NICOLE MARISSA DAVIDSON MD
NPI 1093278475
Pediatrics in Pittsburgh, PA

Active since April 11, 2019PECOS EnrolledAccepts Medicare Assignment
4401 PENN AVE, PITTSBURGH, PA 15224(412) 692-5180 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 13, 2019, Apr 11, 2019 (2 updates tracked since 2019).

About Nicole Marissa Davidson Md NPPES

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

NICOLE MARISSA DAVIDSON MD (NPI 1093278475) is an individual pediatrics provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD489738) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2019).

NPPES Registry Identity

NPI1093278475
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNICOLE MARISSA DAVIDSONCredential: MD
Location Address4401 PENN AVEPittsburgh, PA 15224-1334
Mailing Address4401 Penn AvePittsburgh, PA 15224-1334
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2019
Enumeration DateApril 11, 2019
Last NPPES UpdateSeptember 24, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2025
NPI 1093278475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in PA · MD489738
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4401 PENN AVE, Pittsburgh, PA 15224

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

Nicole Marissa Davidson 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 ID3274869938
PECOS Enrollment IDI20251017000777
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 15224 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 20

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

Nurse Practitioner (Neonatal, Critical Care)
4401 PENN AVE
PITTSBURGH, PA 15224
Pediatrics
4401 PENN AVE, AOB SUITE 5400
PITTSBURGH, PA 15224
Nurse Practitioner (Neonatal)
4401 PENN AVE
PITTSBURGH, PA 15224
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
4401 PENN AVE
PITTSBURGH, PA 15224
Allergy & Immunology
4401 PENN AVE
PITTSBURGH, PA 15224
Student in an Organized Health Care Education/Training Program
4401 PENN AVE, AOB BUILDING, SUITE 5400
PITTSBURGH, PA 15224
Pediatrics (Neonatal-Perinatal Medicine)
4401 PENN AVE, AOB SUITE 5400
PITTSBURGH, PA 15224
Student in an Organized Health Care Education/Training Program
4401 PENN AVE
PITTSBURGH, PA 15224

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 Nicole Davidson's NPI number?

The NPI number for Nicole Davidson is 1093278475. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Where is Nicole Davidson located?

Nicole Davidson practices at 4401 Penn Ave, Pittsburgh, PA 15224. The listed phone number is (412) 692-5180.

What is Nicole Davidson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nicole Davidson enrolled in Medicare?

Yes. Nicole 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.

When was this NPI record last updated?

The NPPES record for Nicole Davidson was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.