NPIMap

Individual provider Active NPI

Brian L Davison, MD

  • Orthopaedic Surgery Physician
  • Gahanna, OH
National Provider Identifier
1891778304
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35072535 Issued in OH
Practice address
605 Crescent PL
Gahanna, OH 43230-3086
Phone
(614) 545-7900
Fax
(614) 545-7901
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35072535 OH Primary

Addresses

Primary practice location

605 Crescent PL
Gahanna, OH 43230-3086

Mailing address

340 Polaris Pkwy
Westerville, OH 43082-7971
Phone (614) 545-7900

Other identifiers 3

IdentifierTypeStateIssuer
2014073MedicaidOH
000000383649OtherOHANTHEM
5845084OtherOHAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050506000194 OH Practitioner - Orthopedic Surgery 8022058288 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Iowa, RJ & L Carver College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gahanna Physical Therapy Limited PartnershipGroup PAC ID 4385783083, 71 clinicians
Orthopedic One, Inc.Group PAC ID 3072598283, 282 clinicians

Practice addresses (Care Compare)

1045 Beecher Crossing N
Suite C
Gahanna, OH 43230-4573

340 Polaris Pkwy
Westerville, OH 43082-7971
Phone (614) 839-2300

4604 Sawmill Rd
Upper Arlington, OH 43220-2247
Phone (614) 827-8700

605 Crescent PL
Gahanna, OH 43230-3086
Phone (614) 545-7900

Hospital & facility affiliations

  • Mount Carmel Home Care Home health agency, Columbus, OH, CCN 367273
  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Mount Carmel St Ann'S Hospital, Westerville, OH, CCN 360012
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017

Merit-based Incentive Payment System (MIPS)

Final score
90.64 of 100Reported as group
Quality
89.85
Promoting interoperability
100
Improvement activities
40
Cost
78.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement13
Knee replacement12
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35072535OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic One, Inc. Orthopaedic Surgery CurrentSince Apr 1, 2006 Accepting new patients
Orthopedic One, Inc Orthopaedic Surgery CurrentSince Apr 1, 2006 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Orthopedic Trauma Services LTD Orthopaedic Surgery Past Accepting new patients

Locations

85 McNaughten Rd
Ste 200
Columbus, OH 43213
Phone (614) 759-1186

170 Taylor Station Rd
Columbus, OH 43213
Phone (614) 545-7910

605 Crescent Pl
Gahanna, OH 43230

4604 Sawmill Rd
Upper Arlngtn, OH 43220
Phone (614) 839-2300

444 N Cleveland Ave
Westerville, OH 43082
Phone (614) 759-1186

340 Polaris Pkwy
Westerville, OH 43082
Phone (614) 839-2300

Interoperability endpoints

  • Direct secure messaging: bdavison@orthopedicone.medentdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1891778304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 POLARIS PKWY",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827971",
            "telephone_number": "614-545-7900",
            "fax_number": "614-545-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 CRESCENT PL",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303086",
            "telephone_number": "614-545-7900",
            "fax_number": "614-545-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "BRIAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35072535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2014073",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000383649",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5845084",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.