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TISH D DAVIS PA-C
NPI 1548201007
Physician Assistant - Medical in Meridian, ID

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
2235 E GALA ST, MERIDIAN, ID 83642(208) 887-3724(208) 887-1682 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2019, Sep 24, 2018, Mar 19, 2018 (3 updates tracked since 2018).

About Tish D Davis Pa-c NPPES

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

TISH D DAVIS PA-C (NPI 1548201007) is an individual medical provider in Meridian, Idaho, licensed in Idaho (PA1576) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1548201007
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTISH D DAVISCredential: PA-C
Location Address2235 E GALA STMeridian, ID 83642-8026
Mailing Address425 W Bannock StBoise, ID 83702-6035 · (208) 343-1702 · Fax (208) 342-7042
Phone(208) 887-3724
Fax(208) 887-1682
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 8, 2006
Last NPPES UpdateJuly 22, 20193 updates tracked since enumeration
✔ NPI 1548201007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in ID · PA1576
2235 E GALA ST, Meridian, ID 83642
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1425 W Bannock StBoise, ID 83702-6035 · Phone (208) 343-6458 · Fax (208) 343-5031
Location 29850 St Lukes DrNampa, ID 83687-7912 · Phone (208) 343-6458 · Fax (208) 343-5031
Location 31200 Garrity BlvdNampa, ID 83687-3402 · Phone (208) 343-6458 · Fax (208) 343-5031

Accepted Insurance

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

Tish D Davis Pa-c 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 ID5991717878
PECOS Enrollment IDI20180125002168
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 5

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.

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.
145 services115 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.
124 services107 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 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
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

MARK L LLOYD MD CHARTERED
Internal Medicine (Gastroenterology)
2235 E GALA ST
MERIDIAN, ID 83642
Ada County (208) 343-1702
JOHN T WITTE M.D.
Internal Medicine (Gastroenterology)
2235 E GALA ST
MERIDIAN, ID 83642
Ada County (208) 887-3724
AKSHAY K. GUPTA, M.D., CHARTERED
Internal Medicine (Gastroenterology)
2235 E GALA ST
MERIDIAN, ID 83642
Ada County (208) 887-3724
AKSHAY GUPTA M.D.
Internal Medicine (Gastroenterology)
2235 E GALA ST
MERIDIAN, ID 83642
Ada County (208) 887-3724
JOHN T. WITTE, M.D., P.A.
Internal Medicine (Gastroenterology)
2235 E GALA ST
MERIDIAN, ID 83642
Ada County (208) 887-3724
MARK J. DELL'AGLIO MD
Internal Medicine (Gastroenterology)
2235 E GALA ST
MERIDIAN, ID 83642
Ada County (208) 887-3724
JUDITH A WOODS M.D.
Internal Medicine (Gastroenterology)
2235 E GALA ST
MERIDIAN, ID 83642
Ada County (208) 887-3724
CHAD A. MORSE, M.D., CHARTERED
Internal Medicine (Gastroenterology)
2235 E GALA ST
MERIDIAN, ID 83642
Ada County (208) 887-3724

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 Tish Davis's NPI number?

The NPI number for Tish Davis is 1548201007. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Tish Davis located?

Tish Davis practices at 2235 E Gala St, Meridian, ID 83642. The listed phone number is (208) 887-3724.

What is Tish Davis's specialty?

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

Is Tish Davis enrolled in Medicare?

Yes. Tish 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 Tish Davis accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Tish 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.

Is Tish Davis affiliated with any hospitals?

According to CMS data, Tish Davis is affiliated with St Luke's Regional Medical Center and St Luke's Nampa Medical Center.

When was this NPI record last updated?

The NPPES record for Tish Davis was last updated on July 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.