GLEN F. DAVIS M.D.
NPI 1689617813
Internal Medicine in Lake Mary, FL

Q: What is Glen Davis's NPI number?

The NPI number for Glen Davis is 1689617813. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Q: What is Glen Davis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Glen Davis was last updated on August 20, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 14, 2006PECOS Enrolled

4106 W LAKE MARY BLVD, SUITE 301, LAKE MARY, FL 32746(407) 333-2503 Get Directions Write a Review

NPPES record last updated: August 20, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Glen F. Davis M.d. NPPES

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

GLEN F. DAVIS M.D. (NPI 1689617813) is an individual internal medicine provider in Lake Mary, Florida, licensed in Florida (ME37813) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689617813

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameGLEN F. DAVISCredential: M.D.

Location Address4106 W LAKE MARY BLVD, SUITE 301Lake Mary, FL 32746-3315

Mailing Address4106 W Lake Mary Blvd, Suite 301Lake Mary, FL 32746-3315 · (407) 333-2503

Phone(407) 333-2503

Sole ProprietorNo

Enumeration DateJune 14, 2006

Last NPPES UpdateAugust 20, 2007

✔ NPI 1689617813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME37813

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4106 W LAKE MARY BLVD, Lake Mary, FL 32746

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Other Identifiers 3

Medicare ID-Type Unspecified59294Z

Medicare ID-Type Unspecified98593

Medicare UPIND57062

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glen F. Davis 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 32746 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.