GRACEN CONWAY DAVIS MD
NPI 1538628516
Pediatrics in Portland, OR

Q: What is Gracen Davis's NPI number?

The NPI number for Gracen Davis is 1538628516. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Q: What is Gracen Davis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Gracen Davis was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since March 18, 2019PECOS Enrolled

2801 N GANTENBEIN AVE, PORTLAND, OR 97227(503) 413-2042 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2025, Jul 15, 2024, May 4, 2023 and 5 more (8 updates tracked since 2019).

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About Gracen Conway Davis Md NPPES

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

GRACEN CONWAY DAVIS MD (NPI 1538628516) is an individual pediatrics provider in Portland, Oregon, licensed in Oregon (MD224146) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1538628516

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameGRACEN CONWAY DAVISCredential: MD

Location Address2801 N GANTENBEIN AVEPortland, OR 97227-1623

Mailing AddressPo Box 4399Portland, OR 97208-4399

Phone(503) 413-2042

Sole ProprietorNo

Enumeration DateMarch 18, 2019

Last NPPES UpdateJuly 10, 20258 updates tracked since enumeration

NPPES CertifiedJuly 10, 2025

✔ NPI 1538628516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in OR · MD224146✔ Licensed in NC · 2022-02187

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedHospitalistTaxonomy 208M00000X · License 2022-02187 (NC)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 2022-02187 (NC)

2801 N GANTENBEIN AVE, Portland, OR 97227

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Secondary Practice Locations 2

Location 11001 Blythe Blvd, Medical Center Plaza, Suite 200Charlotte, NC 28203-5866 · Phone (704) 381-8840

Location 2920 Church St NConcord, NC 28025-2927 · Phone (704) 403-3664

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gracen Conway Davis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Gracen Davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Legacy Emanuel Hospital & Health Center

Same address

General Acute Care Hospital

2801 N GANTENBEIN AVE
Portland, OR 97227

Reassigned Medicare billing, Oregon enrollment
719 clinicians in this Medicare group

NPI 1831112358 (503) 413-2200

Carolinas Medical Center

2,284 mi

Psychiatry

16740 DAVIDSON CONCORD RD, STE 200
Davidson, NC 28036

Reassigned Medicare billing, North Carolina enrollment
2,223 clinicians in this Medicare group

NPI 1629412184 (704) 801-9200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97227 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

Most-billed visit code 99214

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.

KARI MAGNUSSEN MS

Genetic Counselor, MS