DR. ROBERT LANTZ DAVIDSON M.D. - NPI 1144275694 - Internal Medicine in Meridian, ID

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

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About Dr. Robert Lantz Davidson M.d. NPPES

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

DR. ROBERT LANTZ DAVIDSON M.D. (NPI 1144275694) is an individual nephrology provider in Meridian, Idaho, licensed in Idaho (M7907) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1144275694

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. ROBERT LANTZ DAVIDSONCredential: M.D.

Location Address3525 E LOUISE DR STE 195Meridian, ID 83642

Mailing Address3525 E Louise Dr Ste 195Meridian, ID 83642-6303 · (208) 846-8335 · Fax (208) 846-8336

Phone(208) 846-8335

Fax(208) 846-8336

Sole ProprietorNo

Enumeration DateMay 23, 2006

Last NPPES UpdateMay 16, 2018

✔ NPI 1144275694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in ID · M7907

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedSpecialistTaxonomy 174400000X · License M7907 (ID)

3525 E LOUISE DR STE 195, Meridian, ID 83642

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Secondary Practice Locations 3

Location 11109 W Myrtle St Ste 100Boise, ID 83702-6971 · Phone (208) 846-8335 · Fax (208) 846-8336

Location 24424 E Flamingo Ave Ste 195Nampa, ID 83687-9289 · Phone (208) 846-8335 · Fax (208) 846-8336

Location 34620 Enterprise Way Ste 101Caldwell, ID 83605-6764 · Phone (208) 846-8335 · Fax (208) 846-8336

Other Identifiers 1

Medicaid003661400ID

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert Lantz Davidson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 83642 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.