TIMOTHY SHANE MARTIN MD
NPI 1386716686
Family Medicine in Abilene, TX

Active since November 14, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 45D0974750 · Waiver
73.84/100
CMS Quality Rating
2110 N WILLIS ST, SUITE B, ABILENE, TX 79603(325) 232-8675(325) 899-3418 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 28, 2022, Mar 1, 2017 (2 updates tracked since 2017).

About Timothy Shane Martin Md NPPES

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

TIMOTHY SHANE MARTIN MD (NPI 1386716686) is an individual family medicine provider in Abilene, Texas, licensed in Texas (K2958) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 1, 2028, and is affiliated with Hendrick Medical Center.

NPPES Registry Identity

NPI1386716686
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTIMOTHY SHANE MARTINCredential: MD
Location Address2110 N WILLIS ST, SUITE BAbilene, TX 79603-4359
Mailing Address2110 N Willis St, Suite BAbilene, TX 79603-4359 · (325) 232-8675 · Fax (325) 899-3418
Fax(325) 899-3418
Sole ProprietorYes
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1996
Enumeration DateNovember 14, 2006
Last NPPES UpdateOctober 28, 20222 updates tracked since enumeration
NPPES CertifiedOctober 28, 2022
NPI 1386716686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · K2958
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2110 N WILLIS ST, Abilene, TX 79603

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

Timothy Shane Martin Md 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 ID2860518321
PECOS Enrollment IDI20100922000466
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0974750

Dr Timothy Martin, MD PLLC · Abilene, TX
Active · expires Mar 1, 2028
CLIA Number45D0974750
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2026
Certificate Expiration DateMarch 1, 2028
Laboratory DirectorDr. Timothy S. Martin
Laboratory Phone(325) 232-8675
Laboratory LocationDr Timothy Martin, MD PLLC2110 North Willis Street Ste B, Abilene, TX 79603
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 42

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
855 services301 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
586 services172 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
483 services53 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
437 services120 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
408 services99 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
298 services53 patients

Hospital Affiliations CMS Care Compare 2

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

Hendrick Medical Center

Acute Care Hospitals · Abilene, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450229
Location1900 PineAbilene, TX 79601 · Taylor County
Emergency services Birthing friendly

Eastland Memorial Hospital

Acute Care Hospitals · Eastland, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450411
Location304 S Daugherty StreetEastland, TX 76448 · Eastland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79603 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality65.19
Promoting Interoperability100
Improvement Activities40
Cost47.61

Reported Quality Measures

Advance Care Plan
9%546 patients1/55-star benchmark: 100%
Appropriate Treatment for Upper Respiratory Infection (URI)
77%216 patients4/55-star benchmark: 100%
Breast Cancer Screening
35%390 patients2/55-star benchmark: 93%
Cervical Cancer Screening
15%609 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
32%491 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
44%1,023 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
58%797 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%430 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
34%430 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%8,458 patients4/55-star benchmark: 100%
e-Prescribing
99%5,985 patients4/55-star benchmark: 100%
HIV Screening
1%1,498 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
32%1,775 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
18%3,317 patients2/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
82%1,602 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 5% · 517 patients
Patients totalRate: 24% · 556 patients
25%556 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 20

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers16 claims35 services$5.48 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers12 claims1,830 services$6.18 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier14 claims1,128 services$0.37 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers26 claims26 services$39.00 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier19 claims615 services$6.70 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
1 supplier20 claims2,040 services$0.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
2110 N WILLIS ST
ABILENE, TX 79603

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 Timothy Martin's NPI number?

The NPI number for Timothy Martin is 1386716686. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Timothy Martin located?

Timothy Martin practices at 2110 N Willis St Suite B, Abilene, TX 79603. The listed phone number is (325) 232-8675.

What is Timothy Martin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Timothy Martin enrolled in Medicare?

Yes. Timothy 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.

Does Timothy Martin hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0974750) is associated with this NPI, valid through March 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Timothy Martin accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Timothy 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 Timothy Martin affiliated with any hospitals?

According to CMS data, Timothy Martin is affiliated with Hendrick Medical Center and Eastland Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Martin was last updated on October 28, 2022. 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.