Scott David Davidson, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

L0783 Issued in TX

Practice address

1600 W College St
Suite 140
Grapevine, TX 76051-3580

Phone

(214) 826-6021

Fax

(214) 853-9415

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Urology

Education

University of Texas Medical Branch at Galveston, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urology Clinics of North Texas, PLLCGroup PAC ID 5496736415, 72 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563
• Texas Health Harris Methodist Hospital Alliance Hospital, Fort Worth, TX, CCN 670085

Merit-based Incentive Payment System (MIPS)

Final score

90.14 of 100Reported as group

Quality

97.48

Promoting interoperability

100

Improvement activities

40

Cost

69.64

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scott.davidson.p1@direct.urologyclinics.nextgenshare.com

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.

• Urology Clinics of North Texas, PLLC

  • Urology Physician
  • Dallas, TX
  • NPI 1720031370
  Medicare reassignment Care Compare group NPD
• Urology Clinics of North Texas, PLLC

  • Urology Physician
  • Plano, TX
  • NPI 1114186616
  NPD
• Urology Clinics of North Texas, PLLC

  • Specialist
  • Grapevine, TX
  • NPI 1780971549
  NPD
• Urology Clinics of North Texas PLLC

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
  • NPI 1528237260
  NPD (past)

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

• Baylor Regional Medical Center at Grapevine

  • General Acute Care Hospital
  • Grapevine, TX
  • NPI 1073511762
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Alliance

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1215296884
  Care Compare affiliation

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1568495398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "SUITE 1205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461800",
            "telephone_number": "214-692-8262",
            "fax_number": "214-696-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W COLLEGE ST",
            "address_2": "SUITE 140",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513580",
            "telephone_number": "214-826-6021",
            "fax_number": "214-853-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "L0783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164661403",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164661402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR",
            "identifier": "164661403",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164661404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Ha Pham, MD PA
• Allyiah Daniels
• Lisa Buckingham Darr, PA
• Laura Dart, LCSW
• Daven Joshi & Associates LLC
• Avery Davis
• Holly Davis, LPC-ASSOCIATE
• Kristina Mouch Davis, NP
• Steven G Davis, M.D.
• Wajahat Ali Dawood, DMD

• Urology Physician in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.

Verify at the official NPI Registry.