Active NPI
Robert Clabaugh Davidson, M.D.
- Ophthalmology Physician
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 22567
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cornea and External Diseases Specialist Physician | 207WX0120X | 22567 | AZ | |
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0800297 | Other | AZ | UHC |
| 354324 | Medicaid | AZ | |
| AZ0381960 | Other | AZ | BCBS |
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
Enrollment records 1
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 100
- Quality
- 85.87
- Improvement activities
- 40
- Cost
- 76.41
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 238 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22567 | AZ | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel J Kinkead PC | Single Specialty | Current | Accepting new patients |
| My Eye Consultants PLLC | Single Specialty | Past | Accepting new patients |
| Chandler Eye Center | Single Specialty | Past | 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.
-
- Optometrist
- Chandler, AZ
- NPI 1942273446
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.