BILLIE KAREN MARTIN PA
NPI 1457344780
Physician Assistant - Medical in San Marcos, TX

Active since August 23, 2005PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
1330 WONDER WORLD DR, STE B108, SAN MARCOS, TX 78666(512) 396-5603(512) 396-5623 Get Directions Write a Review

NPPES record last updated: May 2, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Billie Karen Martin Pa NPPES

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

BILLIE KAREN MARTIN PA (NPI 1457344780) is an individual medical provider in San Marcos, Texas, licensed in Texas (PA00781) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Dell Seton Med Center At The University Of Tx, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1457344780
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameBILLIE KAREN MARTINCredential: PA
Location Address1330 WONDER WORLD DR, STE B108San Marcos, TX 78666-7566
Mailing AddressAustin Heart Pllc, Po Box 402669Atlanta, GA 30384-2669 · (512) 206-4300 · Fax (512) 206-4350
Fax(512) 396-5623
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateAugust 23, 2005
Last NPPES UpdateMay 2, 2014
NPI 1457344780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TX · PA00781
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License PA00781 (TX)
1330 WONDER WORLD DR, San Marcos, TX 78666

Other Identifiers 3

Medicare PIN81N055TX
Medicare UPINS43146
Medicaid1961021-01TX

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

Billie Karen Martin Pa 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 ID6608930516
PECOS Enrollment IDI20090121000398
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.

Areas of Expertise CMS Part B claims 4

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
111 services29 patients
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.
86 services26 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
45 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Dell Seton Med Center At The University Of Tx

Acute Care Hospitals · Austin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450124
Location601 E 15th StreetAustin, TX 78701 · Travis County

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Cardiovascular Disease)
1330 WONDER WORLD DR, STE B108
SAN MARCOS, TX 78666
Clinic/Center (Radiology)
1330 WONDER WORLD DR, STE 202
SAN MARCOS, TX 78666
Radiology (Diagnostic Radiology)
1330 WONDER WORLD DR, STE 202
SAN MARCOS, TX 78666
Internal Medicine (Interventional Cardiology)
1330 WONDER WORLD DR, SUITE B108
SAN MARCOS, TX 78666
Physical Medicine & Rehabilitation
1330 WONDER WORLD DR, STE 104
SAN MARCOS, TX 78666
Internal Medicine (Cardiovascular Disease)
1330 WONDER WORLD DR, B-108
SAN MARCOS, TX 78666
Internal Medicine (Nephrology)
1330 WONDER WORLD DR
SAN MARCOS, TX 78666

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 Billie Martin's NPI number?

The NPI number for Billie Martin is 1457344780. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Billie Martin located?

Billie Martin practices at 1330 Wonder World Dr Ste B108, San Marcos, TX 78666. The listed phone number is (512) 396-5603.

What is Billie Martin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Billie Martin enrolled in Medicare?

Yes. Billie 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.

What insurance does Billie Martin accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Billie 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 Billie Martin affiliated with any hospitals?

According to CMS data, Billie Martin is affiliated with Dell Seton Med Center At The University Of Tx and St David's Medical Center.

When was this NPI record last updated?

The NPPES record for Billie Martin was last updated on May 2, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.