DR. PHILIP A DAVIDSON MEDICAL DOCTOR
NPI 1528040367
Orthopaedic Surgery - Sports Medicine in Park City, UT
NPI Status: Active since November 17, 2005
Contact Information
2200 PARK AVE BLDG D
STE 100
PARK CITY, UT
ZIP 84060
Phone: (435) 615-8822
Fax: (435) 615-8823
- Individual
- Male
- Orthopaedic Surgery
- Sports Medicine
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About PHILIP DAVIDSON
This page provides the complete NPI Profile along with additional information for Philip Davidson, a provider established in Park City, Utah with a medical specialization in Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1528040367 assigned on November 2005. The practitioner's primary taxonomy code is 207XX0005X with license number ME54865 (FL). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1528040367
- Provider Name
- DR. PHILIP A DAVIDSON MEDICAL DOCTOR
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2200 PARK AVE BLDG D STE 100 PARK CITY, UT 84060
- Location Phone
- (435) 615-8822
- Location Fax
- (435) 615-8823
- Mailing Address
- 2200 PARK AVE BLDG D STE 100 PARK CITY, UT 84060
- Mailing Phone
- (435) 615-8822
- Mailing Fax
- (435) 615-8823
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-17-2005
- Last Update Date
- 10-01-2012
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Philip Davidson opted out of Medicare effective on 04-01-2015 until 04-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Sports Medicine
- Taxonomy Code
- 207XX0005X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME54865
- License State
- FL
- Taxonomy Description
- An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Med Benchmark Expanded Bronze Select Copay Plan - HMO
- Med Benchmark Expanded Bronze Standardized Plan - HMO
- Med Benchmark Gold Standardized Plan - HMO
- Med Benchmark Platinum - HMO
- Med Benchmark Platinum Standardized Plan - HMO
- Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
- Med Benchmark Silver Standardized Plan - HMO
- Med Gold 1500 Medical Deductible - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18987Z | MEDICARE PIN (08) | FL | |
| 2000016351 | OTHER (01) | FL | RAILROAD MEDICARE |
| F20200 | MEDICARE UPIN (02) | FL | |
| 373524900 | MEDICAID (05) | FL | |
| 4511587 | OTHER (01) | FL | AETNA |
| AVMED | OTHER (01) | FL | 258113 |
| 18987 | OTHER (01) | FL | BLUE CROSS BLUE SHIELD |
Medicare Participation & PECOS Enrollment Status
Philip Davidson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 04-01-2015
Opt-Out End Date: 04-01-2027
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1528040367, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
PARK CITY, UT 84060
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528040367, enumerated as an "individual" on November 17, 2005.
The provider is located at 2200 PARK AVE BLDG D STE 100 PARK CITY, UT 84060 and the phone number is (435) 615-8822.
Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.
The provider might be accepting Accepts: Select Health, Medicare, Medicaid, Railroad. Please consult your insurance carrier or call the provider to verify.
