DR. JAKE LEE MARTIN MD
NPI 1558948398
Family Medicine - Sports Medicine in Fayetteville, AR

Q: What is Jake Martin's NPI number?

The NPI number for Jake Martin is 1558948398. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Q: What is Jake Martin's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Jake Martin was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since March 26, 2021PECOS EnrolledAccepts Medicare Assignment

201 W VAN ASCHE LOOP, FAYETTEVILLE, AR 72703(479) 966-4491(479) 966-4311 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jun 3, 2025, Mar 26, 2021 (2 updates tracked since 2021).

On this page

About Dr. Jake Lee Martin Md NPPES

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

DR. JAKE LEE MARTIN MD (NPI 1558948398) is an individual sports medicine provider in Fayetteville, Arkansas, licensed in Arkansas (E-17647) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1558948398

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. JAKE LEE MARTINCredential: MD

Location Address201 W VAN ASCHE LOOPFayetteville, AR 72703-4996

Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5148

Phone(479) 966-4491

Fax(479) 966-4311

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 26, 2021

Last NPPES UpdateJune 3, 20252 updates tracked since enumeration

NPPES CertifiedJune 3, 2025

✔ NPI 1558948398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in AR · E-17647

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License E-17647 (AR)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

201 W VAN ASCHE LOOP, Fayetteville, AR 72703

Open in Google Maps ↗

Secondary Practice Locations 2

Location 12601 Gene George BlvdSpringdale, AR 72762-0845 · Phone (479) 725-6803 · Fax (479) 725-6582

Location 2507 W Monroe AveLowell, AR 72745-8909 · Phone (479) 334-7030 · Fax (479) 334-7029

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections 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 and accepts Medicare assignment

Dr. Jake Lee 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 ID7416467519

PECOS Enrollment IDI20250609000879

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 72703 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

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.

DR. TYLER LEWIS CARLLEE M.D.

Orthopaedic Surgery