Individual provider Active NPI

Drew Bennett Davis, M.D.

  • Ophthalmology Physician
  • Bedford, IN
National Provider Identifier
1891086989
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01075373A Issued in IN
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

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
300032250MedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150521001918 IN Practitioner - Ophthalmology 0749500338 Reassigns benefits to 1 organization

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
Davis Eye PCGroup PAC ID 3779926845, 2 clinicians

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 Hospital, Bedford, IN, CCN 151328
  • Indiana University Health Bloomington Hospital Hospital, Bloomington, IN, CCN 150051

Merit-based Incentive Payment System (MIPS)

Final score
91.23 of 100Reported as group
Quality
93.73
Improvement activities
40
Cost
79.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery524

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01075373AINMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Eye PC Ophthalmology CurrentSince Mar 1, 2024 Accepting new patients
The Total Vision Institute LLC CurrentSince Aug 1, 2017 Accepting new patients
Midwest Eye Consultants P.C. Past Accepting new patients
20/20 Eye Physicians of Indiana, PC PastSince Mar 10, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.