DIANE MEG DAVIDSON MD
NPI 1215908991
Dermatology in Groton, CT

Active since January 30, 2006PECOS Enrolled
491 GOLD STAR HWY, SUITE 310, GROTON, CT 06340(860) 445-8020(860) 445-1665 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Diane Meg Davidson Md NPPES

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

DIANE MEG DAVIDSON MD (NPI 1215908991) is an individual dermatology provider in Groton, Connecticut, licensed in Connecticut (025536) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215908991
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDIANE MEG DAVIDSONCredential: MD
Location Address491 GOLD STAR HWY, SUITE 310Groton, CT 06340
Mailing Address491 Gold Star Hwy, Suite 310Groton, CT 06340 · (860) 445-8020 · Fax (860) 445-1665
Fax(860) 445-1665
Sole ProprietorNo
Enumeration DateJanuary 30, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1215908991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CT · 025536
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
491 GOLD STAR HWY, Groton, CT 06340

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diane Meg Davidson Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Diane Davidson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
1500 N DIXIE HWY, SUITE 305
West Palm Beach, FL 33401
  • Reassigned Medicare billing, Florida enrollment
  • 5 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06340 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
491 GOLD STAR HWY, STE 100
GROTON, CT 06340
Nurse Practitioner (Obstetrics & Gynecology)
491 GOLD STAR HWY
GROTON, CT 06340
Nurse Practitioner (Obstetrics & Gynecology)
491 GOLD STAR HWY
GROTON, CT 06340
Dentist (General Practice)
491 GOLD STAR HWY, SUITE 300
GROTON, CT 06340
Obstetrics & Gynecology
491 GOLD STAR HWY, STE 100
GROTON, CT 06340
Specialist
491 GOLD STAR HWY, SUITE 310
GROTON, CT 06340
Dermatology
491 GOLD STAR HWY, SUITE 310
GROTON, CT 06340
Obstetrics & Gynecology
491 GOLD STAR HWY, SUITE 100
GROTON, CT 06340

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 Diane Davidson's NPI number?

The NPI number for Diane Davidson is 1215908991. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Diane Davidson located?

Diane Davidson practices at 491 Gold Star Hwy Suite 310, Groton, CT 06340. The listed phone number is (860) 445-8020.

What is Diane Davidson's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Diane Davidson enrolled in Medicare?

Yes. Diane Davidson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Diane Davidson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diane Davidson reassigns Medicare benefits to Kenneth R Beer MD PA (West Palm Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Diane Davidson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Diane Davidson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.