DR. MICHAEL ROBERT DAVIS M.D.
NPI 1477622934
Plastic Surgery in Fort Wayne, IN

Q: What is Michael Davis's NPI number?

The NPI number for Michael Davis is 1477622934. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Q: What is Michael Davis's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Davis was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since November 07, 2006PECOS EnrolledAccepts Medicare Assignment

7900 W JEFFERSON BLVD STE 306, FORT WAYNE, IN 46804(260) 458-3610(260) 458-3611 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Michael Robert Davis M.d. NPPES

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

DR. MICHAEL ROBERT DAVIS M.D. (NPI 1477622934) is an individual plastic surgery provider in Fort Wayne, Indiana, licensed in Indiana (01053296A) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1477622934

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. MICHAEL ROBERT DAVISCredential: M.D.

Location Address7900 W JEFFERSON BLVD STE 306Fort Wayne, IN 46804-4128

Mailing Address6920 Pointe Inverness Way Ste 200Fort Wayne, IN 46804-7934 · (260) 479-3514 · Fax (260) 479-3520

Phone(260) 458-3610

Fax(260) 458-3611

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateNovember 7, 2006

Last NPPES UpdateApril 19, 2018

✔ NPI 1477622934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Licenses✔ Licensed in IN · 01053296A✔ Licensed in TX · P1857✔ Licensed in AL · 26620

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

7900 W JEFFERSON BLVD STE 306, Fort Wayne, IN 46804

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Other Identifiers 6

Medicaid009941891AL

Medicaid009941892AL

Medicaid009942208AL

Other051540215AL · Bcbs

Other051540216AL · Bcbs

Other051540217AL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 and accepts Medicare assignment

Dr. Michael Robert Davis M.d. 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 ID2062510571

PECOS Enrollment IDI20200709003260

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 Michael Davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dlp Conemaugh Physician Practices LLC

320 mi

Family Medicine

200 W MAIN ST
Ligonier, PA 15658

Reassigned Medicare billing, Pennsylvania enrollment
771 clinicians in this Medicare group

NPI 1588070551 (724) 238-9581

South Texas Aesthetic And Reconstructive Surgery PLLC

1,092 mi

Plastic and Reconstructive Surgery

8042 WURZBACH RD, SUITE 130
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
8 clinicians in this Medicare group

NPI 1285042556 (210) 201-2806

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 46804 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

VICTORIA A. VAMOS PA-C

Physician Assistant