Mark Jeffrey Davis, M.D.
Individual provider Active NPI Family Medicine Physician · North Potomac, MD
NPI 1740598804 · NPPES record last updated May 20, 2024
Key facts
- NPI
- 1740598804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- D40217 (MD)
- Practice address
- 10810 Darnestown Rd Ste 202
North Potomac, MD 20878-2601 - Phone
- (301) 424-1780
- NPI assigned
- Sep 22, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.47 of 100
- Quality
- 77.19
- Improvement activities
- 40
- Cost
- 63.38
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, MD
- 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 |
|---|---|---|---|---|
| I20110512000645 | DC | Practitioner - Family Practice | 3072799824 | Reassigns benefits to 1 organization |
| I20241024003828 | MD | Practitioner - Family Practice | 3072799824 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A049949 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Medical Group, Inc. | Current |
Accepting new patients | |
| M Medical Group, Inc. | Current |
Accepting new patients | |
| M Medical Group, Inc. | Current | Accepting new patients | |
| Adelphi Nursing and Rehabilitation Center LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Hyattsville Nursing and Rehabilitation Center LLC | Past | Accepting new patients |
Locations
901 1st St NW
Washington, DC 20001
Phone (202) 282-3005
4669 Falls Rd
Baltimore, MD 21209
Phone (410) 662-8606
22 S Athol Ave
Baltimore, MD 21229
Phone (410) 566-5015
9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930
1 Price Dr
Elkton, MD 21921
Phone (410) 398-6474
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D40217 | MD | Yes |
| Family Medicine Physician | 207Q00000X | A049949 | CA |
Addresses
Primary practice location
10810 Darnestown Rd Ste 202
North Potomac, MD 20878-2601
Mailing address
10810 Darnestown Rd Ste 202
North Potomac, MD 20878-2601
Phone (301) 424-1780
Other providers in North Potomac, MD
- John Danna
- Svetlana A Danshes
- Ashton Gayle Davenport
- Davis Endodontics
- Gail Marida Davis
- Donald J. Denucci
- Kelly Dorfman
- Eagle Eye Surgery Center LLC
- Eva El-Khatib
- Family Dental Care Group, LLC
All providers in North Potomac, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2024. 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.