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SCOTT A DAVIS CRNA
NPI 1083609200
Nurse Anesthetist, Certified Registered in Kingsport, TN

Active since September 14, 2005Accepts Medicare Assignment
130 W RAVINE RD, KINGSPORT, TN 37660(423) 224-4000(423) 224-4746 Get Directions Write a Review

NPPES record last updated: May 8, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Scott A Davis Crna NPPES

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

SCOTT A DAVIS CRNA (NPI 1083609200) is an individual nurse anesthetist, certified registered in Kingsport, Tennessee, licensed in Tennessee (10774) and active in the NPI registry since September 2005. He is affiliated with Wellmont Holston Valley Medical Center and is a graduate of Other (2004).

NPPES Registry Identity

NPI1083609200
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameSCOTT A DAVISCredential: CRNA
Location Address130 W RAVINE RDKingsport, TN 37660-3837
Mailing Address105 W Stone Dr, Suite 6aKingsport, TN 37660-3365 · (423) 408-7220 · Fax (423) 408-7405
Phone(423) 224-4000
Fax(423) 224-4746
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 14, 2005
Last NPPES UpdateMay 8, 2014
✔ NPI 1083609200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TN · 10774
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

130 W RAVINE RD, Kingsport, TN 37660
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Other Identifiers 10

Medicaid3634345TN
Other00013859Nhc Care Administrators
Other4101127TN · Blue Shield
Medicaid100047850TN
OtherTN0100John Deere
Medicaid010137276VA
Medicaid74009465KY
Medicare PIN103I434096TN
Other175337Anthem Bcbs
Medicare ID-Type Unspecified3634345TN

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

Scott A Davis Crna 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 ID2365493046
PECOS Enrollment IDI20050210000261

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.

Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Indian Path Community Hospital

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440176
Location2000 Brookside DrKingsport, TN 37660 · Sullivan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
95%724 patients4/55-star benchmark: 100%
Prevention of Post-Operative Nausea and Vomiting (PONV) - Combination Therapy
Percentage of patients, aged 18 years and older, who undergo a procedure under an inhalational general anesthetic, AND who have three or more risk factors for post-operative nausea and vomiting (PONV), who receive combination therapy consisting of at least…
98%96 patients
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.

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.

MEDICAL MALL PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-6860
JOHN M. MCMURRAY M.D.
Radiology (Diagnostic Radiology)
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 968-1144
ANDREW P. SPILLETT M.D.
Radiology (Diagnostic Radiology)
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 968-1144
GARY L ADELSON M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-6718
SCOTT D COEN M.D.
Radiology (Radiation Oncology)
130 W RAVINE RD, HVMC/RADIATION ONCOLOGY DEPT
KINGSPORT, TN 37660
Sullivan County (423) 224-5500
BROOKS M TALTON JR. M.D.
Radiology (Radiation Oncology)
130 W RAVINE RD, HVMC/RADIATION ONCOLOGY DEPT
KINGSPORT, TN 37660
Sullivan County (423) 224-5500
MARIN DIMITROV MD
Internal Medicine
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 282-1480
DR. KEITH G PORTER MD
Internal Medicine
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-4000

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 Scott Davis's NPI number?

The NPI number for Scott Davis is 1083609200. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Scott Davis located?

Scott Davis practices at 130 W Ravine Rd, Kingsport, TN 37660. The listed phone number is (423) 224-4000.

What is Scott Davis's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Scott Davis enrolled in Medicare?

Yes. Scott 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 Scott Davis affiliated with any hospitals?

According to CMS data, Scott Davis is affiliated with Wellmont Holston Valley Medical Center and Indian Path Community Hospital.

When was this NPI record last updated?

The NPPES record for Scott Davis was last updated on May 8, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.