JAMES HENRY MARTIN III PA
NPI 1013766336
Physician Assistant in Lexington, KY

Active since May 17, 2024PECOS EnrolledAccepts Medicare Assignment
1000 S LIMESTONE, LEXINGTON, KY 40536(859) 323-9057(859) 323-9502 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2024, May 17, 2024 (2 updates tracked since 2024).

About James Henry Martin Iii Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES HENRY MARTIN III PA (NPI 1013766336) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (PA3558) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1013766336
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJAMES HENRY MARTIN IIICredential: PA
Location Address1000 S LIMESTONELexington, KY 40536-0001
Mailing Address1000 S LimestoneLexington, KY 40536-0001
Fax(859) 323-9502
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 17, 2024
Last NPPES UpdateJanuary 13, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2025
NPI 1013766336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in KY · PA3558
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA3558 (KY)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA3558 (KY)
1000 S LIMESTONE, Lexington, KY 40536

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

James Henry Martin Iii Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426581505
PECOS Enrollment IDI20241028003071
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
1000 S LIMESTONE
LEXINGTON, KY 40536
Physician Assistant
1000 S LIMESTONE
LEXINGTON, KY 40536
Pharmacist
1000 S LIMESTONE
LEXINGTON, KY 40536
Pharmacist
1000 S LIMESTONE
LEXINGTON, KY 40536
Specialist/Technologist, Other (Surgical Assistant)
1000 S LIMESTONE
LEXINGTON, KY 40536
Physician Assistant
1000 S LIMESTONE
LEXINGTON, KY 40536
Nurse Practitioner (Acute Care)
1000 S LIMESTONE
LEXINGTON, KY 40536
Nurse Practitioner (Acute Care)
1000 S LIMESTONE
LEXINGTON, KY 40536

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Martin's NPI number?

The NPI number for James Martin is 1013766336. It was assigned to this individual provider in the NPPES registry on May 17, 2024.

Where is James Martin located?

James Martin practices at 1000 S Limestone, Lexington, KY 40536. The listed phone number is (859) 323-9057.

What is James Martin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is James Martin enrolled in Medicare?

Yes. James Martin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Martin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list James Martin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Martin affiliated with any hospitals?

According to CMS data, James Martin is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for James Martin was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.