Individual provider Active NPI

Robert Clabaugh Davidson, M.D.

  • Ophthalmology Physician
  • Chandler, AZ
National Provider Identifier
1003809641
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
22567 Issued in AZ
Practice address
1727 W Frye Rd Ste 220
Chandler, AZ 85224-5298
Phone
(480) 821-1800
Fax
(480) 821-6749
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist Physician 207WX0120X 22567 AZ
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 22567 AZ Primary

Addresses

Primary practice location

1727 W Frye Rd Ste 220
Chandler, AZ 85224-5298

Mailing address

1727 W Frye Rd Ste 220
Chandler, AZ 85224-5298
Phone (480) 821-1800

Other identifiers 3

IdentifierTypeStateIssuer
0800297OtherAZUHC
354324MedicaidAZ
AZ0381960OtherAZBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051108000032 AZ Practitioner - Ophthalmology 8820016926 Receives reassigned benefits from 1 practitioner
Practice locations: Chandler, AZ

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Duke University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1311 W Chandler Blvd
Suite 110
Chandler, AZ 85224-6136

1727 W Frye Rd
Suite 220
Chandler, AZ 85224-5298
Phone (480) 821-1800

Merit-based Incentive Payment System (MIPS)

Final score
87.27 of 100Reported as individual
Quality
85.87
Improvement activities
40
Cost
76.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22567AZMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel J Kinkead PC Single Specialty Current Accepting new patients
My Eye Consultants PLLC Single Specialty PastSince Mar 1, 2020 Accepting new patients
Chandler Eye Center Single Specialty PastSince Jan 1, 1990 Accepting new patients

Networks

  • NM HMO C-SNP

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1003809641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 W FRYE RD STE 220",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245298",
            "telephone_number": "480-821-1800",
            "fax_number": "480-821-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 W FRYE RD STE 220",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245298",
            "telephone_number": "480-821-1800",
            "fax_number": "480-821-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "ROBERT",
        "middle_name": "CLABAUGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "AZ",
            "license": "22567",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "22567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0800297",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "354324",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0381960",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.