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CALEB DAVIS
NPI 1366079865
Orthopaedic Surgery - Sports Medicine in Willow Park, TX

Active since March 25, 2020PECOS EnrolledAccepts Medicare Assignment
251 CROWN POINTE BLVD, WILLOW PARK, TX 76087(877) 314-8990 Get Directions Write a Review

NPPES record last updated: May 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 25, 2026, Nov 4, 2023, Mar 25, 2020 (3 updates tracked since 2020).

About Caleb Davis NPPES

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

CALEB DAVIS (NPI 1366079865) is an individual sports medicine provider in Willow Park, Texas, licensed in Texas (1366079865) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1366079865
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameCALEB DAVIS
Location Address251 CROWN POINTE BLVDWillow Park, TX 76087-1118
Mailing Address251 Crown Pointe BlvdWillow Park, TX 76087-1118 · (877) 314-8990
Phone(877) 314-8990
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 25, 2020
Last NPPES UpdateMay 25, 20263 updates tracked since enumeration
NPPES CertifiedMay 25, 2026
✔ NPI 1366079865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in TX · 1366079865
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
251 CROWN POINTE BLVD, Willow Park, TX 76087
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.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

Caleb Davis 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 ID3678904208
PECOS Enrollment IDI20250812002905, I20250813001982
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Caleb Davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barton Healthcare System
1,317 mi
Emergency Medicine
3860 SADDLE RD
South Lake Tahoe, CA 96150
  • Reassigned Medicare billing, California and Nevada enrollments
  • Also billed through NPI 1700963725 (Nevada)
  • 126 clinicians in this Medicare group
NPI 1306931357 (530) 543-5575
Barton Medical Foundation
1,320 mi
Family Medicine
2170 SOUTH AVE
South Lake Tahoe, CA 96150
  • Reassigned Medicare billing, California and Nevada enrollments
  • 148 clinicians in this Medicare group
NPI 1750950499 (530) 541-3420

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

MR. MICHAEL GREY MEADOR JR. PA-C
Physician Assistant
251 CROWN POINTE BLVD
WILLOW PARK, TX 76087
Parker County (817) 489-7300

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 Caleb Davis's NPI number?

The NPI number for Caleb Davis is 1366079865. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Caleb Davis located?

Caleb Davis practices at 251 Crown Pointe Blvd, Willow Park, TX 76087. The listed phone number is (877) 314-8990.

What is Caleb Davis's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Caleb Davis enrolled in Medicare?

Yes. Caleb 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 Caleb Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caleb Davis reassigns Medicare benefits to 2 organizations: Barton Healthcare System (South Lake Tahoe, CA) and Barton Medical Foundation (South Lake Tahoe, CA). 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 Caleb Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caleb Davis accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Caleb 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.

When was this NPI record last updated?

The NPPES record for Caleb Davis was last updated on May 25, 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.