JUSTIN LANE DAVIS D.O.
NPI 1669823662
Emergency Medicine in West Hollywood, CA
About Justin Lane Davis D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN LANE DAVIS D.O. (NPI 1669823662) is an individual emergency medicine provider in West Hollywood, California, licensed in Oklahoma (6152) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Justin Lane Davis D.o. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Justin Davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oklahoma City, OK 73102
- Reassigned Medicare billing, Oklahoma enrollment
- Medicare enrollment name: Emergency Physicians Of Mid-America PC
- 310 clinicians in this Medicare group
Norman, OK 73071
- Reassigned Medicare billing, Oklahoma enrollment
- 418 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Integris Baptist Medical Center, Inc
Acute Care Hospitals · Oklahoma City, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90048 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
WEST HOLLYWOOD, CA 90048
WEST HOLLYWOOD, CA 90048
WEST HOLLYWOOD, CA 90048
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 Justin Davis's NPI number?
The NPI number for Justin Davis is 1669823662. It was assigned to this individual provider in the NPPES registry on June 30, 2016.
Where is Justin Davis located?
Justin Davis practices at 8700 Beverly Blvd, West Hollywood, CA 90048. The listed phone number is (310) 423-8780.
What is Justin Davis's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Justin Davis enrolled in Medicare?
Yes. Justin 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.
Which organizations bill Medicare for Justin Davis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Davis reassigns Medicare benefits to 2 organizations: Emergency Physicians Of Mid-America, P.C. (Oklahoma City, OK) and Emergency Services Of Oklahoma PC (Norman, OK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Justin Davis affiliated with any hospitals?
According to CMS data, Justin Davis is affiliated with Integris Baptist Medical Center, Inc.
When was this NPI record last updated?
The NPPES record for Justin Davis was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Justin Lane Davis, D.O. · NPI 1669823662
Emergency Medicine physician in West Hollywood, California. Individual provider, active in the CMS NPPES registry since June 30, 2016.
## Identity
- **NPI:** 1669823662 (Entity type: Individual)
- **Enumerated:** June 30, 2016
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 6152 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 8700 BEVERLY BLVD, West Hollywood, CA 90048-1804
- **Phone:** (310) 423-8780
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Emergency Physicians Of Mid-America, P.C. (NPI 1063825297, Oklahoma City, OK); Emergency Services Of Oklahoma PC (NPI 1215249891, Norman, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** March 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1669823662) · Data from the CMS NPPES public registry.