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TIMUR DAVYDOV DPM
NPI 1518455187
Podiatrist - Foot & Ankle Surgery in Belleville, IL

Active since April 28, 2018PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
458 CARLYLE E, BELLEVILLE, IL 62221(646) 251-8364 Get Directions Write a Review

NPPES record last updated: December 28, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 28, 2024, Jun 8, 2021, Apr 28, 2018 (3 updates tracked since 2018).

About Timur Davydov Dpm NPPES

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

TIMUR DAVYDOV DPM (NPI 1518455187) is an individual foot & ankle surgery provider in Belleville, Illinois, licensed in Missouri (2021019888) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (2018).

NPPES Registry Identity

NPI1518455187
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameTIMUR DAVYDOVCredential: DPM
Location Address458 CARLYLE EBelleville, IL 62221-4525
Mailing Address458 Carlyle EBelleville, IL 62221-4525 · (646) 251-8364
Phone(646) 251-8364
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 2018
Enumeration DateApril 28, 2018
Last NPPES UpdateDecember 28, 20243 updates tracked since enumeration
NPPES CertifiedDecember 28, 2024
✔ NPI 1518455187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in MO · 2021019888
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
458 CARLYLE E, Belleville, IL 62221
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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

Timur Davydov Dpm 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 ID8729480645
PECOS Enrollment IDI20210714001545
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 4

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
292 services182 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
148 services94 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.
41 services32 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier16 claims32 services$61.16 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514
DME-Orthotic Devices · category DF000N
1 supplier16 claims96 services$37.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Timur Davydov's NPI number?

The NPI number for Timur Davydov is 1518455187. It was assigned to this individual provider in the NPPES registry on April 28, 2018.

Where is Timur Davydov located?

Timur Davydov practices at 458 Carlyle E, Belleville, IL 62221. The listed phone number is (646) 251-8364.

What is Timur Davydov's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Timur Davydov enrolled in Medicare?

Yes. Timur Davydov 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 Timur Davydov was last updated on December 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.