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MARK W DAVIS M.D.
NPI 1376626416
Specialist in Norfolk, NE

Active since October 23, 2006PECOS Enrolled
77.55/100
CMS Quality Rating
109 NORTH 29TH STREET-SUITE 1, NORFOLK, NE 68701(402) 644-4600(402) 644-3430 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark W Davis M.d. NPPES

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

MARK W DAVIS M.D. (NPI 1376626416) is an individual specialist in Norfolk, Nebraska, licensed in Nebraska (17496) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376626416
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMARK W DAVISCredential: M.D.
Location Address109 NORTH 29TH STREET-SUITE 1Norfolk, NE 68701
Mailing Address109 North 29th Street-suite 1Norfolk, NE 68701 · (402) 644-4600 · Fax (402) 644-3430
Phone(402) 644-4600
Fax(402) 644-3430
Sole ProprietorYes
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376626416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NE · 17496
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
109 NORTH 29TH STREET-SUITE 1, Norfolk, NE 68701
Open in Google Maps ↗

Other Identifiers 3

Medicaid10025059200NE
Medicare UPINE41046NE
Medicare ID-Type Unspecified269219NE

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark W Davis 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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.77
Promoting Interoperability97
Improvement Activities40
Cost50.91

Other Providers at the Same Location NPPES

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

MARIBETH BOBELDYKE APRN
Nurse Practitioner
109 NORTH 29TH STREET-SUITE 1
NORFOLK, NE 68701
Madison County (402) 644-4600

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 Mark Davis's NPI number?

The NPI number for Mark Davis is 1376626416. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Mark Davis located?

Mark Davis practices at 109 North 29th Street-Suite 1, Norfolk, NE 68701. The listed phone number is (402) 644-4600.

What is Mark Davis's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mark Davis enrolled in Medicare?

Yes. Mark Davis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Davis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.