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KEITH E DAVIS M.D.
NPI 1043277635
Family Medicine in Shoshone, ID

Active since April 27, 2006PECOS Enrolled
113 S APPLE ST, SHOSHONE, ID 83352(208) 886-2224(208) 886-2634 Get Directions Write a Review

NPPES record last updated: November 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keith E Davis M.d. NPPES

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

KEITH E DAVIS M.D. (NPI 1043277635) is an individual family medicine provider in Shoshone, Idaho, licensed in Idaho (M4888) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043277635
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEITH E DAVISCredential: M.D.
Location Address113 S APPLE STShoshone, ID 83352-5287
Mailing Address113 S. Apple St., Po Box 609Shoshone, ID 83352-0609 · (208) 886-2224 · Fax (208) 886-2634
Phone(208) 886-2224
Fax(208) 886-2634
Sole ProprietorYes
Enumeration DateApril 27, 2006
Last NPPES UpdateNovember 15, 2010
✔ NPI 1043277635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · M4888
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
113 S APPLE ST, Shoshone, ID 83352
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Other Identifiers 4

Other133841Rhc
Medicaid001801000ID
Medicare UPINC36941
Medicare PIN1117742ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith E Davis M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83352 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
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 7

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

STEPHANIE ROBERTS PA
Physician Assistant (Medical)
113 S APPLE ST
SHOSHONE, ID 83352
Lincoln County (208) 886-2224
MEGAN RICHARDSON WILLIAMS RD, LD
Dietitian, Registered
113 S APPLE ST
SHOSHONE, ID 83352
Lincoln County (208) 886-2224
PHYSICIAN MANAGEMENT SERVICES OF IDAHO, LLC
Family Medicine
113 S APPLE ST
SHOSHONE, ID 83352
Lincoln County (888) 829-8550
BARBARA HAPAYAN NP
Nurse Practitioner (Family)
113 S APPLE ST
SHOSHONE, ID 83352
Lincoln County (208) 886-2224
JANET SANDY
Nurse Practitioner
113 S APPLE ST
SHOSHONE, ID 83352
Lincoln County (208) 886-2224
KEITH E DAVIS
Clinic/Center (Rural Health)
113 S APPLE ST
SHOSHONE, ID 83352
Lincoln County (208) 886-2222
ANDREA MADSON LMSW
Social Worker
113 S APPLE ST
SHOSHONE, ID 83352
Lincoln County (208) 886-2224

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 Keith Davis's NPI number?

The NPI number for Keith Davis is 1043277635. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Keith Davis located?

Keith Davis practices at 113 S Apple St, Shoshone, ID 83352. The listed phone number is (208) 886-2224.

What is Keith Davis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Keith Davis enrolled in Medicare?

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

What insurance does Keith Davis accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan and University of Utah Health Plans list Keith 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 Keith Davis was last updated on November 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.