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

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: August 02, 2026.

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

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, and ordering and referring status from the CMS PECOS system.

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.

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
849 KELLOGG AVE
JANESVILLE, WI 53546
Rock County (608) 755-7960
ANDREW J BRIDGE MD
Family Medicine
849 KELLOGG AVE
JANESVILLE, WI 53546
Rock County (608) 755-7960
MERCY HEALTH SYSTEM CORPORATION
Durable Medical Equipment & Medical Supplies
849 KELLOGG AVE
JANESVILLE, WI 53546
Rock County (608) 755-7960
DR. SHANE M DURKES MD
Family Medicine
849 KELLOGG AVE
JANESVILLE, WI 53546
Rock County (608) 755-7960
SAAD MOHSIN MD
Hospitalist
849 KELLOGG AVE
JANESVILLE, WI 53546
Rock County (608) 755-7960
SETAREH SAEIAN MD
Family Medicine
849 KELLOGG AVE
JANESVILLE, WI 53546
Rock County (608) 758-8565
MARSHA M. LANDVATTER MD
Hospitalist
849 KELLOGG AVE
JANESVILLE, WI 53546
Rock County (608) 755-7960
KENYN L. KOOP MD
Family Medicine
849 KELLOGG AVE
JANESVILLE, WI 53546
Rock County (608) 755-7960

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 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.

Where is Larry Davis located?

Larry Davis practices at 849 Kellogg Ave, Janesville, WI 53546. The listed phone number is (608) 755-7960.

What is Larry Davis's specialty?

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

Is Larry Davis enrolled in Medicare?

Yes. Larry Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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 17 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.