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DR. THERESA L DAVIES M.D.
NPI 1649433343
Pediatrics in Lexington, KY

Active since July 03, 2008PECOS Enrolled
135 E MAXWELL ST STE 200, LEXINGTON, KY 40508(859) 323-6211(859) 257-9821 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2022, Mar 30, 2016 (2 updates tracked since 2016).

About Dr. Theresa L Davies M.d. NPPES

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

DR. THERESA L DAVIES M.D. (NPI 1649433343) is an individual pediatrics provider in Lexington, Kentucky, licensed in Kentucky (43629) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1649433343
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. THERESA L DAVIESCredential: M.D.
Location Address135 E MAXWELL ST STE 200Lexington, KY 40508-2622
Mailing Address496 Southland DrLexington, KY 40503-1827 · (859) 288-2425 · Fax (859) 288-7510
Phone(859) 323-6211
Fax(859) 257-9821
Sole ProprietorNo
Enumeration DateJuly 3, 2008
Last NPPES UpdateMarch 9, 20222 updates tracked since enumeration
NPPES CertifiedMarch 9, 2022
✔ NPI 1649433343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 43629
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.
135 E MAXWELL ST STE 200, Lexington, KY 40508
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Secondary Practice Location 1

Location 1496 Southland DrLexington, KY 40503-1827 · Phone (859) 288-2425 · Fax (859) 288-7510

Other Identifiers 1

Medicaid7100126590KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theresa L Davies M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40508 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 3

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

LINDSAY HAMILTON APRN, DNP
Nurse Practitioner (Pediatrics)
135 E MAXWELL ST STE 200
LEXINGTON, KY 40508
Fayette County (859) 323-6211
MADELINE KLAESNER HARRIS MD
Pediatrics
135 E MAXWELL ST STE 200
LEXINGTON, KY 40508
Fayette County (859) 323-6211
CRAIG MATTHEW LADWIG LPCC
Counselor (Professional)
135 E MAXWELL ST STE 200
LEXINGTON, KY 40508
Fayette County (859) 323-6211

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 Theresa Davies's NPI number?

The NPI number for Theresa Davies is 1649433343. It was assigned to this individual provider in the NPPES registry on July 3, 2008.

Where is Theresa Davies located?

Theresa Davies practices at 135 E Maxwell St Ste 200, Lexington, KY 40508. The listed phone number is (859) 323-6211.

What is Theresa Davies's specialty?

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

Is Theresa Davies enrolled in Medicare?

Yes. Theresa Davies is registered in the Medicare PECOS enrollment system.

What insurance does Theresa Davies accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Theresa Davies 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.

When was this NPI record last updated?

The NPPES record for Theresa Davies was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.