DR. JAMES DOUGLAS DAVENPORT M.D.
NPI 1235140823
Internal Medicine - Cardiovascular Disease in Oshkosh, WI

Q: What is James Davenport's NPI number?

The NPI number for James Davenport is 1235140823. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Q: What is James Davenport's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for James Davenport was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 10, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

855 N WESTHAVEN DR, OSHKOSH, WI 54904(920) 303-8700 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 9, 2024, Dec 5, 2023, Feb 1, 2022 (3 updates tracked since 2022).

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About Dr. James Douglas Davenport M.d. NPPES

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

DR. JAMES DOUGLAS DAVENPORT M.D. (NPI 1235140823) is an individual cardiovascular disease provider in Oshkosh, Wisconsin, licensed in Wisconsin (102736-875) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital A Div Of Taos Health Systems, and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1235140823

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. JAMES DOUGLAS DAVENPORTCredential: M.D.

Location Address855 N WESTHAVEN DROshkosh, WI 54904-7668

Mailing Address11760 Sw 40th St, Suite 352Miami, FL 33175-3582 · (305) 552-1005 · Fax (305) 552-1035

Phone(920) 303-8700

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateAugust 10, 2006

Last NPPES UpdateAugust 28, 20253 updates tracked since enumeration

NPPES CertifiedAugust 28, 2025

✔ NPI 1235140823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in WI · 102736-875✔ Licensed in FL · ME96446

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X · License ME96446 (FL)

855 N WESTHAVEN DR, Oshkosh, WI 54904

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Secondary Practice Location 1

Location 13801 Biscayne Blvd, SUITE 300Miami, FL 33137-9800 · Phone (305) 571-0620 · Fax (305) 576-8099

Other Identifiers 1

Medicaid276149100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Douglas Davenport M.d. 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 ID5890793129

PECOS Enrollment IDI20250926003879

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 Reassignments

Medicare enrollment records show James Davenport reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Penn State Health Medical Group, LLC

644 mi

Emergency Medicine

1211 FORGE RD STE 500
Carlisle, PA 17013

Reassigned Medicare billing, Pennsylvania enrollment
994 clinicians in this Medicare group

NPI 1528714995 (717) 218-3990

St Luke's Physician Group Inc

665 mi

Family Medicine

530 CENTRE ST
Ashland, PA 17921

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: St Lukes Physician Group Inc
2,851 clinicians in this Medicare group

NPI 1134487119 (570) 889-3103

South Florida International Cardiology Consultants Inc

1,342 mi

Interventional Cardiology

3801 BISCAYNE BLVD, 3RD FL
Miami, FL 33137

Reassigned Medicare billing, Florida enrollment
12 clinicians in this Medicare group

NPI 1033119656 (305) 571-0620

Diagnostic Readers Group Inc

1,347 mi

Cardiovascular Disease

6200 SW 73RD ST, - EKG READERS PANEL
South Miami, FL 33143

Reassigned Medicare billing, Florida enrollment
56 clinicians in this Medicare group

NPI 1528079894 (954) 726-1808

Baptist Outpatient Services Inc

1,347 mi

Diagnostic Radiology

8950 N KENDALL DR
Miami, FL 33176

Reassigned Medicare billing, Florida enrollment
318 clinicians in this Medicare group

NPI 1437127529 (786) 596-7200

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

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

481 services120 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

135 services130 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.

77 services40 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

18 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Holy Cross Hospital A Div Of Taos Health Systems

Critical Access Hospitals · Taos, NM

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number321310

Location1397 Weimer RoadTaos, NM 87571 · Taos County

Emergency services Birthing friendly

Penn State Health Holy Spirit Medical Center

Acute Care Hospitals · Camp Hill, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390004

Location503 North 21st StreetCamp Hill, PA 17011 · Cumberland County

Emergency services

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390035

Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County

Emergency services Birthing friendly

Grand View Health

Acute Care Hospitals · Sellersville, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390057

Location700 Lawn AvenueSellersville, PA 18960 · Bucks County

Emergency services

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520198

Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54904 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

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.

75/100

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

Scored as part of a group practice

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

33%232 patients2/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

58%1,928 patients1/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

86%449 patients2/55-star benchmark: 99%

Falls: Screening for Future Fall Risk

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

89%273 patients4/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

99%887 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

92%582 patients4/55-star benchmark: 97%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

34%582 patients2/55-star benchmark: 97%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

4%294 patients1/55-star benchmark: 88%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

2%578 patients1/55-star benchmark: 96%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

100%582 patients5/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

47%582 patients3/55-star benchmark: 89%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 260 patients

0%260 patients5/55-star benchmark: 100%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

6%582 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

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Nurse Practitioner