Individual provider Active NPI

Peter L Davidson, DO

  • Emergency Medicine Physician
  • Lincoln, NE
National Provider Identifier
1881605210
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
113 Issued in NE
Practice address
1600 South 48TH Street
ER Dept
Lincoln, NE 68506
Phone
(402) 489-0200
NPI assigned
Aug 10, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 113 NE Primary

Addresses

Primary practice location

1600 South 48TH Street
ER Dept
Lincoln, NE 68506

Mailing address

PO Box 81406
Lincoln, NE 68501
Phone (800) 678-7672

Other identifiers 1

IdentifierTypeStateIssuer
06360OtherNEBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190312000535 FL Practitioner - Emergency Medicine 9335046051 Reassigns benefits to 1 organization
I20231223000127 KY Practitioner - Emergency MedicinePractitioner - Family Practice 9335046051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empact Midwest LLCGroup PAC ID 9436577517, 25 clinicians

Practice addresses (Care Compare)

110 Metker TRL
Stanford, KY 40484-1020
Phone (606) 365-4600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.56 of 100Reported as group
Quality
88.12
Improvement activities
40
Cost
77.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of Ky, LLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola Emergency Medicine CurrentSince Feb 21, 2019 Accepting new patients
Rockcastle Emergency Group, LLC Emergency Medicine CurrentSince Oct 14, 2023 Accepting new patients
Empact Midwest LLC Emergency Medicine CurrentSince Nov 15, 2023 Accepting new patients
Blue Job Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Alegent Creighton Health Emergency Medicine Past Accepting new patients

Locations

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

464 Linden Ave
Harrodsburg, KY 40330
Phone (859) 734-5441

299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240

145 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-2195

110 Metker Trl
Stanford, KY 40484
Phone (606) 365-3360

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1881605210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81406",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68501",
            "telephone_number": "800-678-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SOUTH 48TH STREET",
            "address_2": "ER DEPT",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68506",
            "telephone_number": "402-489-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "PETER",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NE",
            "license": "113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "06360",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.