Individual provider Active NPI

Jeffrey Alan Martin, MD

  • Orthopaedic Surgery of the Spine Physician
  • McAllen, TX
National Provider Identifier
1053425173
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
T2208 Issued in TX
Practice address
1801 S 5TH St Ste 104
McAllen, TX 78503-2919
Phone
(956) 540-2949
Fax
(956) 229-6184
NPI assigned
Aug 18, 2006
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 22004 AZ
Orthopaedic Surgery of the Spine Physician 207XS0117X T2208 TX Primary

Addresses

Primary practice location

1801 S 5TH St Ste 104
McAllen, TX 78503-2919

Mailing address

1801 S 5TH St Ste 104
McAllen, TX 78503-2919
Phone (956) 540-2949

Other identifiers 3

IdentifierTypeStateIssuer
42814503MedicaidAZ
1053425173MedicaidTX
2A1204OtherTXPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160524000057 MO Practitioner - Orthopedic Surgery 9133019920
I20220215002401 TX Practitioner - Orthopedic Surgery 9133019920

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.35 of 100Reported as group
Quality
50.62
Promoting interoperability
95
Improvement activities
20
Cost
73.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11914AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McAllen Hospitalist Group, PLLC Family Medicine CurrentSince Mar 15, 2022 Accepting new patients
Laser Spine Institute of Arizona, LLC Past Accepting new patients
Heart Clinic, PLLC PastSince Mar 15, 2022 Accepting new patients
Corona Orthopaedic Associates Medical Group Inc Orthopaedic Surgery Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Surgical Specialty Hospital of Arizona, LLC Past Accepting new patients

Locations

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

4302 S Sugar Rd
Ste 100
Edinburg, TX 78539
Phone (956) 292-0570

1801 S 5th St
Ste 104
McAllen, TX 78503
Phone (956) 540-2949

7900 N 10th St
Ste A
McAllen, TX 78504
Phone (956) 587-0088

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1053425173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S 5TH ST STE 104",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785032919",
            "telephone_number": "956-540-2949",
            "fax_number": "956-229-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S 5TH ST STE 104",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785032919",
            "telephone_number": "956-540-2949",
            "fax_number": "956-229-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2022-08-15",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "22004",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "T2208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42814503",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053425173",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "2A1204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.