TRACY B MARTIN PA
NPI 1952460057
Physician Assistant in Los Alamos, NM
About Tracy B Martin Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACY B MARTIN PA (NPI 1952460057) is an individual physician assistant in Los Alamos, New Mexico, licensed in New Mexico (99-PA28) and active in the NPI registry since December 2006. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer and maintains a secondary practice location in Los Alamos.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Tracy B Martin Pa 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 October 1, 2022 through October 1, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87544 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tracy Martin's NPI number?
The NPI number for Tracy Martin is 1952460057. It was assigned to this individual provider in the NPPES registry on December 6, 2006.
Where is Tracy Martin located?
Tracy Martin practices at 2610 Trinity Dr Ste 14, Los Alamos, NM 87544. The listed phone number is (505) 500-8213.
What is Tracy Martin's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Tracy Martin enrolled in Medicare?
No. Tracy Martin has opted out of Medicare through October 1, 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 Tracy Martin was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Tracy B Martin, PA · NPI 1952460057
Physician Assistant physician in Los Alamos, New Mexico. Individual provider, active in the CMS NPPES registry since December 6, 2006.
## Identity
- **NPI:** 1952460057 (Entity type: Individual)
- **Enumerated:** December 6, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 99-PA28 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 2610 TRINITY DR STE 14, Los Alamos, NM 87544-2362
- **Phone:** (505) 500-8213 · **Fax:** (505) 451-0580
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** October 11, 2022
- **Other identifiers:** Medicaid 000N1651 (NM); Other 10029201; Other QMP000003399104
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Source: [NPI Profile](https://npiprofile.com/npi/1952460057) · Data from the CMS NPPES public registry.