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

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: October 25, 2026.

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

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 Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jake Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Arkansas For Medical Sciences
0.4 mi
Psychiatry
3425 N FUTRALL DR STE 103
Fayetteville, AR 72703
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1831193531 (Arkansas)
  • 2,038 clinicians in this Medicare group
NPI 1720217599 (479) 713-8350

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Washington County (479) 966-4491
JAMIE LAUREN MCDERMOTT MS, RD
Dietitian, Registered
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Washington County (860) 681-3742
NAVIN R KILAMBI MD
Orthopaedic Surgery (Sports Medicine)
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Washington County (479) 966-4491
FARRAH A JENNINGS PA-C
Physician Assistant (Surgical)
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Washington County (479) 966-4491
JACOB ROBERT SMITH MD
Family Medicine
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Washington County (479) 966-4491
MATTHEW CARL BALTENSPERGER PHYSICAL THERAPIST
Physical Therapist
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Washington County (479) 966-4491
CAMBRE RICKER
Physical Therapist
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Washington County (479) 966-4491
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Durable Medical Equipment & Medical Supplies
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Washington County (479) 966-4491

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 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.

Where is Jake Martin located?

Jake Martin practices at 201 W Van Asche Loop, Fayetteville, AR 72703. The listed phone number is (479) 966-4491.

What is Jake Martin's specialty?

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

Is Jake Martin enrolled in Medicare?

Yes. Jake 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.

Which organization bills Medicare for Jake Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jake Martin reassigns Medicare benefits to University Of Arkansas For Medical Sciences (Fayetteville, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jake Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jake Martin accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Jake 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.

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 16 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.