VYACHESLAV DAVYDOV PA-C
NPI 1356950497
Physician Assistant in Elmhurst, NY

Active since July 24, 2020PECOS EnrolledAccepts Medicare Assignment
7901 BROADWAY, ELMHURST, NY 11373(718) 334-4000 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Vyacheslav Davydov Pa-c NPPES

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

VYACHESLAV DAVYDOV PA-C (NPI 1356950497) is an individual physician assistant in Elmhurst, New York, licensed in New York (025364) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1356950497
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameVYACHESLAV DAVYDOVCredential: PA-C
Location Address7901 BROADWAYElmhurst, NY 11373-1329
Mailing Address7901 BroadwayElmhurst, NY 11373-1329 · (718) 334-2343 · Fax (718) 334-5006
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 24, 2020
Last NPPES UpdateAugust 14, 2020
NPPES CertifiedAugust 14, 2020
NPI 1356950497 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 NY · 025364
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.

7901 BROADWAY, Elmhurst, NY 11373

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

Vyacheslav Davydov 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 ID4880013994
PECOS Enrollment IDI20200923000710
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 11373 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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 20

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

Family Medicine
7901 BROADWAY, ELMHURST HOSPITAL CENTER E6-7
ELMHURST, NY 11373
Psychiatry & Neurology (Neurology)
7901 BROADWAY, ROOM A1 9
ELMHURST, NY 11373
Internal Medicine (Nephrology)
7901 BROADWAY, ROOM A1-9
ELMHURST, NY 11373
Internal Medicine (Nephrology)
7901 BROADWAY, ROOM A1-9
ELMHURST, NY 11373
Internal Medicine (Nephrology)
7901 BROADWAY, ROOM A1-9
ELMHURST, NY 11373
Otolaryngology (Pediatric Otolaryngology)
7901 BROADWAY, ROOM A1 - 9
ELMHURST, NY 11373
Orthopaedic Surgery
7901 BROADWAY, ROOM A1-9
ELMHURST, NY 11373
Anesthesiology (Pain Medicine)
7901 BROADWAY, ROOM A1-9
ELMHURST, NY 11373

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356950497, enumerated as an "individual" on July 24, 2020.

The provider is located at 7901 BROADWAY ELMHURST, NY 11373 and the phone number is (718) 334-4000.

Physician Assistant with taxonomy code 363A00000X.