KELSEY E DAVIDSON M.D.
NPI 1366732364
Orthopaedic Surgery in Chicago, IL

Q: What is Kelsey Davidson's NPI number?

The NPI number for Kelsey Davidson is 1366732364. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Q: What is Kelsey Davidson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelsey Davidson was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since April 11, 2011PECOS Enrolled

2211 N OAK PARK AVE, CHICAGO, IL 60707(773) 385-5463 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 10, 2025, Mar 17, 2018, Aug 24, 2017 (3 updates tracked since 2017).

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About Kelsey E Davidson M.d. NPPES

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

KELSEY E DAVIDSON M.D. (NPI 1366732364) is an individual orthopaedic surgery provider in Chicago, Illinois, licensed in Illinois (036143920) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366732364

Entity TypeIndividualFemale

Primary Taxonomy207X00000X

Provider Legal NameKELSEY E DAVIDSONCredential: M.D.

Location Address2211 N OAK PARK AVEChicago, IL 60707-3351

Mailing AddressShriners Hospitals For Children Chicago, 2211 North Oak Park AveChicago, IL 60707-3351

Phone(773) 385-5463

Sole ProprietorYes

Enumeration DateApril 11, 2011

Last NPPES UpdateApril 10, 20253 updates tracked since enumeration

NPPES CertifiedApril 10, 2025

✔ NPI 1366732364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in IL · 036143920

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

2211 N OAK PARK AVE, Chicago, IL 60707

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Secondary Practice Locations 2

Location 15445 Meridian Marks Rd, Orthopedic Surgery, Suite 250Atlanta, GA 30342-4763 · Phone (678) 686-6818

Location 21801 W Taylor StChicago, IL 60612-4795 · Phone (312) 996-7416

Other Identifiers 1

Medicaid1366732364IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey E Davidson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Medicare enrollment records show Kelsey Davidson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shriners Hospitals For Children

0.1 mi

Anesthesiology

2211 N OAK PARK AVE
Chicago, IL 60707

Reassigned Medicare billing, Illinois enrollment
99 clinicians in this Medicare group

NPI 1326536574 (773) 622-3351

Cook County

1.5 mi

Primary Care

5501 W. FULLERTON AVE
Chicago, IL 60639

Reassigned Medicare billing, Illinois enrollment
1,047 clinicians in this Medicare group

NPI 1689794489 (312) 395-7400

The Board Of Trustees Of The University Of Illinois

6.4 mi

Dermatology

808 S WOOD ST
Chicago, IL 60612

Reassigned Medicare billing, Illinois enrollment
2,127 clinicians in this Medicare group

NPI 1265651434 (312) 996-6966

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60707 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

KATRINA MARIE VOGEL PA-C

Physician Assistant