GAVIN DAVIS
NPI 1376410233
Physician Assistant in Wilkes-barre, PA

Q: What is Gavin Davis's NPI number?

The NPI number for Gavin Davis is 1376410233. It was assigned to this individual provider in the NPPES registry on October 23, 2025.

Q: What is Gavin Davis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Gavin Davis was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 October 23, 2025PECOS EnrolledAccepts Medicare Assignment

1175 E MOUNTAIN BLVD, WILKES-BARRE, PA 18702(570) 808-1093(570) 808-7878 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gavin Davis NPPES

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

GAVIN DAVIS (NPI 1376410233) is an individual physician assistant in Wilkes-barre, Pennsylvania, licensed in Pennsylvania (MA067105) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS, is affiliated with Geisinger Wyoming Valley Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1376410233

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameGAVIN DAVIS

Location Address1175 E MOUNTAIN BLVDWilkes-barre, PA 18702-7906

Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 808-1093 · Fax (570) 808-7878

Phone(570) 808-1093

Fax(570) 808-7878

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 23, 2025

Last NPPES UpdateNovember 20, 2025

NPPES CertifiedNovember 20, 2025

✔ NPI 1376410233 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 PA · MA067105

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.

1175 E MOUNTAIN BLVD, Wilkes-barre, PA 18702

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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

Gavin 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 ID2365938206

PECOS Enrollment IDI20251231000190

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390270

Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18702 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

CHRISTINA MICHELE MALINOWSKI PA-C

Physician Assistant