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DR. JEFFREY CRAIG DAVENPORT MD
NPI 1336171925
Family Medicine in Edmond, OK

Active since July 06, 2006Opted out of Medicare · through Oct 1, 2027
3815 S BOULEVARD, EDMOND, OK 73013(405) 285-7568(405) 285-7634 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeffrey Craig Davenport Md NPPES

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

DR. JEFFREY CRAIG DAVENPORT MD (NPI 1336171925) is an individual family medicine provider in Edmond, Oklahoma, licensed in Oklahoma (24933) and active in the NPI registry since July 2006. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer and maintains a secondary practice location in Edmond.

NPPES Registry Identity

NPI1336171925
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JEFFREY CRAIG DAVENPORTCredential: MD
Location Address3815 S BOULEVARDEdmond, OK 73013-5479
Mailing Address3815 S BoulevardEdmond, OK 73013-5479 · (405) 285-7568 · Fax (405) 285-7634
Phone(405) 285-7568
Fax(405) 285-7634
Sole ProprietorYes
Enumeration DateJuly 6, 2006
Last NPPES UpdateMarch 27, 2019
✔ NPI 1336171925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 24933
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.
3815 S BOULEVARD, Edmond, OK 73013
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Secondary Practice Location 1

Location 13824 S. Boulevard, Suite 160Edmond, OK 73013-5478 · Phone (405) 348-2424 · Fax (405) 348-2435

Other Identifiers 1

Medicaid200089300AOK

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jeffrey Craig Davenport Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2015 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2015
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73013 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
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims18 services$59.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

TRINIDAD SARGEANT
Massage Therapist
3815 S BOULEVARD
EDMOND, OK 73013
Oklahoma County (573) 419-8442
DR. RICHARD ALLAN YOKELL MD
Psychiatry & Neurology (Psychiatry)
3815 S BOULEVARD
EDMOND, OK 73013
Oklahoma County (405) 285-7568
ANAGEN MEDICAL INSTITUTE LLC
Pain Medicine (Interventional Pain Medicine)
3815 S BOULEVARD
EDMOND, OK 73013
Oklahoma County (405) 459-7779

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 Jeffrey Davenport's NPI number?

The NPI number for Jeffrey Davenport is 1336171925. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Jeffrey Davenport located?

Jeffrey Davenport practices at 3815 S Boulevard, Edmond, OK 73013. The listed phone number is (405) 285-7568.

What is Jeffrey Davenport's specialty?

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

Is Jeffrey Davenport enrolled in Medicare?

No. Jeffrey Davenport has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jeffrey Davenport was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.