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MR. DAVID EVANS PA-C
NPI 1063410538
Physician Assistant - Surgical in Kettering, OH

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
3533 SOUTHERN BLVD STE 2250, KETTERING, OH 45429(937) 534-0330(937) 522-8995 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 12, 2021, Mar 7, 2019, Nov 6, 2018 (3 updates tracked since 2018).

About Mr. David Evans Pa-c NPPES

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

MR. DAVID EVANS PA-C (NPI 1063410538) is an individual surgical provider in Kettering, Ohio, licensed in Ohio (50000431) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1063410538
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. DAVID EVANSCredential: PA-C
Location Address3533 SOUTHERN BLVD STE 2250Kettering, OH 45429-1270
Mailing Address3533 Southern Blvd Ste 2250Kettering, OH 45429-1270 · (937) 534-0330 · Fax (937) 522-8995
Phone(937) 534-0330
Fax(937) 522-8995
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateJuly 8, 2005
Last NPPES UpdateJanuary 12, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
✔ NPI 1063410538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OH · 50000431
Also ListedPhysician AssistantTaxonomy 363A00000X · License 50000431 (OH)
3533 SOUTHERN BLVD STE 2250, Kettering, OH 45429
Open in Google Maps ↗

Other Identifiers 1

Medicaid0088798OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. David Evans Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769538446
PECOS Enrollment IDI20090922000343
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services29 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Other Providers at the Same Location NPPES

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

DR. JULIE GILKESON MD
Surgery (Vascular Surgery)
3533 SOUTHERN BLVD STE 2250
KETTERING, OH 45429
Montgomery County (937) 228-4126

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 David Evans's NPI number?

The NPI number for David Evans is 1063410538. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is David Evans located?

David Evans practices at 3533 Southern Blvd Ste 2250, Kettering, OH 45429. The listed phone number is (937) 534-0330.

What is David Evans's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is David Evans enrolled in Medicare?

Yes. David Evans is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does David Evans accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list David Evans 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 David Evans was last updated on January 12, 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.