JOHN TYLER DAVIS PA-C
NPI 1255158564
Physician Assistant in Oklahoma City, OK

Q: What is John Davis's NPI number?

The NPI number for John Davis is 1255158564. It was assigned to this individual provider in the NPPES registry on September 26, 2024.

Q: What is John Davis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for John Davis was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 September 26, 2024PECOS EnrolledAccepts Medicare Assignment

5401 N PORTLAND AVE STE 600, OKLAHOMA CITY, OK 73112(405) 713-9940(405) 713-9941 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2025, Sep 26, 2024 (2 updates tracked since 2024).

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About John Tyler Davis Pa-c NPPES

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

JOHN TYLER DAVIS PA-C (NPI 1255158564) is an individual physician assistant in Oklahoma City, Oklahoma, licensed in Oklahoma (5650) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1255158564

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJOHN TYLER DAVISCredential: PA-C

Location Address5401 N PORTLAND AVE STE 600Oklahoma City, OK 73112-2090

Mailing Address3001 Quail Springs Pkwy Fl 5Oklahoma City, OK 73134-2640 · (405) 713-9940 · Fax (405) 713-9941

Phone(405) 713-9940

Fax(405) 713-9941

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 26, 2024

Last NPPES UpdateFebruary 18, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2026

✔ NPI 1255158564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OK · 5650

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5401 N PORTLAND AVE STE 600, Oklahoma City, OK 73112

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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

John Tyler Davis Pa-c 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 ID8527548775

PECOS Enrollment IDI20260217000728

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.

Hospital Affiliations CMS Care Compare

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

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370028

Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73112 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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.

Other Providers at the Same Location NPPES 16

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

MS. JENNIFER LEE ZOGLEMAN PA-C

Physician Assistant