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CHARLES DEE MARTIN D.O.
NPI 1962848200
Student in an Organized Health Care Education/Training Program in Pensacola, FL

Active since May 14, 2013PECOS EnrolledAccepts Medicare Assignment
FAMILY MEDICINE RESIDENCY NH PENSACOLA, 6000 W. HWY 98, PENSACOLA, FL 32512(850) 505-6472 Get Directions Write a Review

NPPES record last updated: May 14, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Charles Dee Martin D.o. NPPES

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

CHARLES DEE MARTIN D.O. (NPI 1962848200) is an individual student in an organized health care education/training program in Pensacola, Florida and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Phs Indian Hospital At Rosebud, and is a graduate of West Virginia School Of Osteopathic Medicine (2013).

NPPES Registry Identity

NPI1962848200
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHARLES DEE MARTINCredential: D.O.
Location AddressFAMILY MEDICINE RESIDENCY NH PENSACOLA, 6000 W. HWY 98Pensacola, FL 32512-0001
Mailing AddressFamily Medicine Residency Nh Pensacola, 6000 W. Hwy 98Pensacola, FL 32512-0001 · (850) 505-6472
Phone(850) 505-6472
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2013
Enumeration DateMay 14, 2013
✔ NPI 1962848200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
FAMILY MEDICINE RESIDENCY NH PENSACOLA, Pensacola, FL 32512
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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

Charles Dee Martin D.o. 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 ID3375938434
PECOS Enrollment IDI20220328001717
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 Reassignments

2

Medicare enrollment records show Charles Martin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rosebud Indian Health Service
1,161 mi
General Acute Care Hospital
400 SOLDIER CREEK ROAD
Rosebud, SD 57570
  • Reassigned Medicare billing, Texas enrollment
  • 386 clinicians in this Medicare group
NPI 1194757369 (605) 747-3245
Eagle Butte Indian Health Service Hospital
1,260 mi
Public Health or Welfare
24276 166TH STREET, AIRPORT ROAD
Eagle Butte, SD 57625
  • Reassigned Medicare billing, Texas enrollment
  • 282 clinicians in this Medicare group
NPI 1558395848 (605) 964-7724

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

Hospital Affiliations CMS Care Compare

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

Phs Indian Hospital At Rosebud

Acute Care Hospitals · Rosebud, SD
OwnershipGovernment - Federal
CMS Certification Number430084
Location400 Soldier Creek RoadRosebud, SD 57570 · Todd County
Emergency services

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 Charles Martin's NPI number?

The NPI number for Charles Martin is 1962848200. It was assigned to this individual provider in the NPPES registry on May 14, 2013.

Where is Charles Martin located?

Charles Martin practices at Family Medicine Residency Nh Pensacola 6000 W. Hwy 98, Pensacola, FL 32512. The listed phone number is (850) 505-6472.

What is Charles Martin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Charles Martin enrolled in Medicare?

Yes. Charles 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 organizations bill Medicare for Charles Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Martin reassigns Medicare benefits to 2 organizations: Rosebud Indian Health Service (Rosebud, SD) and Eagle Butte Indian Health Service Hospital (Eagle Butte, SD). Each 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 Charles Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Charles Martin affiliated with any hospitals?

According to CMS data, Charles Martin is affiliated with Phs Indian Hospital At Rosebud.

When was this NPI record last updated?

The NPPES record for Charles Martin was last updated on May 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.