JARED DAVIS D.O.
NPI 1114459476
Urology in Mount Clemens, MI

Q: What is Jared Davis's NPI number?

The NPI number for Jared Davis is 1114459476. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Q: What is Jared Davis's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Jared Davis was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment

1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043(586) 493-8000 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 15, 2025, Aug 11, 2022, Jun 15, 2018 and 2 more (5 updates tracked since 2017).

On this page

About Jared Davis D.o. NPPES

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

JARED DAVIS D.O. (NPI 1114459476) is an individual urology provider in Mount Clemens, Michigan, licensed in Michigan (5101027013) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1114459476

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameJARED DAVISCredential: D.O.

Location Address1000 HARRINGTON STMount Clemens, MI 48043

Mailing Address1000 Harrington BoulevardMount Clemens, MI 48043 · Fax (586) 493-3250

Phone(586) 493-8000

Sole ProprietorYes

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2017

Enumeration DateMarch 28, 2017

Last NPPES UpdateSeptember 15, 20255 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2025

✔ NPI 1114459476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in MI · 5101027013✔ Licensed in MI · 5101023055

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1000 HARRINGTON ST, Mount Clemens, MI 48043

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Secondary Practice Locations 4

Location 1829 N Center Ave Ste 260Gaylord, MI 49735-1597 · Phone (989) 731-6405

Location 21619 Anderson RdPetoskey, MI 49770-9256 · Phone (231) 417-6075

Location 38881 M 119Harbor Springs, MI 49740-9586 · Phone (231) 487-2270

Location 414695 Park Ave Ste ACharlevoix, MI 49720-1920 · Phone (231) 487-2270

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jared Davis D.o. 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 ID6507135175

PECOS Enrollment IDI20230922002257

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.

Medicare Billing Reassignments

Medicare enrollment records show Jared Davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Munson Healthcare Cadillac

161 mi

Family Medicine

100 N ROLAND ST
Mc Bain, MI 49657

Reassigned Medicare billing, Michigan enrollment
Medicare enrollment name: Munson Healthcare Otsego Memorial Hospital
168 clinicians in this Medicare group

NPI 1043778194 (231) 825-8101

Munson Healthcare Charlevoix Hospital

222 mi

Otolaryngology

14651 W. UPRIGHT ST
Charlevoix, MI 49720

Reassigned Medicare billing, Michigan enrollment
35 clinicians in this Medicare group

NPI 1629154307 (231) 582-4477

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 17

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.

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

312 services215 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

117 services100 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

116 services98 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.

90 services77 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.

72 services62 patients

Leuprolide acetate (for depot suspension), 7.5 mg J9217

Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.

64 services11 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

39 services36 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

37 services37 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

35 services35 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

32 services17 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

27 services27 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

24 services24 patients

Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402

This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.

19 services13 patients

Ultrasound scan of prostate through rectum 76873

An ultrasound scan of the prostate through the rectum, also known as a transrectal ultrasound, is a procedure where a small probe is gently inserted into the rectum. This probe produces sound waves to create images of the prostate gland, which helps doctors assess its size and condition.

18 services18 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

Injection, garamycin, gentamicin, up to 80 mg J1580

This procedure involves administering an injection of Gentamicin, also known as Garamycin, up to a dose of 80 mg. Gentamicin is an antibiotic used to treat a wide variety of bacterial infections. It works by stopping the growth of bacteria.

17 services13 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230097

Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County

Emergency services Birthing friendly

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230105

Location416 Connable AvePetoskey, MI 49770 · Emmet County

Emergency services Birthing friendly

Munson Healthcare Otsego Memorial Hospital

Acute Care Hospitals · Gaylord, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230133

Location825 N Center AveGaylord, MI 49735 · Otsego County

Birthing friendly

Chippewa County War Memorial Hospital

Acute Care Hospitals · Sault Sainte Marie, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230239

Location500 Osborn BlvdSault Sainte Marie, MI 49783 · Chippewa County

Emergency services Birthing friendly

Charlevoix Area Hospital

Critical Access Hospitals · Charlevoix, MI

OwnershipVoluntary non-profit - Other

CMS Certification Number231322

Location14700 Lakeshore DriveCharlevoix, MI 49720 · Charlevoix County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48043 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

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.

LEMAR GARDEZI MD

Student in an Organized Health Care Education/Training Program