Active NPI
Troy A Davis, PA-C
- Dermatology Physician
- Missoula, MT
National Provider Identifier
1790793685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- PA10004684
- Practice address
- 2835 Fort Missoula Rd Ste 302
Missoula, MT 59804-7424 - Phone
- (406) 721-3497
- Fax
- (406) 721-3487
- NPI assigned
- Aug 4, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | PA10004684 | OR | |
| Dermatology Physician | 207N00000X | PA10004684 | WA | Primary |
| Physician Assistant | 363A00000X | MEDPAC126298 | MT |
Addresses
Primary practice location
2835 Fort Missoula Rd Ste 302
Missoula, MT 59804-7424
Mailing address
2835 Fort Missoula Rd Ste 302
Missoula, MT 59804-7424
Phone (406) 721-3497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040802000468 | WA | Practitioner - Physician Assistant | 7315918778 | Reassigns benefits to 1 organization |
| I20231128000616 | MT | Practitioner - Physician Assistant | 7315918778 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Nebraska College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2835 Fort Missoula Rd
Suite 302
Missoula, MT 59804-7424
Phone (406) 721-3497
Hospital & facility affiliations
- Community Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 50 of 100
- Quality
- 0
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.53 of 100
- Quality
- 87.07
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10004684 | OR | MD | Dermatology Physician |
| PA10004684 | WA | MD | Dermatology Physician |
| MEDPAC126298 | MT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olivia a Valdez, M.D., P.a. | Past | Accepting new patients | |
| Silver Falls Dermatology, LLC | Dermatology | Past | Accepting new patients |
| Cascade Eye & Skin Centers P.C. | Dermatology | Past | Accepting new patients |
Organizations & group practices 5
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.
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- San Antonio, TX
- NPI 1356550313
Hospital & facility affiliations 1
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": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1790793685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2835 FORT MISSOULA RD STE 302",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598047424",
"telephone_number": "406-721-3497",
"fax_number": "406-721-3487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 FORT MISSOULA RD STE 302",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598047424",
"telephone_number": "406-721-3497",
"fax_number": "406-721-3487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TROY",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OR",
"license": "PA10004684",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WA",
"license": "PA10004684",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "MEDPAC126298",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.