DR. JAMES MICHAEL DAVIS MD
NPI 1063516797
Orthopaedic Surgery in Herrin, IL

Active since September 12, 2006PECOS EnrolledAccepts Medicare Assignment
86.12/100
CMS Quality Rating
510 LINCOLN DRIVE, SOUTHERN ORTHOPEDIC ASSOCIATES SC, HERRIN, IL 62948(618) 997-6800(618) 998-9124 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. James Michael Davis Md NPPES

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

DR. JAMES MICHAEL DAVIS MD (NPI 1063516797) is an individual orthopaedic surgery provider in Herrin, Illinois and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of Tulane University School Of Medicine (1986).

NPPES Registry Identity

NPI1063516797
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JAMES MICHAEL DAVISCredential: MD
Location Address510 LINCOLN DRIVE, SOUTHERN ORTHOPEDIC ASSOCIATES SCHerrin, IL 62948
Mailing Address510 Lincoln Drive, Southern Orthopedic Associates ScHerrin, IL 62948 · (618) 997-6800 · Fax (618) 998-9124
Fax(618) 998-9124
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1986
Enumeration DateSeptember 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1063516797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
510 LINCOLN DRIVE, Herrin, IL 62948

Other Identifiers 2

Medicare UPIND19559
Medicare ID-Type Unspecified760381

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

Dr. James Michael Davis Md 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 ID7416932140
PECOS Enrollment IDI20100419000047
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 23

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.

X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
1,096 services805 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
343 services256 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
224 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
123 services110 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
119 services112 patients
X-ray of both hips, 3-4 views 73522
An X-ray of both hips with 3-4 views is a safe imaging procedure. It involves capturing multiple pictures of your hip joints from different angles. This helps in diagnosing conditions like arthritis or fractures. You'll need to stay still during the process for clear images.
56 services54 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Heartland Regional Medical Center

Acute Care Hospitals · Marion, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140184
Location3333 W DeyoungMarion, IL 62959 · Williamson County
Emergency services

Pinckneyville Community Hospital

Critical Access Hospitals · Pinckneyville, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141307
Location5383 State Route 154Pinckneyville, IL 62274 · Perry County
Emergency services

Marshall Browning Hospital

Critical Access Hospitals · Du Quoin, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141331
Location900 North Washington StreetDu Quoin, IL 62832 · Perry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62948 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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.

86.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.24
Promoting Interoperability95
Improvement Activities40
Cost70.02

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
5 suppliers14 claims14 services$63.94 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier11 claims11 services$167.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Physician Assistant
510 LINCOLN DRIVE, SOUTHERN ORTHOPEDIC ASSOCIATES SC
HERRIN, IL 62948
Orthopaedic Surgery
510 LINCOLN DRIVE
HERRIN, IL 62948
Orthopaedic Surgery
510 LINCOLN DRIVE, SOUTHERN ORTHOPEDIC ASSOCIATES SC
HERRIN, IL 62948
Orthopaedic Surgery
510 LINCOLN DRIVE, SOUTHERN ORTHOPEDIC ASSOCIATES SC
HERRIN, IL 62948
Physician Assistant
510 LINCOLN DRIVE, SOUTHERN ORTHOPEDIC ASSOCIATES SC
HERRIN, IL 62948
Physician Assistant
510 LINCOLN DRIVE, SOUTHERN ORTHOPEDIC ASSOCIATES SC
HERRIN, IL 62948
Physician Assistant
510 LINCOLN DRIVE, SOUTHERN ORTHOPEDIC ASSOCIATES SC
HERRIN, IL 62948
Physical Therapist
510 LINCOLN DRIVE
HERRIN, IL 62948

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 James Davis's NPI number?

The NPI number for James Davis is 1063516797. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is James Davis located?

James Davis practices at 510 Lincoln Drive Southern Orthopedic Associates Sc, Herrin, IL 62948. The listed phone number is (618) 997-6800.

What is James Davis's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Davis enrolled in Medicare?

Yes. James Davis 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.

Is James Davis affiliated with any hospitals?

According to CMS data, James Davis is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale, Heartland Regional Medical Center, Pinckneyville Community Hospital and Marshall Browning Hospital.

When was this NPI record last updated?

The NPPES record for James Davis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.