DR. JEFFERSON JOHN DAVIS DO
NPI 1265406755
Orthopaedic Surgery in Duluth, MN
About Dr. Jefferson John Davis Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEFFERSON JOHN DAVIS DO (NPI 1265406755) is an individual orthopaedic surgery provider in Duluth, Minnesota, licensed in Minnesota (48352) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of Ohio State University College Of Homeopathic Medicine (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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. Jefferson John Davis Do 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 Reassignments
4Medicare enrollment records show Jefferson Davis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Duluth, MN 55805
- Reassigned Medicare billing, Minnesota enrollment
- 1,460 clinicians in this Medicare group
Superior, WI 54880
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: St Marys Hospital Of Superior
- 381 clinicians in this Medicare group
Aurora, MN 55705
- Reassigned Medicare billing, Minnesota enrollment
- 136 clinicians in this Medicare group
Grand Rapids, MN 55744
- Reassigned Medicare billing, Minnesota enrollment
- 171 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 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health St Mary's Medical Center
Acute Care Hospitals · Duluth, MNEssentia Health Duluth
Acute Care Hospitals · Duluth, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jefferson Davis's NPI number?
The NPI number for Jefferson Davis is 1265406755. It was assigned to this individual provider in the NPPES registry on February 14, 2006.
Where is Jefferson Davis located?
Jefferson Davis practices at 400 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-8364.
What is Jefferson Davis's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Jefferson Davis enrolled in Medicare?
Yes. Jefferson 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.
Which organizations bill Medicare for Jefferson Davis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jefferson Davis reassigns Medicare benefits to 4 organizations: The Duluth Clinic, Ltd (Duluth, MN), St. Mary's Hospital Of Superior (Superior, WI), Northern Pines Medical Center (Aurora, MN) and Deer River Healthcare Center, Inc. (Grand Rapids, MN). Each 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 Jefferson Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jefferson Davis accept?
Health plans from HealthPartners, Sanford Health Plan and Security Health Plan list Jefferson Davis 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.
Is Jefferson Davis affiliated with any hospitals?
According to CMS data, Jefferson Davis is affiliated with Essentia Health St Mary's Medical Center and Essentia Health Duluth.
When was this NPI record last updated?
The NPPES record for Jefferson Davis was last updated on May 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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. Jefferson John Davis, DO · NPI 1265406755
Orthopaedic Surgery physician in Duluth, Minnesota. Individual provider, active in the CMS NPPES registry since February 14, 2006.
## Identity
- **NPI:** 1265406755 (Entity type: Individual)
- **Enumerated:** February 14, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 48352 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 E 3RD ST, Duluth, MN 55805-1951
- **Phone:** (218) 786-8364
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): The Duluth Clinic, Ltd (NPI 1245278209, Duluth, MN); St. Mary's Hospital Of Superior (NPI 1083657886, Superior, WI); Northern Pines Medical Center (NPI 1881954147, Aurora, MN); Deer River Healthcare Center, Inc. (NPI 1093152423, Grand Rapids, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University College Of Homeopathic Medicine, class of 1996
## Record status
- **NPPES last updated:** May 20, 2016
- **Other identifiers:** Medicare PIN 200002481 (MN); Medicare UPIN H66289 (MI); Medicaid 258493000 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1265406755) · Data from the CMS NPPES public registry.