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

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: August 02, 2026.

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, and ordering and referring status from the CMS PECOS system.

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.

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
7900 W JEFFERSON BLVD STE 306
FORT WAYNE, IN 46804
Allen County (260) 458-3610
GEOFFREY A. MCCORD NP
Nurse Practitioner (Family)
7900 W JEFFERSON BLVD STE 306
FORT WAYNE, IN 46804
Allen County (260) 458-3610
MR. KARSTEN EUGENE COOPER PA-C
Physician Assistant
7900 W JEFFERSON BLVD STE 306
FORT WAYNE, IN 46804
Allen County (260) 458-3610
MILISSA C. PHILLIPS-BOHLENDER NP
Nurse Practitioner (Family)
7900 W JEFFERSON BLVD STE 306
FORT WAYNE, IN 46804
Allen County (260) 458-3610
DR. KEITH DAVID CLANCY M.D.
Surgery (Trauma Surgery)
7900 W JEFFERSON BLVD STE 306
FORT WAYNE, IN 46804
Allen County (260) 458-3610
TIANLI DU MD
Surgery (Trauma Surgery)
7900 W JEFFERSON BLVD STE 306
FORT WAYNE, IN 46804
Allen County (260) 458-3610
NICOLE M. KELLNER PA
Physician Assistant
7900 W JEFFERSON BLVD STE 306
FORT WAYNE, IN 46804
Allen County (260) 479-3514
CONSTANTINE G SAITES MD, MS
Surgery (Trauma Surgery)
7900 W JEFFERSON BLVD STE 306
FORT WAYNE, IN 46804
Allen County (260) 458-3610

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 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.

Where is Michael Davis located?

Michael Davis practices at 7900 W Jefferson Blvd Ste 306, Fort Wayne, IN 46804. The listed phone number is (260) 458-3610.

What is Michael Davis's specialty?

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

Is Michael Davis enrolled in Medicare?

Yes. Michael 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.

What insurance does Michael Davis accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Michael 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 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.