DR. MATTHEW LEE DAVIDSON D.C.
NPI 1255624508
Chiropractor - Sports Physician in Washington, MO
About Dr. Matthew Lee Davidson D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MATTHEW LEE DAVIDSON D.C. (NPI 1255624508) is an individual sports physician in Washington, Missouri, licensed in Missouri (2011012876) and active in the NPI registry since May 2011. He is a graduate of Logan College Of Chiropractic (2010).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Dr. Matthew Lee Davidson D.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.
Medicare Billing Reassignment
Medicare enrollment records show Matthew Davidson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ellisville, MO 63011
- Reassigned Medicare billing, Missouri enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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.
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 Matthew Davidson's NPI number?
The NPI number for Matthew Davidson is 1255624508. It was assigned to this individual provider in the NPPES registry on May 19, 2011.
Where is Matthew Davidson located?
Matthew Davidson practices at 1809 Heritage Hills Dr, Washington, MO 63090. The listed phone number is (636) 239-5252.
What is Matthew Davidson's specialty?
The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.
Is Matthew Davidson enrolled in Medicare?
Yes. Matthew Davidson 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.
Which organization bills Medicare for Matthew Davidson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Davidson reassigns Medicare benefits to West County Spine & Joint Chiropractic Clinic, LLC (Ellisville, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Davidson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Davidson accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Matthew Davidson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Matthew Davidson was last updated on April 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Matthew Lee Davidson, D.C. · NPI 1255624508
Sports Physician provider in Washington, Missouri. Individual provider, active in the CMS NPPES registry since May 19, 2011.
## Identity
- **NPI:** 1255624508 (Entity type: Individual)
- **Enumerated:** May 19, 2011
- **Primary specialty:** Chiropractor - Sports Physician · taxonomy 111NS0005X
- **State license:** 2011012876 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1809 HERITAGE HILLS DR, Washington, MO 63090-4624
- **Phone:** (636) 239-5252 · **Fax:** (636) 239-4499
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** West County Spine & Joint Chiropractic Clinic, LLC (NPI 1487954434, Ellisville, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Logan College Of Chiropractic, class of 2010
## Record status
- **NPPES last updated:** April 17, 2017
---
Source: [NPI Profile](https://npiprofile.com/npi/1255624508) · Data from the CMS NPPES public registry.