JAMES RILEY DAVIDSON M.D.
NPI 1669419693
Emergency Medicine in Tipton, IN

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
1000 S MAIN ST, TIPTON, IN 46072(765) 675-8391(765) 675-6704 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About James Riley Davidson M.d. NPPES

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

JAMES RILEY DAVIDSON M.D. (NPI 1669419693) is an individual emergency medicine provider in Tipton, Indiana, licensed in Montana (12137) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph Health System, Llc, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1669419693
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES RILEY DAVIDSONCredential: M.D.
Location Address1000 S MAIN STTipton, IN 46072-9753
Mailing Address250 N Shadeland Ave, Suite 130, Provider EnrollmentIndianapolis, IN 46219-4959
Fax(765) 675-6704
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2000
Enumeration DateMay 31, 2006
Last NPPES UpdateDecember 11, 2025
NPPES CertifiedDecember 11, 2025
NPI 1669419693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in MT · 12137 Licensed in IN · 01054498A Licensed in ID · M9214
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1000 S MAIN ST, Tipton, IN 46072

Secondary Practice Locations 4

Location 12101 DuBois DrWarsaw, IN 46580-3210 · Phone (574) 267-3200
Location 2702 VAN BUREN STFORT WAYNE, IN 46802-3697 · Phone (260) 425-3000
Location 36515 STELLHORN RDFORT WAYNE, IN 46815-5436 · Phone (260) 458-3212
Location 42520 E DuPont RdFort Wayne, IN 46825-1675 · Phone (260) 416-3000

Other Identifiers 4

Medicaid0259647OH
Other000000851775IN · Anthem Pin
Medicaid807143000ID
Medicaid200377830IN

Accepted 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

James Riley Davidson M.d. 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 ID941266159
PECOS Enrollment IDI20041208000903
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 3

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.

Emergency department visit for problem of high severity 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
76 services71 patients
Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
52 services52 patients
Emergency department visit for problem of moderate severity 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
48 services46 patients

Hospital Affiliations CMS Care Compare 2

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

St Joseph Health System, LLC

Acute Care Hospitals · Fort Wayne, IN
OwnershipProprietary
CMS Certification Number150047
Location702 Van Buren StreetFort Wayne, IN 46802 · Allen County
Emergency services

Indiana University Health Tipton Hospital Inc

Critical Access Hospitals · Tipton, IN
OwnershipVoluntary non-profit - Other
CMS Certification Number151311
Location1000 S Main StTipton, IN 46072 · Tipton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46072 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 18

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

Social Worker (Clinical)
1000 S MAIN ST
TIPTON, IN 46072
Pathology (Anatomic Pathology & Clinical Pathology)
1000 S MAIN ST
TIPTON, IN 46072
Audiologist
1000 S MAIN ST, TIPTON HOSPITAL, SUITE C
TIPTON, IN 46072
Emergency Medicine
1000 S MAIN ST
TIPTON, IN 46072
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1000 S MAIN ST
TIPTON, IN 46072
Emergency Medicine (Emergency Medical Services)
1000 S MAIN ST
TIPTON, IN 46072
Family Medicine
1000 S MAIN ST
TIPTON, IN 46072
Nurse Anesthetist, Certified Registered
1000 S MAIN ST
TIPTON, IN 46072

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669419693, enumerated as an "individual" on May 31, 2006.

The provider is located at 1000 S MAIN ST TIPTON, IN 46072 and the phone number is (765) 675-8391.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: CareSource, Medicare, Medicaid and Anthem Blue. Please consult your insurance carrier or call the provider to verify.

James Davidson is affiliated with: ST JOSEPH HEALTH SYSTEM, LLC and INDIANA UNIVERSITY HEALTH TIPTON HOSPITAL INC.