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RAYMOND A. DAVIS MD
NPI 1417067604
Pediatrics in Rockford, IL

Active since August 30, 2006PECOS Enrolled
2300 N ROCKTON AVE, ROCKFORD, IL 61103(815) 971-2000 Get Directions Write a Review

NPPES record last updated: January 29, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Raymond A. Davis Md NPPES

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

RAYMOND A. DAVIS MD (NPI 1417067604) is an individual pediatrics provider in Rockford, Illinois, licensed in Illinois (036-073340) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417067604
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameRAYMOND A. DAVISCredential: MD
Location Address2300 N ROCKTON AVERockford, IL 61103-3619
Mailing Address2300 N Rockton AveRockford, IL 61103-3619 · (815) 971-2000
Phone(815) 971-2000
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateJanuary 29, 2010
✔ NPI 1417067604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036-073340
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2300 N ROCKTON AVE, Rockford, IL 61103
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Other Identifiers 3

Medicaid036073340IL
Medicare UPINC44371IL
Medicare PIN790790IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MercyCare Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raymond A. Davis Md 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 Reassignment

Medicare enrollment records show Raymond Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rockford Health Physicians
0.1 mi
Anesthesiology
2400 N ROCKTON AVE
Rockford, IL 61103
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1023275278 (815) 971-5000

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 61103 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
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.

JENNIFER DAVIDSON OT
Occupational Therapist
2300 N ROCKTON AVE
ROCKFORD, IL 61103
Winnebago County (815) 971-2000
ROBIN R. HOVIS MD
Internal Medicine (Rheumatology)
2300 N ROCKTON AVE
ROCKFORD, IL 61103
Winnebago County (815) 971-2000
DR. JOSEPH R WHITELEY M.D.
Surgery (Plastic and Reconstructive Surgery)
2300 N ROCKTON AVE, STE 304
ROCKFORD, IL 61103
Winnebago County (815) 964-3333
MICHELLE KLUNK PTA
Physical Therapy Assistant
2300 N ROCKTON AVE
ROCKFORD, IL 61103
Winnebago County (815) 971-2000
DR. SARAH M. BEAVES MD
Pediatrics
2300 N ROCKTON AVE
ROCKFORD, IL 61103
Winnebago County (815) 971-2000
ERIKA J OLTMANNS RD, LDN
Dietitian, Registered
2300 N ROCKTON AVE
ROCKFORD, IL 61103
Winnebago County (815) 971-2511
MRS. JESSICA A BARR APRN,BC
Nurse Practitioner (Family)
2300 N ROCKTON AVE, ROCKFORD HEALTH PHYSICIANS
ROCKFORD, IL 61103
Winnebago County (815) 971-2000
MRS. SANDRA KAY NICOLOSI APRN, BC
Nurse Practitioner (Family)
2300 N ROCKTON AVE
ROCKFORD, IL 61103
Winnebago County (815) 971-2000

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 Raymond Davis's NPI number?

The NPI number for Raymond Davis is 1417067604. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Raymond Davis located?

Raymond Davis practices at 2300 N Rockton Ave, Rockford, IL 61103. The listed phone number is (815) 971-2000.

What is Raymond Davis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Raymond Davis enrolled in Medicare?

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

Which organization bills Medicare for Raymond Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raymond Davis reassigns Medicare benefits to Rockford Health Physicians (Rockford, IL). The 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 Raymond Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raymond Davis accept?

Health plans from Anthem Blue Cross and Blue Shield and MercyCare Health Plans list Raymond 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 Raymond Davis was last updated on January 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.