MR. BENNY RAY MARTIN PH.D.
NPI 1124150180
Psychologist - Clinical in Atascadero, CA
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Benny Martin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atascadero, CA 93422
- Reassigned Medicare billing, California enrollment
- 755 clinicians in this Medicare group
Federal Way, WA 98003
- Reassigned Medicare billing, Washington enrollment
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
ATASCADERO, CA 93422
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.
Which organizations bill Medicare for Benny Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benny Martin reassigns Medicare benefits to 2 organizations: Department Of State Hospitals (Atascadero, CA) and The Center For Psychological Health, LLC (Federal Way, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benny Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benny Martin accept?
Health plans from Premera Blue Cross Blue Shield of Alaska 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 3 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.
# Mr. Benny Ray Martin, PH.D. · NPI 1124150180
Clinical provider in Atascadero, California. Individual provider, active in the CMS NPPES registry since March 12, 2007.
## Identity
- **NPI:** 1124150180 (Entity type: Individual)
- **Enumerated:** March 12, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PY00003320 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10333 EL CAMINO REAL, Atascadero, CA 93422-5808
- **Phone:** (805) 468-2000 · **Fax:** (805) 468-6011
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Department Of State Hospitals (NPI 1174573802, Atascadero, CA); The Center For Psychological Health, LLC (NPI 1144694001, Federal Way, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** November 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1124150180) · Data from the CMS NPPES public registry.