DOUGLAS PETER DAVIDSON JR. PA
NPI 1174294938
Physician Assistant in San Rafael, CA

Active since September 22, 2021PECOS EnrolledAccepts Medicare Assignment
50 ACACIA AVE, SAN RAFAEL, CA 94901(951) 816-8970 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Dec 28, 2022, Dec 5, 2022 and 1 more (4 updates tracked since 2021).

About Douglas Peter Davidson Jr. Pa NPPES

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

DOUGLAS PETER DAVIDSON JR. PA (NPI 1174294938) is an individual physician assistant in San Rafael, California, licensed in California (62399) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1174294938
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDOUGLAS PETER DAVIDSON JR.Credential: PA
Location Address50 ACACIA AVESan Rafael, CA 94901-2230
Mailing Address38332 Maple CtMurrieta, CA 92562-3406 · (951) 816-8970
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 22, 2021
Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration
NPPES CertifiedMarch 7, 2023
NPI 1174294938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 62399
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

50 ACACIA AVE, San Rafael, CA 94901

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

Douglas Peter Davidson Jr. Pa 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 ID9830563956
PECOS Enrollment IDI20230313000971
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.

Areas of Expertise CMS Part B claims 8

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.

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.
41 services41 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
31 services30 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
23 services15 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
15 services15 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.
15 services15 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94901 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
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.

Physician Assistant
50 ACACIA AVE
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Physician Assistant
50 ACACIA AVE
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Physician Assistant
50 ACACIA AVE, MEADOWLANDS 302
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901

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 Douglas Davidson's NPI number?

The NPI number for Douglas Davidson is 1174294938. It was assigned to this individual provider in the NPPES registry on September 22, 2021.

Where is Douglas Davidson located?

Douglas Davidson practices at 50 Acacia Ave, San Rafael, CA 94901. The listed phone number is (951) 816-8970.

What is Douglas Davidson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Douglas Davidson enrolled in Medicare?

Yes. Douglas 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 Douglas Davidson was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.