DALLAS B MARTIN D.O.
NPI 1679590202
Family Medicine in Charleston, WV

Q: What is Dallas Martin's NPI number?

The NPI number for Dallas Martin is 1679590202. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Dallas Martin's specialty?

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

Q: Is Dallas Martin enrolled in Medicare?

No. Dallas Martin has opted out of Medicare through November 10, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Dallas Martin was last updated on November 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since July 17, 2006Opted out of Medicare · through Nov 10, 2026

1106 SKYTOP CIR, CHARLESTON, WV 25314(304) 610-3704 Get Directions Write a Review

NPPES record last updated: November 17, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dallas B Martin D.o. NPPES

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

DALLAS B MARTIN D.O. (NPI 1679590202) is an individual family medicine provider in Charleston, West Virginia, licensed in West Virginia (1048) and active in the NPI registry since July 2006. He has opted out of Medicare through November 10, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679590202

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDALLAS B MARTINCredential: D.O.

Location Address1106 SKYTOP CIRCharleston, WV 25314-2222

Mailing Address1106 Skytop CirCharleston, WV 25314-2222 · (304) 610-3704

Phone(304) 610-3704

Sole ProprietorYes

Enumeration DateJuly 17, 2006

Last NPPES UpdateNovember 17, 2010

✔ NPI 1679590202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WV · 1048

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 1048 (WV)

1106 SKYTOP CIR, Charleston, WV 25314

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Other Identifiers 7

Medicare PIN2033474WV

Medicaid0042041000WV

Medicare PIN2033475WV

Medicare PIN2033472WV

Medicare PIN2033476WV

Medicare PIN2033471WV

Medicare PIN2033473WV

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dallas B Martin D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 10, 2016 through November 10, 2026.

Opt-Out Effective DateNovember 10, 2016

Opt-Out In Effect ThroughNovember 10, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25314 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

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 Dallas Martin's NPI number?

The NPI number for Dallas Martin is 1679590202. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Dallas Martin located?

Dallas Martin practices at 1106 Skytop Cir, Charleston, WV 25314. The listed phone number is (304) 610-3704.

What is Dallas Martin's specialty?

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

Is Dallas Martin enrolled in Medicare?

No. Dallas Martin has opted out of Medicare through November 10, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Dallas Martin was last updated on November 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.