Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GRADY MARTIN PA-C
NPI 1457266488
Physician Assistant in Midland, MI

Q: What is Grady Martin's NPI number?

The NPI number for Grady Martin is 1457266488. It was assigned to this individual provider in the NPPES registry on August 14, 2026.

Q: What is Grady 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 Grady Martin was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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 August 14, 2026PECOS Enrolled

4100 CAMPUS RIDGE DR, MIDLAND, MI 48640(989) 839-1795(989) 839-1785 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 18, 2026, Aug 14, 2026 (2 updates tracked since 2026).

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About Grady Martin Pa-c NPPES

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

GRADY MARTIN PA-C (NPI 1457266488) is an individual physician assistant in Midland, Michigan and active in the NPI registry since August 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1457266488

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameGRADY MARTINCredential: PA-C

Location Address4100 CAMPUS RIDGE DRMidland, MI 48640-6139

Mailing Address4000 Wellness DrMidland, MI 48670-2000 · (844) 832-1956 · Fax (989) 633-5241

Phone(989) 839-1795

Fax(989) 839-1785

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateAugust 14, 2026

Last NPPES UpdateSeptember 18, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2026

✔ NPI 1457266488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

4100 CAMPUS RIDGE DR, Midland, MI 48640

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grady Martin Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325509904

PECOS Enrollment IDI20260914001708

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 48640 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 20

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

LISA LYNETTE MILLER ARNP, BSN, MN

Nurse Practitioner (Adult Health)