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KEVIN LEE DAVIS PA-C
NPI 1750739405
Physician Assistant - Medical in Bridgeport, TX

Active since June 02, 2016PECOS EnrolledAccepts Medicare Assignment
1306 13TH ST, BRIDGEPORT, TX 76426(940) 648-1402(940) 648-1400 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 22, 2024, Jun 4, 2024, Jun 16, 2018 and 1 more (4 updates tracked since 2018).

About Kevin Lee Davis Pa-c NPPES

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

KEVIN LEE DAVIS PA-C (NPI 1750739405) is an individual medical provider in Bridgeport, Texas, licensed in Texas (PA10658) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Medical City Alliance, and maintains a secondary practice location in Justin.

NPPES Registry Identity

NPI1750739405
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKEVIN LEE DAVISCredential: PA-C
Location Address1306 13TH STBridgeport, TX 76426-2454
Mailing AddressPo Box 1500Bridgeport, TX 76426-1500 · (940) 255-6552 · Fax (940) 202-7058
Phone(940) 648-1402
Fax(940) 648-1400
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 2, 2016
Last NPPES UpdateJuly 22, 20244 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
✔ NPI 1750739405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TX · PA10658
Also ListedFamily MedicineTaxonomy 207Q00000X · License PA10658 (TX)
1306 13TH ST, Bridgeport, TX 76426
Open in Google Maps ↗

Secondary Practice Location 1

Location 1111 W 5th StJustin, TX 76247 · Phone (940) 255-6552 · Fax (940) 202-7058

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 and accepts Medicare assignment

Kevin Lee Davis Pa-c 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 ID2163766395
PECOS Enrollment IDI20181212003421
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
198 services74 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
66 services46 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
42 services32 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services14 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Medical City Alliance

Acute Care Hospitals · Fort Worth, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670103
Location3101 North Tarrant ParkwayFort Worth, TX 76177 · Tarrant County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

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

WISE COUNTY MEDICAL & SURGICAL ASSOCIATION
Family Medicine
1306 13TH ST
BRIDGEPORT, TX 76426
Wise County (940) 627-7443
VIRTUE MEDICAL GROUP, LLC
Clinic/Center (Primary Care)
1306 13TH ST
BRIDGEPORT, TX 76426
Wise County (940) 255-6552

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 Kevin Davis's NPI number?

The NPI number for Kevin Davis is 1750739405. It was assigned to this individual provider in the NPPES registry on June 2, 2016.

Where is Kevin Davis located?

Kevin Davis practices at 1306 13th St, Bridgeport, TX 76426. The listed phone number is (940) 648-1402.

What is Kevin Davis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kevin Davis enrolled in Medicare?

Yes. Kevin 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.

What insurance does Kevin Davis accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kevin Davis 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.

Is Kevin Davis affiliated with any hospitals?

According to CMS data, Kevin Davis is affiliated with Medical City Alliance.

When was this NPI record last updated?

The NPPES record for Kevin Davis was last updated on July 22, 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.