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PATRICK W DAVIS P.A.C.
NPI 1417914730
Physician Assistant in Boulder City, NV

Active since April 28, 2006PECOS EnrolledAccepts Medicare Assignment
724 KENDALL LN, BOULDER CITY, NV 89005(702) 604-7422(702) 549-3178 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Patrick W Davis P.a.c. NPPES

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

PATRICK W DAVIS P.A.C. (NPI 1417914730) is an individual physician assistant in Boulder City, Nevada, licensed in Nevada (PA823) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2002).

NPPES Registry Identity

NPI1417914730
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePATRICK W DAVISCredential: P.A.C.
Location Address724 KENDALL LNBoulder City, NV 89005-1112
Mailing AddressPo Box 752287Las Vegas, NV 89136-2287 · (702) 604-7422 · Fax (702) 549-3178
Phone(702) 604-7422
Fax(702) 549-3178
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2002
Enumeration DateApril 28, 2006
Last NPPES UpdateOctober 22, 2019
✔ NPI 1417914730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NV · PA823
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.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA823 (NV)
724 KENDALL LN, Boulder City, NV 89005
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Other Identifiers 5

OtherP00206370NV · Railroad Medicare
Medicaid100502933NV
OtherCC535YNV · Medicare Ptan
OtherPA823NV · Nsbme
Medicaid850273AZ

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

Patrick W Davis P.a.c. 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 ID4688663883
PECOS Enrollment IDI20040512000057
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
29 services17 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
15 services15 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89005 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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

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

PATRICK DAVIS PA-C LTD
Physician Assistant (Surgical)
724 KENDALL LN
BOULDER CITY, NV 89005
Clark County (702) 604-7422

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 Patrick Davis's NPI number?

The NPI number for Patrick Davis is 1417914730. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Patrick Davis located?

Patrick Davis practices at 724 Kendall Ln, Boulder City, NV 89005. The listed phone number is (702) 604-7422.

What is Patrick Davis's specialty?

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

Is Patrick Davis enrolled in Medicare?

Yes. Patrick 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.

When was this NPI record last updated?

The NPPES record for Patrick Davis was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.