Individual provider Active NPI

Andrew J. McDavid, MD

  • Interventional Pain Medicine Physician
  • Killeen, TX
National Provider Identifier
1477514479
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
G8270 Issued in TX
Practice address
3800 S W S Young Dr Ste 201
Killeen, TX 76542-3340
Phone
(254) 245-9175
Fax
(254) 213-7771
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G8270 TX
Pain Medicine (Anesthesiology) Physician 207LP2900X G8270 TX
Interventional Pain Medicine Physician 208VP0014X G8270 TX Primary

Addresses

Primary practice location

3800 S W S Young Dr Ste 201
Killeen, TX 76542-3340

Mailing address

PO Box 11538
Killeen, TX 76547-1538
Phone (254) 245-9177

Other identifiers 3

IdentifierTypeStateIssuer
TXB166223OtherTXMEDICARE PTAN
101088605MedicaidTX
P01453818OtherTXRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100525000047 TX Practitioner - AnesthesiologyPractitioner - Pain Management 4385773738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of Texas Medical Branch at Galveston, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Pain Associates PLLCGroup PAC ID 6204973894, 33 clinicians

Practice addresses (Care Compare)

3800 S W S Young Dr
Suite 201
Killeen, TX 76542-3340
Phone (254) 245-9175

Hospital & facility affiliations

  • Adventhealth Central Texas Hospital, Killeen, TX, CCN 450152
  • Baylor Scott & White Medical Center - Temple Hospital, Temple, TX, CCN 450054
  • Seton Medical Center Harker Heights Hospital, Harker Heights, TX, CCN 670080

Merit-based Incentive Payment System (MIPS)

Final score
74.91 of 100Reported as group
Quality
70.09
Promoting interoperability
95
Improvement activities
40
Cost
50.45

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain Associates PLLC Anesthesiology CurrentSince Sep 19, 2012 Accepting new patients
Integrated Pain Associates PLLC Anesthesiology CurrentSince Sep 19, 2012 Accepting new patients
Jackson County Memorial Hospital Authority Interventional Pain Medicine Past Accepting new patients

Locations

4351 Ridgemont Dr
Ste A
Abilene, TX 79606
Phone (325) 698-4545

118 S Park Dr
Ste C
Brownwood, TX 76801
Phone (325) 600-4264

2300 Clear Creek Rd
Ste 103
Killeen, TX 76549
Phone (254) 519-1900

3800 S W S Young Dr
Ste 201
Killeen, TX 76542
Phone (254) 213-0489

207 W Avenue E
Lampasas, TX 76550
Phone (512) 556-3621

710 E 6th St
Odessa, TX 79761
Phone (432) 334-8088

5244 S 31st St
Temple, TX 76502
Phone (254) 235-0708

205 Woodhew Dr
Ste 220
Waco, TX 76712

Interoperability endpoints

  • Direct secure messaging: andrew.mcdavid@ipac.eclinicaldirectplus.com
  • Direct secure messaging: andrew.mcdavid@ipap-tx.direct.office.nextgen.com

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 4

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477514479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11538",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765471538",
            "telephone_number": "254-245-9177",
            "fax_number": "254-245-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S W S YOUNG DR STE 201",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765423340",
            "telephone_number": "254-245-9175",
            "fax_number": "254-213-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDAVID",
        "first_name": "ANDREW",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "G8270",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "G8270",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "G8270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB166223",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101088605",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01453818",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.