DR. RUSSELL O DAVIS III DO
NPI 1154416618
Internal Medicine in Fort Meade, MD

Active since October 03, 2006PECOS Enrolled
2480 LLEWELLYN AVE, FORT MEADE, MD 20755(301) 677-8969 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Russell O Davis Iii Do NPPES

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

DR. RUSSELL O DAVIS III DO (NPI 1154416618) is an individual internal medicine provider in Fort Meade, Maryland, licensed in Maryland (HOO69049) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154416618
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RUSSELL O DAVIS IIICredential: DO
Location Address2480 LLEWELLYN AVEFort Meade, MD 20755-7081
Mailing Address802 Fairridge DrCrownsville, MD 21032-2324 · (301) 677-8092 · Fax (301) 677-8820
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateApril 26, 2024
NPPES CertifiedApril 26, 2024
NPI 1154416618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in MD · HOO69049 Licensed in DC · MD31454
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2480 LLEWELLYN AVE, Fort Meade, MD 20755

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. Russell O Davis Iii Do 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 20755 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers24 claims24 services$34.02 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers15 claims15 services$78.96 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers15 claims44 services$29.28 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers16 claims16 services$45.86 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers18 claims18 services$14.07 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers26 claims156 services$1.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Registered Nurse (Ambulatory Care)
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Social Worker (Clinical)
2480 LLEWELLYN AVE
FORT MEADE, MD 20755
Licensed Vocational Nurse
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Optometrist
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Social Worker (Clinical)
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Physician Assistant
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Nurse's Aide
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Social Worker (Clinical)
2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER
FORT GEORGE G MEADE, MD 20755

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 Russell Davis's NPI number?

The NPI number for Russell Davis is 1154416618. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Russell Davis located?

Russell Davis practices at 2480 Llewellyn Ave, Fort Meade, MD 20755. The listed phone number is (301) 677-8969.

What is Russell Davis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Russell Davis enrolled in Medicare?

Yes. Russell Davis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Russell Davis was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.