MR. BENNY RAY MARTIN PH.D.
NPI 1124150180
Psychologist - Clinical in Atascadero, CA

Active since March 12, 2007PECOS EnrolledAccepts Medicare Assignment
10333 EL CAMINO REAL, ATASCADERO, CA 93422(805) 468-2000(805) 468-6011 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2023, Oct 25, 2022, Nov 16, 2021 (3 updates tracked since 2021).

About Mr. Benny Ray Martin Ph.d. NPPES

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

MR. BENNY RAY MARTIN PH.D. (NPI 1124150180) is an individual clinical provider in Atascadero, California, licensed in Washington (PY00003320) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Luis Obispo, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1124150180
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMR. BENNY RAY MARTINCredential: PH.D.
Location Address10333 EL CAMINO REALAtascadero, CA 93422-5808
Mailing Address10333 El Camino RealAtascadero, CA 93422-5808
Fax(805) 468-6011
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 12, 2007
Last NPPES UpdateNovember 8, 20233 updates tracked since enumeration
NPPES CertifiedNovember 8, 2023
NPI 1124150180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in WA · PY00003320 Licensed in CA · PSY22824
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
10333 EL CAMINO REAL, Atascadero, CA 93422

Secondary Practice Location 1

Location 11229 Higuera StSan Luis Obispo, CA 93401-3169 · Phone (805) 457-6123 · Fax (866) 496-9881

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

Mr. Benny Ray Martin Ph.d. 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 ID1153460605
PECOS Enrollment IDI20230522000740
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93422 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
$178.89 typical visit price
range $59.84 – $178.89
Typical copayment $44.72 (range $14.96 – $44.72)
Most-billed visit code 99205
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
Most-billed visit code 99214
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.

Nurse Practitioner (Psychiatric/Mental Health)
10333 EL CAMINO REAL
ATASCADERO, CA 93422
Psychiatry & Neurology (Psychiatry)
10333 EL CAMINO REAL
ATASCADERO, CA 93422
Psychiatry & Neurology (Psychiatry)
10333 EL CAMINO REAL
ATASCADERO, CA 93422
Psychologist (Clinical)
10333 EL CAMINO REAL
ATASCADERO, CA 93422
Psychologist (Clinical)
10333 EL CAMINO REAL
ATASCADERO, CA 93422
Internal Medicine
10333 EL CAMINO REAL
ATASCADERO, CA 93422
Registered Nurse (Psychiatric/Mental Health, Adult)
10333 EL CAMINO REAL
ATASCADERO, CA 93422
Psychiatry & Neurology (Psychiatry)
10333 EL CAMINO REAL
ATASCADERO, CA 93422

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 Benny Martin's NPI number?

The NPI number for Benny Martin is 1124150180. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is Benny Martin located?

Benny Martin practices at 10333 El Camino Real, Atascadero, CA 93422. The listed phone number is (805) 468-2000.

What is Benny Martin's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Benny Martin enrolled in Medicare?

Yes. Benny 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 Benny Martin accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Benny 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.

When was this NPI record last updated?

The NPPES record for Benny Martin was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.