BROOKE DAVIS DO
NPI 1164839320
Family Medicine in La Grande, OR

Q: What is Brooke Davis's NPI number?

The NPI number for Brooke Davis is 1164839320. It was assigned to this individual provider in the NPPES registry on July 18, 2014.

Q: What is Brooke Davis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Brooke Davis was last updated on July 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 18, 2014PECOS EnrolledAccepts Medicare Assignment

71.93/100

CMS Quality Rating

506 4TH ST, LA GRANDE, OR 97850(541) 663-3138(541) 975-5120 Get Directions Write a Review

NPPES record last updated: July 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Brooke Davis Do NPPES

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

BROOKE DAVIS DO (NPI 1164839320) is an individual family medicine provider in La Grande, Oregon, licensed in Oregon (DO198311) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1164839320

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameBROOKE DAVISCredential: DO

Location Address506 4TH STLa Grande, OR 97850-1906

Mailing Address3600 Nw Samaritan DrCorvallis, OR 97330-3737

Phone(541) 663-3138

Fax(541) 975-5120

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 18, 2014

Last NPPES UpdateJuly 2, 2020

NPPES CertifiedJuly 2, 2020

✔ NPI 1164839320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OR · DO198311

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

506 4TH ST, La Grande, OR 97850

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

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

Brooke Davis Do 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 ID4082036082

PECOS Enrollment IDI20200621000012

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.

Hospital Affiliations CMS Care Compare 3

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

St. Alphonsus Medical Center - Baker City

Critical Access Hospitals · Baker City, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number381315

Location3325 Pocahontas RoadBaker City, OR 97814 · Baker County

Emergency services

Grande Ronde Hospital

Critical Access Hospitals · La Grande, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number381321

Location900 Sunset DriveLa Grande, OR 97850 · Union County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97850 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

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.

71.93/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

90.53

Promoting Interoperability

100

Improvement Activities

Cost

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

2 suppliers15 claims39 services$5.54 avg. paid by Medicare

Hospital bed, variable height, hi-lo, with any type side rails, with mattress E0255

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$52.30 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier19 claims19 services$21.20 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers38 claims38 services$118.95 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$24.65 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier29 claims29 services$192.77 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.

BRADLEY JACK TISHMAN

Family Medicine