EDEN ALEXIS DAVIS PA
NPI 1538417159
Physician Assistant in New York, NY

Active since August 29, 2012PECOS EnrolledAccepts Medicare Assignment
90.76/100
CMS Quality Rating
1275 YORK AVENUE, BOX 435, NEW YORK, NY 10065(212) 639-7537 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eden Alexis Davis Pa NPPES

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

EDEN ALEXIS DAVIS PA (NPI 1538417159) is an individual physician assistant in New York, New York, licensed in New York (015658) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1538417159
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEDEN ALEXIS DAVISCredential: PA
Location Address1275 YORK AVENUE, BOX 435New York, NY 10065
Mailing Address1275 York Avenue, Box 435New York, NY 10065 · (212) 639-7537
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 29, 2012
Last NPPES UpdateDecember 8, 2020
NPPES CertifiedDecember 8, 2020
NPI 1538417159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 015658
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1275 YORK AVENUE, New York, NY 10065

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

Eden Alexis 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 ID4880817246
PECOS Enrollment IDI20170824000361
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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.

90.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.87
Improvement Activities40

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.

Radiology (Neuroradiology)
1275 YORK AVENUE, MEMORIAL SLOAN-KETTERING CANCER CENTER
NEW YORK, NY 10065
Nurse Practitioner (Pediatrics)
1275 YORK AVENUE, MEMORIAL SLOAN-KETTERING CANCER INSTITUTE, 9TH FLOOR
NEW YORK, NY 10065
Nurse Practitioner (Acute Care)
1275 YORK AVENUE, MEMORIAL SLOAN KETTERING CANCER CENTER M-17
NEW YORK, NY 10065
Registered Nurse (Oncology)
1275 YORK AVENUE, 7TH FLOOR
NY, NY 10065
Nurse Practitioner (Pediatrics)
1275 YORK AVENUE
NEW YORK, NY 10065
Internal Medicine (Hematology & Oncology)
1275 YORK AVENUE
NEW YORK, NY 10065
Pathology (Dermatopathology)
1275 YORK AVENUE, MEMORIAL HOSPITAL/ DEPT. OF PATHOLOGY
NEW YORK, NY 10065
Nurse Practitioner (Acute Care)
1275 YORK AVENUE
NEW YORK, NY 10065

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538417159, enumerated as an "individual" on August 29, 2012.

The provider is located at 1275 YORK AVENUE BOX 435 NEW YORK, NY 10065 and the phone number is (212) 639-7537.

Physician Assistant with taxonomy code 363A00000X.