LARRY D DAVIS JR. MD
NPI 1245887728
Family Medicine in Janesville, WI

Q: What is Larry Davis's NPI number?

The NPI number for Larry Davis is 1245887728. It was assigned to this individual provider in the NPPES registry on August 20, 2019. The provider is also known as Larry Dean Davis MD.

Q: What is Larry Davis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Larry Davis was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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 20, 2019PECOS EnrolledAccepts Medicare Assignment

849 KELLOGG AVE, JANESVILLE, WI 53546(608) 755-7960(608) 755-7873 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 4, 2025, Oct 27, 2023, Aug 20, 2019 (3 updates tracked since 2019).

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About Larry D Davis Jr. Md NPPES

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

LARRY D DAVIS JR. MD (NPI 1245887728) is an individual family medicine provider in Janesville, Wisconsin, licensed in California (A185596) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1245887728

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameLARRY D DAVIS JR.Credential: MD

Location Address849 KELLOGG AVEJanesville, WI 53546-2808

Mailing Address849 Kellogg AveJanesville, WI 53546-2808 · (608) 755-7960 · Fax (608) 755-7873

Phone(608) 755-7960

Fax(608) 755-7873

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 20, 2019

Last NPPES UpdateFebruary 4, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2025

✔ NPI 1245887728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A185596

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 8075-851 (WI)

849 KELLOGG AVE, Janesville, WI 53546

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Other Names 1

Other Name (5)Larry Dean Davis Md

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

Larry D Davis Jr. Md 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 ID7618374828

PECOS Enrollment IDI20250128004111

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 Larry Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

1,629 mi

Health Maintenance Organization

3527 W FLORIDA AVE
Hemet, CA 92545

Reassigned Medicare billing, California enrollment
5,228 clinicians in this Medicare group

NPI 1013433465 (877) 608-0044

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 53546 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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.

DR. DANIEL J KULAS MD

Family Medicine