NPIMap

Individual provider Active NPI

Steven L Martin, PAC

  • Physician Assistant
  • Saratoga, WY
National Provider Identifier
1194716159
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA856 Issued in WY
Practice address
116 West Bridge Avenue
Saratoga, WY 82331
Phone
(307) 329-3340
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085-002597 IL
Physician Assistant 363A00000X PA856 WY Primary

Addresses

Primary practice location

116 West Bridge Avenue
Saratoga, WY 82331

Mailing address

PO Box 930
Saratoga, WY 82331-0930
Phone (307) 329-3340

Other practice location 1

6900 Alden Dr
Cheyenne, WY 82005
Phone (307) 773-6210

Other practice location 2

1435 Burton St
Sheridan, WY 82801-2723
Phone (307) 675-5850

Other practice location 3

727 E Court St
Paris, IL 61944-2460
Phone (217) 465-8411

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address steven.martin@sheridan.cernerdirect.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200630002502 WY Practitioner - Physician Assistant 8325060965 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathfinder Medical LLCGroup PAC ID 6901304773, 2 clinicians

Practice addresses (Care Compare)

116 W Bridge Ave
Saratoga, WY 82331-5065
Phone (307) 329-3340

PO Box
Suite 930
Saratoga, WY 82331-0930

Hospital & facility affiliations

  • North Platte Valley Medical Center Hospital, Saratoga, WY, CCN 531317
  • Memorial Hospital of Carbon County Hospital, Rawlins, WY, CCN 531316
  • Cheyenne Regional Medical Center Hospital, Cheyenne, WY, CCN 530014
  • Ivinson Memorial Hospital Hospital, Laramie, WY, CCN 530025

Merit-based Incentive Payment System (MIPS)

Final score
86.66 of 100Reported as group
Quality
82.09
Promoting interoperability
98
Improvement activities
40
Cost
75.1

Merit-based Incentive Payment System (MIPS)

Final score
33.71 of 100Reported as group
Quality
39.66
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085-002597ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Park Hospital District CurrentSince May 23, 2022 Accepting new patients
West Park Hospital District CurrentSince May 23, 2022 Accepting new patients
Camino Real Emergency Physicians PLLC Physician Assistant Past Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients
Kirby Medical Center Past Accepting new patients

Locations

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903

Interoperability endpoints

  • Direct secure messaging: smartin707150@ahs.direct-ci.com
  • Direct secure messaging: steven.martin@sheridan.cernerdirect.com

Organizations & group practices 8

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1194716159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 930",
            "city": "SARATOGA",
            "state": "WY",
            "postal_code": "823310930",
            "telephone_number": "307-329-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 WEST BRIDGE AVENUE",
            "city": "SARATOGA",
            "state": "WY",
            "postal_code": "82331",
            "telephone_number": "307-329-3340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 Alden Dr",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "82005",
            "country_code": "US",
            "telephone_number": "307-773-6210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1435 Burton St",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828012723",
            "country_code": "US",
            "telephone_number": "307-675-5850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "727 E Court St",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "IL",
            "postal_code": "619442460",
            "country_code": "US",
            "telephone_number": "217-465-8411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "STEVEN",
        "middle_name": "L",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-002597",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PA856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "steven.martin@sheridan.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1435 Burton St",
            "city": "Sheridan",
            "state": "WY",
            "country_code": "US",
            "postal_code": "828012723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saratoga, WY

Sources for this page

Verify at the official NPI Registry.