI Number for DR. LAWRENCE MOORER MARTIN (M.D.) is 1902919202

Main info

Male
57 Years Of Experience
Accepts Medicare Assignment
Name
DR. LAWRENCE MOORER MARTIN (M.D.)
NPI
1902919202
Phone
(509) 565-4000
Address
P.O. BOX 800, EASTERN STATE HOSPITAL
Enumeration Date
17 August 2006
Last Update Date
1 April 2015

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
3602367114
Graduation Year
1969 (57 years ago)
PAC ID
4486818937
Group Practice PAC ID
7315848660
Professional Enrollment ID
I20120613000054
Address ID
WA985065268OL3857XEXXX400
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

710 PSYCHIATRY in WA

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Provider Addresses for DR. LAWRENCE MOORER MARTIN (M.D.)

  • P.O. BOX 800, EASTERN STATE HOSPITAL

    850 MAPLE STREET

    MEDICAL LAKE, WA 990220800

    Phone: (509) 565-4000

    Fax: (509) 565-4705

    Type: Mailing

  • 850, Maple Street, Medical Lake, Spokane County, Washington, 99022, United States

    MEDICAL LAKE, WA 990220800

    Phone: (509) 565-4000

    Fax: (509) 565-4705

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $202.

Total Amount is formed as General ($202) + Research ($0) + Ownership ($0) = $202.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($52).

Total Amount

$202

General + Research + Ownership

Payments

9

Total payment records

General Amount

$202

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

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: 2012-06-13

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
I20120613000054IPsychiatryWATBD

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 minutes9143$0
View full utilization report →

Insurance plans in this area (ZIP 99022)

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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: 7315848660View full group profile
NameSpecialtyState
-WA
Nurse PractitionerWA
Nurse PractitionerWA
Psychiatry, NeurologyWA
Nurse PractitionerWA
-AK
P S Y C H I A T R YWA
Nurse PractitionerNH

Reviews

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Frequently asked questions

Can I cross-check DR. LAWRENCE MOORER MARTIN (M.D.) using NPI 1902919202?
NPI 1902919202 belongs to DR. LAWRENCE MOORER MARTIN (M.D.); compare other details if you need extra assurance.
Is DR. LAWRENCE MOORER MARTIN (M.D.) shown as active in public data?
Registry records indicate DR. LAWRENCE MOORER MARTIN (M.D.) maintains an active NPI.
What kind of doctor is DR. LAWRENCE MOORER MARTIN (M.D.)?
DR. LAWRENCE MOORER MARTIN (M.D.) is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. LAWRENCE MOORER MARTIN (M.D.) associated with Medical Lake?
Public fields place DR. LAWRENCE MOORER MARTIN (M.D.) around Medical Lake, Washington. Always confirm the exact site before visiting.
Does DR. LAWRENCE MOORER MARTIN (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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