NPIMap

Individual provider Active NPI

Garrett C Davis, M.D., M.B.A

  • Orthopaedic Surgery Physician
  • Lebanon, NH
National Provider Identifier
1114193752
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5477021-1205 Issued in UT
Practice address
1 Medical Center Dr
DHMC Department of Orthopaedics
Lebanon, NH 03756-1000
Phone
(603) 650-5000
NPI assigned
May 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5477021-1205 UT Primary

Addresses

Primary practice location

1 Medical Center Dr
DHMC Department of Orthopaedics
Lebanon, NH 03756-1000

Mailing address

900 Round Valley Dr 100
Park City, UT 84060-7552
Phone (435) 655-6600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150915001686 UT Practitioner - Orthopedic Surgery 7517183742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Geisel School of Medicine at Dartmouth, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosenberg Cooley Metcalf LCGroup PAC ID 0042291510, 35 clinicians

Practice addresses (Care Compare)

900 Round Valley Dr
Suite 100
Park City, UT 84060-7552
Phone (435) 655-6600

Hospital & facility affiliations

  • Applegate Homecare Home health agency, South Ogden, UT, CCN 467025
  • Quality Solace Services Lifecares (HH) Home health agency, Holladay, UT, CCN 467329
  • Intermountain Homecare Home Health Salt Lake Home health agency, South Jordan, UT, CCN 467030
  • Intermountain Health Heber Valley Hospital Hospital, Heber City, UT, CCN 461307
  • Park City Hospital Hospital, Park City, UT, CCN 460057
  • Uintah Basin Medical Center Hospital, Roosevelt, UT, CCN 460019
  • Ashley Regional Medical Center Hospital, Vernal, UT, CCN 460030
  • Intermountain Health Utah Valley Hospital Hospital, Provo, UT, CCN 460001

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement93
Knee replacement117
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rosenberg Cooley Metcalf LC Orthopaedic Surgery CurrentSince Aug 18, 2015 Accepting new patients
Rosenberg Cooley Metcalf LC Orthopaedic Surgery CurrentSince Aug 18, 2015 Accepting new patients

Locations

380 E 1500 S
Ste 103
Heber City, UT 84032
Phone (435) 655-6600

900 Round Valley Dr
Ste 100
Park City, UT 84060
Phone (435) 655-6600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJFECD

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1209859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1114193752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ROUND VALLEY DR 100",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607552",
            "telephone_number": "435-655-6600",
            "fax_number": "435-655-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "DHMC DEPARTMENT OF ORTHOPAEDICS",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GARRETT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D., M.B.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-04",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": "5477021-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.