CORY BENNETT DAVIDSON PA-C
NPI 1235389412
Physician Assistant - Medical in Erie, PA

Q: What is Cory Davidson's NPI number?

The NPI number for Cory Davidson is 1235389412. It was assigned to this individual provider in the NPPES registry on September 24, 2008.

Q: What is Cory Davidson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Cory Davidson was last updated on February 2, 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.

Active since September 24, 2008PECOS Enrolled

3822 COLONIAL AVE STE C, ERIE, PA 16506(814) 616-0321(814) 528-5643 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Cory Bennett Davidson Pa-c NPPES

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

CORY BENNETT DAVIDSON PA-C (NPI 1235389412) is an individual medical provider in Erie, Pennsylvania, licensed in Pennsylvania (MA053612) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Erie.

NPPES Registry Identity

NPI1235389412

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameCORY BENNETT DAVIDSONCredential: PA-C

Location Address3822 COLONIAL AVE STE CErie, PA 16506-3826

Mailing Address3822 Colonial Ave Ste CErie, PA 16506-3826 · (814) 616-0321 · Fax (814) 528-5643

Phone(814) 616-0321

Fax(814) 528-5643

Sole ProprietorNo

Enumeration DateSeptember 24, 2008

Last NPPES UpdateFebruary 2, 2024

NPPES CertifiedFebruary 2, 2024

✔ NPI 1235389412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in PA · MA053612

3822 COLONIAL AVE STE C, Erie, PA 16506

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Secondary Practice Location 1

Location 1240 W 11th St, 2ND FLOORErie, PA 16501-1758 · Phone (814) 452-2218 · Fax (814) 455-2925

Other Identifiers 1

OtherMA053612PA · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cory Bennett Davidson Pa-c 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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

7 suppliers56 claims677 services$18.91 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

7 suppliers57 claims1,910 services$2.39 avg. paid by Medicare

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

DME-Other DME · category DE017N

24 suppliers102 claims374 services$6.39 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

3 suppliers14 claims14 services$2.94 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers29 claims56 services$1.20 avg. paid by Medicare

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

3 suppliers23 claims23 services$290.71 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 2

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

WENDY L RIPPLE MD

Pediatrics

3822 COLONIAL AVE STE C
ERIE, PA 16506

Erie County (814) 616-0321

DR. SANDY TAPUYAO CLEMENTE MD

Family Medicine

3822 COLONIAL AVE STE C
ERIE, PA 16506

Erie County (814) 833-5653

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 Cory Davidson's NPI number?

The NPI number for Cory Davidson is 1235389412. It was assigned to this individual provider in the NPPES registry on September 24, 2008.

Where is Cory Davidson located?

Cory Davidson practices at 3822 Colonial Ave Ste C, Erie, PA 16506. The listed phone number is (814) 616-0321.

What is Cory Davidson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Cory Davidson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Cory Davidson was last updated on February 2, 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.