MARY WADE MARTIN M.D.
NPI 1245244359
Obstetrics & Gynecology in Beaumont, TX

Q: What is Mary Martin's NPI number?

The NPI number for Mary Martin is 1245244359. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Q: What is Mary Martin's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Martin was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment

3610 STAGG DR, BEAUMONT, TX 77701(409) 923-0012(409) 291-8010 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2021, Apr 9, 2019 (2 updates tracked since 2019).

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About Mary Wade Martin M.d. NPPES

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

MARY WADE MARTIN M.D. (NPI 1245244359) is an individual obstetrics & gynecology provider in Beaumont, Texas, licensed in Oklahoma (23664) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1991).

NPPES Registry Identity

NPI1245244359

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameMARY WADE MARTINCredential: M.D.

Location Address3610 STAGG DRBeaumont, TX 77701-3713

Mailing Address3610 Stagg DrBeaumont, TX 77701-3713 · (409) 923-0012 · Fax (409) 291-8010

Phone(409) 923-0012

Fax(409) 291-8010

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1991

Enumeration DateJuly 27, 2006

Last NPPES UpdateMay 11, 20212 updates tracked since enumeration

NPPES CertifiedMay 11, 2021

✔ NPI 1245244359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in OK · 23664

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 23664 (OK)

3610 STAGG DR, Beaumont, TX 77701

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Secondary Practice Locations 2

Location 12610 NW Expressway, Ste BOklahoma City, OK 73112-7277 · Phone (405) 307-6668 ext. 501 · Fax (405) 701-6170

Location 2211 S Mill StPryor, OK 74361-5221 · Phone (918) 825-3777 · Fax (918) 825-3776

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Quartz.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

Mary Wade Martin M.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 ID4183617350

PECOS Enrollment IDI20210303001870

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 77701 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

$124.88 typical visit price

range $54.04 – $164.93

Typical copayment $31.22 (range $13.51 – $41.23)

Most-billed visit code 99204

Established Patient

$67.64 typical visit price

range $17.17 – $134.47

Typical copayment $16.91 (range $4.29 – $33.61)

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 8

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

NICKY UNDERWOOD LCSW

Social Worker (Clinical)