Active NPI
Drew Bennett Davis, M.D.
- Ophthalmology Physician
- Bedford, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 01075373A
- Practice address
- 1901 16TH St Ste 2
Bedford, IN 47421-2742 - Phone
- (812) 279-0148
- Fax
- (812) 279-5155
- NPI assigned
- Apr 25, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 01075373A | IN | Primary |
Addresses
Primary practice location
1901 16TH St Ste 2
Bedford, IN 47421-2742
Mailing address
1901 16TH St Ste 2
Bedford, IN 47421-2742
Phone (812) 279-0148
Other practice location 1
481 S Landmark Ave
Bloomington, IN 47403-5005
Phone (812) 331-8181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300032250 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Indiana University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 16TH St
Suite 2
Bedford, IN 47421-2742
Phone (812) 279-0148
Hospital & facility affiliations
- Indiana University Health Bedford Hospital
- Indiana University Health Bloomington Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.23 of 100
- Quality
- 93.73
- Improvement activities
- 40
- Cost
- 79.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 524 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01075373A | IN | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis Eye PC | Ophthalmology | Current | Accepting new patients |
| The Total Vision Institute LLC | Current | Accepting new patients | |
| Midwest Eye Consultants P.C. | Past | Accepting new patients | |
| 20/20 Eye Physicians of Indiana, PC | Past | Accepting new patients |
Locations
1901 16th St
Ste 2
Bedford, IN 47421
Phone (812) 279-0148
481 S Landmark Ave
Bloomington, IN 47403
Phone (812) 331-8181
7415 Wayzata Blvd
St Louis Park, MN 55426
Phone (952) 475-3787
Interoperability endpoints
- ddavis@daviseye.intellechartdirect.net
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Bedford, IN
- NPI 1316718117
-
- Ophthalmologic Surgery Clinic/Center
- St Louis Park, MN
- NPI 1043760119
-
- Eyewear Supplier
- Indianapolis, IN
- NPI 1780789909
-
- Optometrist
- Crown Point, IN
- NPI 1134641202
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Bedford, IN
- NPI 1548260284
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1891086989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 16TH ST STE 2",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474212742",
"telephone_number": "812-279-0148",
"fax_number": "812-279-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 16TH ST STE 2",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474212742",
"telephone_number": "812-279-0148",
"fax_number": "812-279-5155"
}
],
"practiceLocations": [
{
"address_1": "481 S Landmark Ave",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474035005",
"country_code": "US",
"telephone_number": "812-331-8181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "DREW",
"middle_name": "BENNETT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-25",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IN",
"license": "01075373A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300032250",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.