Timothy Shane Martin, MD
Individual provider Active NPI Family Medicine Physician · Abilene, TX
NPI 1386716686 · NPPES record last updated Oct 28, 2022
Key facts
- NPI
- 1386716686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- K2958 (TX)
- Practice address
- 2110 N Willis St
Suite B
Abilene, TX 79603-4359 - Phone
- (325) 232-8675
- Fax
- (325) 899-3418
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 13
Hospital & facility affiliations 7
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Texas Southwestern Medical School at Dallas, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dr Tim Martin MD PLLC
The West Texas Rehabilitation Center
Practice addresses (Care Compare)
2110 N Willis St
Suite B
Abilene, TX 79603-4352
Phone (325) 232-8675
4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411
Hospital & facility affiliations
- Enhabit Home Health
- Angels Care Home Health of San Angelo
- Kinder Hearts Home Health
- Paradigm Homecare
- Kinder Hearts Hospice
- Hendrick Medical Center
- North Runnels Hospital
- Avir at Baird
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.17 of 100
- Quality
- 92.83
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 47.75
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Avir at Baird |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Mar 1, 2025 Mar 1, 2025 |
| Kinder Hearts Hospice |
Hospice | W-2 Managing Employee | Sep 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100922000466 | TX | Practitioner - Family Practice | 2860518321 |
Reassigns benefits to 2 organizations Practice locations: Abilene, TX |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K2958 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holly Mansur, FNP | Current | Accepting new patients | |
| Abilene Absolute Recovery Solutions | Current |
Accepting new patients | |
| TWMH LLC | Current |
Accepting new patients | |
| Dr Tim Martin MD PLLC | Family Medicine | Current |
Accepting new patients |
| Stephens Memorial Hospital District | Past | Accepting new patients | |
| Soma Resources, Inc. | Past | Accepting new patients | |
| Hendrick Provider Network | Family Medicine | Past | Accepting new patients |
Locations
1690 N Treadaway Blvd
Abilene, TX 79601
Phone (325) 701-9975
2110 N Willis St
Ste B
Abilene, TX 79603
Phone (325) 232-8675
429 N Judge Ely Blvd
Abilene, TX 79601
Phone (325) 400-8586
1751 N 15th St
Abilene, TX 79603
Phone (325) 673-3531
Interoperability endpoints
- tim.martin.1@15227.direct.athenahealth.com
- https://api.platform.athenahealth.com/15227/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K2958 | TX | Yes |
Addresses
Primary practice location
2110 N Willis St
Suite B
Abilene, TX 79603-4359
Mailing address
2110 N Willis St
Suite B
Abilene, TX 79603-4359
Phone (325) 232-8675
Other providers in Abilene, TX
- Nelida Martin
- Peggy Gene Martin
- Ray Boone Martin
- Stuart Martin
- Tamara Nicole Martin
- Cindy Martinez
- Delena Martinez
- Isyss Yesenia Martinez
- Kristen L. Martinez
- Lorenzo Manuel Martinez
All providers in Abilene, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.