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

Q: What is James Davidson's NPI number?

The NPI number for James Davidson is 1669419693. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Q: What is James Davidson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for James Davidson was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 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: August 16, 2026.

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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

Phone(765) 675-8391

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

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Secondary Practice Locations 4

Location 12520 E DuPont RdFort Wayne, IN 46825-1675 · Phone (260) 416-3000

Location 22101 DuBois DrWarsaw, IN 46580-3210 · Phone (574) 267-3200

Location 36515 STELLHORN RDFORT WAYNE, IN 46815-5436 · Phone (260) 458-3212

Location 4702 VAN BUREN STFORT WAYNE, IN 46802-3697 · Phone (260) 425-3000

Other Identifiers 4

Medicaid0259647OH

Other000000851775IN · Anthem Pin

Medicaid807143000ID

Medicaid200377830IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with low level of medical decision making 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.

61 services58 patients

Emergency department visit with moderate level of medical decision making 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.

59 services57 patients

Emergency department visit with high level of medical decision making 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.

42 services42 patients

Hospital Affiliations CMS Care Compare 3

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

Sullivan County Community Hospital

Critical Access Hospitals · Sullivan, IN

OwnershipGovernment - Local

CMS Certification Number151327

Location2200 N Section StSullivan, IN 47882 · Sullivan County

Emergency services Birthing friendly

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 16

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

INDIANA UNIVERSITY HEALTH TIPTON HOSPITAL INC

Emergency Medicine (Emergency Medical Services)