Active NPI
Stephen W Davies, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Pinehurst, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 2019-00705
- Practice address
- 155 Memorial Dr
Pinehurst, NC 28374 - Phone
- (910) 715-4111
- NPI assigned
- Mar 30, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 2019-00705 | NC | Primary |
Addresses
Primary practice location
155 Memorial Dr
Pinehurst, NC 28374
Mailing address
155 Memorial Dr
Pinehurst, NC 28374-8710
Other practice location 1
155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-4111
Other practice location 2
1215 Lee St
Charlottesville, VA 22908-0136
Phone (434) 924-2047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Cardiac Surgery
- Education
- Brody School of Medicine at East Carolina University, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 715-4111
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.13 of 100
- Quality
- 84.96
- Promoting interoperability
- 82
- Improvement activities
- 40
- Cost
- 81.77
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 21 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCPC-10, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
Locations
155 Memorial Dr
Fl 2
Pinehurst, NC 28374
46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782
155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000
Interoperability endpoints
- sdavies96794@firsthealth.direct-ci.net
Organizations & group practices 1
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Pinehurst, NC
- NPI 1457600504
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1093030314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 MEMORIAL DR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 MEMORIAL DR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "28374",
"telephone_number": "910-715-4111"
}
],
"practiceLocations": [
{
"address_1": "155 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Pinehurst",
"state": "NC",
"postal_code": "28374",
"country_code": "US",
"telephone_number": "910-715-4111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1215 Lee St",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229080136",
"country_code": "US",
"telephone_number": "434-924-2047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIES",
"first_name": "STEPHEN",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-30",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NC",
"license": "2019-00705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.