TANNER MARTIN - NPI 1285452540 - Physician Assistant in Lawton, OK

Q: What is Tanner Martin's NPI number?

The NPI number for Tanner Martin is 1285452540. It was assigned to this individual provider in the NPPES registry on September 26, 2024.

Q: What is Tanner Martin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tanner Martin was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

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About Tanner Martin NPPES

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

TANNER MARTIN (NPI 1285452540) is an individual physician assistant in Lawton, Oklahoma, licensed in Oklahoma (5674) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS, is affiliated with Comanche County Memorial Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1285452540

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameTANNER MARTIN

Location Address110 NW 31ST ST STE 201Lawton, OK 73505-6100

Mailing Address8005 Nw Norwick AveLawton, OK 73505-4033 · (405) 990-2070

Phone(580) 585-5549

Fax(580) 699-8223

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 26, 2024

Last NPPES UpdateJanuary 8, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2026

✔ NPI 1285452540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OK · 5674

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.

110 NW 31ST ST STE 201, Lawton, OK 73505

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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

Tanner Martin 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 ID1557848959

PECOS Enrollment IDI20260115003805

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.

Comanche County Memorial Hospital

Acute Care Hospitals · Lawton, OK

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number370056

Location3401 West Gore BlvdLawton, OK 73505 · Comanche County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73505 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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 5

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

DR. MINDA UNIDAD ROAN MD

Pediatrics