David P Davis, MD
Individual provider Active NPI Family Medicine Physician · Martinsville, IL
NPI 1053302240 · NPPES record last updated Oct 25, 2018
Key facts
- NPI
- 1053302240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036086811 (IL)
- Practice address
- 890 E Ridgelawn Rd
Martinsville, IL 62442-2551 - Phone
- (217) 382-4191
- Fax
- (217) 382-4248
- NPI assigned
- Nov 4, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sarah Bush Lincoln Health Center
Practice addresses (Care Compare)
890 E Ridgelawn Rd
Martinsville, IL 62442-2551
Phone (217) 382-4191
Hospital & facility affiliations
- Sarah Bush Lincoln Home Care
- Sarah Bush Lincoln Hospice
- Sarah Bush Lincoln Health Center
- Union Hospital Inc
- Paris Community Hospital
- St Anthonys Memorial Hospital
- Heartland Nursing & Rehab
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 69.5
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 15 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060508000142 | IL | Practitioner - Family Practice | 9032136726 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036086811 | IL | MD | Family Medicine Physician |
| 01039458A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Bush Lincoln Health Center | Current |
Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Union Hospital Inc. | Family Medicine | Past | Accepting new patients |
| Clark County Family Medicine | Family Medicine | Past | Accepting new patients |
| Union Hospital, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
890 E Ridgelawn Rd
Martinsville, IL 62442
Phone (217) 382-4004
1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01039458A | IN | |
| Family Medicine Physician | 207Q00000X | 036086811 | IL | Yes |
Addresses
Primary practice location
890 E Ridgelawn Rd
Martinsville, IL 62442-2551
Mailing address
1005 Health Center Dr Ste 201
Mattoon, IL 61938-4693
Phone (217) 238-6055
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006686 | Other | IL | HEALTH ALLIANCE |
| 311661293 | Other | IL | HEALTH LINK |
| 0004400750 | Other | IL | AETNA |
| 311661293 | Other | IL | PERSONAL CARE |
| 311661293001 | Medicaid | IL | |
| 000000079566 | Other | IN | ANTHEM BLUE CROSS |
| 01225376 | Other | IL | BLUE CROSS BLUE SHIELD |
Other providers in Martinsville, IL
- Associated Physicians & Surgeons Clinic, LLC
- Chase E Boyd
- Clark County Family Medicine
- County of Clark
- David P Davis Medicine, PC
- Forever Smiling Professional Therapy
- Cathy Hayden
- Leslie Hearn
- Jessica Dawn Lee
- Jami L. Martin
All providers in Martinsville, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.