MARK C DAVIS PA
NPI 1508928714
Physician Assistant - Medical in Lake Oswego, OR

Active since December 14, 2006PECOS EnrolledAccepts Medicare Assignment
98.25/100
CMS Quality Rating
123 C AVE, LAKE OSWEGO, OR 97034(503) 905-9006(503) 238-0841 Get Directions Write a Review

NPPES record last updated: December 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark C Davis Pa NPPES

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

MARK C DAVIS PA (NPI 1508928714) is an individual medical provider in Lake Oswego, Oregon, licensed in Oregon (PA01047) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1508928714
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMARK C DAVISCredential: PA
Location Address123 C AVELake Oswego, OR 97034-2353
Mailing Address123 C AveLake Oswego, OR 97034-2353 · (503) 905-9006 · Fax (503) 238-0841
Fax(503) 238-0841
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 14, 2006
Last NPPES UpdateDecember 24, 2024
NPPES CertifiedDecember 24, 2024
NPI 1508928714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OR · PA01047
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA01047 (OR)
123 C AVE, Lake Oswego, OR 97034

Secondary Practice Location 1

Location 15050 NE Hoyt St Ste 138Portland, OR 97213-2955 · Phone (503) 238-1061 · Fax (503) 238-0841

Other Identifiers 1

Medicaid044615OR

Accepted 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

Mark C Davis Pa 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 ID9234193103
PECOS Enrollment IDI20050914001413
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 13

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
563 services79 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
116 services89 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
104 services75 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
101 services75 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
93 services66 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
54 services36 patients

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.

98.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.63
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 4

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

Physician Assistant (Medical)
123 C AVE
LAKE OSWEGO, OR 97034
Physician Assistant
123 C AVE
LAKE OSWEGO, OR 97034
Dermatology
123 C AVE
LAKE OSWEGO, OR 97034
Nurse Practitioner (Family)
123 C AVE
LAKE OSWEGO, OR 97034

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 1508928714. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Mark Davis located?

Mark Davis practices at 123 C Ave, Lake Oswego, OR 97034. The listed phone number is (503) 905-9006.

What is Mark Davis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mark Davis enrolled in Medicare?

Yes. Mark 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 Mark Davis accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan and 1 other insurer list Mark 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 Mark Davis was last updated on December 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.