Cory M. Martin, PA-C
NPI 1629201249ActiveIndividual· Physician Assistant· Meridian, ID
Physician Assistant (PA-C) with Boise Radiology Group PLLC, practicing in Meridian, Idaho. Medicare paid $13,668 for services to 219 patients in 2024. Lists St Luke's Nampa Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1629201249 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 30, 2009 |
| Last updated in NPPES | Aug 5, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA-1177 | ID |
| Physician Assistant | 363A00000X | 10001138A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 219 |
|---|---|
| Services billed | 350 across 50 procedure codes |
| Paid by Medicare | $13,668 |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Boise Radiology Group PLLCBoise, ID · 65 clinicians
Hospital affiliations
- St Luke's Nampa Medical CenterNampa, ID
- St Luke's Regional Medical CenterBoise, ID
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 133 physician assistants in Meridian · All physician assistants in Idaho