DR. TAYLOR MICHAEL DAVIS OD
NPI 1013586015
Optometrist in Kingston, NY

Active since June 23, 2021PECOS Enrolled
1300 ULSTER AVE STE 122, KINGSTON, NY 12401(184) 533-6587 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Taylor Michael Davis Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TAYLOR MICHAEL DAVIS OD (NPI 1013586015) is an individual optometrist in Kingston, New York, licensed in New York (TUV009365) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1013586015
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. TAYLOR MICHAEL DAVISCredential: OD
Location Address1300 ULSTER AVE STE 122Kingston, NY 12401-1571
Mailing Address51 Clarendon AveKingston, NY 12401-2136
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 23, 2021
NPPES CertifiedJune 23, 2021
✔ NPI 1013586015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NY · TUV009365
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1300 ULSTER AVE STE 122, Kingston, NY 12401

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Taylor Michael Davis Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779980727
PECOS Enrollment IDI20220202002495
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Taylor Davis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
390 EAST FORHAM
Bronx, NY 10458
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
Eyewear Supplier
1324 METROPOLITAN AVE
Bronx, NY 10462
  • Reassigned Medicare billing, New York enrollment
Eyewear Supplier
905 WHITE PLAINS RD
Bronx, NY 10473
  • Reassigned Medicare billing, New York enrollment
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$141.77 typical visit price
range $61.88 – $187.05
Typical copayment $35.44 (range $15.47 – $46.76)
Most-billed visit code 99204
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Eyewear Supplier
1300 ULSTER AVE STE 122
KINGSTON, NY 12401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taylor Davis's NPI number?

The NPI number for Taylor Davis is 1013586015. It was assigned to this individual provider in the NPPES registry on June 23, 2021.

Where is Taylor Davis located?

Taylor Davis practices at 1300 Ulster Ave Ste 122, Kingston, NY 12401. The listed phone number is (184) 533-6587.

What is Taylor Davis's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Taylor Davis enrolled in Medicare?

Yes. Taylor Davis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Taylor Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taylor Davis reassigns Medicare benefits to 3 organizations: See & Style Of Bronx Inc. (Bronx, NY), Vision World Of The Bronx Inc (Bronx, NY) and Vision Quest Of Bruckner Corp. (Bronx, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Taylor Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Taylor Davis accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Taylor Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Taylor Davis was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.