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DR. AMY KATHLEEN DAVIS M.D.
NPI 1245453844
Internal Medicine in O Fallon, MO

Active since April 11, 2007Opted out of Medicare · through Jan 6, 2027
1008 ROCK CREEK ELEMENTARY SCHOOL DR, O FALLON, MO 63366(636) 281-4410(636) 281-4412 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Amy Kathleen Davis M.d. NPPES

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

DR. AMY KATHLEEN DAVIS M.D. (NPI 1245453844) is an individual internal medicine provider in O Fallon, Missouri, licensed in Missouri (MD108105) and active in the NPI registry since April 2007. She has opted out of Medicare through January 6, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245453844
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. AMY KATHLEEN DAVISCredential: M.D.
Location Address1008 ROCK CREEK ELEMENTARY SCHOOL DRO Fallon, MO 63366-7576
Mailing Address1008 Rock Creek Elementary School DrO Fallon, MO 63366-7576 · (636) 281-4410 · Fax (636) 281-4412
Phone(636) 281-4410
Fax(636) 281-4412
Sole ProprietorYes
Enumeration DateApril 11, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1245453844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · MD108105
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1008 ROCK CREEK ELEMENTARY SCHOOL DR, O Fallon, MO 63366
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Amy Kathleen Davis M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 6, 2015 through January 6, 2027.

Opt-Out Effective DateJanuary 6, 2015
Opt-Out In Effect ThroughJanuary 6, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63366 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

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 Amy Davis's NPI number?

The NPI number for Amy Davis is 1245453844. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Amy Davis located?

Amy Davis practices at 1008 Rock Creek Elementary School Dr, O Fallon, MO 63366. The listed phone number is (636) 281-4410.

What is Amy Davis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Amy Davis enrolled in Medicare?

No. Amy Davis has opted out of Medicare through January 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Amy Davis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.