NATHANIEL JOEL DAVIDSON PA-C
NPI 1083238489
Physician Assistant in Chicago, IL

Active since June 01, 2020PECOS EnrolledAccepts Medicare Assignment
74.63/100
CMS Quality Rating
1611 W HARRISON ST STE 400, CHICAGO, IL 60612(877) 632-6637(708) 409-5179 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 1, 2022, Jun 1, 2020 (2 updates tracked since 2020).

About Nathaniel Joel Davidson Pa-c NPPES

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

NATHANIEL JOEL DAVIDSON PA-C (NPI 1083238489) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085008591) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1083238489
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNATHANIEL JOEL DAVIDSONCredential: PA-C
Location Address1611 W HARRISON ST STE 400Chicago, IL 60612-4861
Mailing Address1611 W Harrison St Ste 400Chicago, IL 60612-4861 · (877) 632-6637 · Fax (708) 409-5179
Fax(708) 409-5179
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 1, 2020
Last NPPES UpdateDecember 1, 20222 updates tracked since enumeration
NPPES CertifiedDecember 1, 2022
NPI 1083238489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 085008591
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1611 W HARRISON ST STE 400, Chicago, IL 60612

Accepted 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

Nathaniel Joel Davidson 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 ID8426454786
PECOS Enrollment IDI20210913000156, I20221111001029
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 3

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
20 services14 patients
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.
19 services17 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
18 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

74.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.06
Improvement Activities40
Cost62.42

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.

Orthopaedic Surgery (Sports Medicine)
1611 W HARRISON ST STE 400
CHICAGO, IL 60612
Physician Assistant
1611 W HARRISON ST STE 400
CHICAGO, IL 60612
Physician Assistant
1611 W HARRISON ST STE 400
CHICAGO, IL 60612
Physician Assistant (Surgical)
1611 W HARRISON ST STE 400
CHICAGO, IL 60612
Physical Medicine & Rehabilitation (Pain Medicine)
1611 W HARRISON ST STE 400
CHICAGO, IL 60612
Orthopaedic Surgery (Hand Surgery)
1611 W HARRISON ST STE 400
CHICAGO, IL 60612
Orthopaedic Surgery (Sports Medicine)
1611 W HARRISON ST STE 400
CHICAGO, IL 60612
Orthopaedic Surgery
1611 W HARRISON ST STE 400
CHICAGO, IL 60612

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 Nathaniel Davidson's NPI number?

The NPI number for Nathaniel Davidson is 1083238489. It was assigned to this individual provider in the NPPES registry on June 1, 2020.

Where is Nathaniel Davidson located?

Nathaniel Davidson practices at 1611 W Harrison St Ste 400, Chicago, IL 60612. The listed phone number is (877) 632-6637.

What is Nathaniel Davidson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nathaniel Davidson enrolled in Medicare?

Yes. Nathaniel Davidson 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 Nathaniel Davidson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Nathaniel Davidson 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 Nathaniel Davidson was last updated on December 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.