MATTHEW DAVIS MD
NPI 1780200253
Dermatology in Salt Lake City, UT

Q: What is Matthew Davis's NPI number?

The NPI number for Matthew Davis is 1780200253. It was assigned to this individual provider in the NPPES registry on June 22, 2020.

Q: What is Matthew Davis's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Davis was last updated on December 10, 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 June 22, 2020PECOS EnrolledAccepts Medicare Assignment

HELIX: 30 N MARIO CAPECCHI RM 1S100, SALT LAKE CITY, UT 84112(801) 581-2121 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 10, 2025, Sep 4, 2025, Mar 9, 2025 and 4 more (7 updates tracked since 2020).

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About Matthew Davis Md NPPES

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

MATTHEW DAVIS MD (NPI 1780200253) is an individual dermatology provider in Salt Lake City, Utah, licensed in New Hampshire (25544) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1780200253

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameMATTHEW DAVISCredential: MD

Location AddressHELIX: 30 N MARIO CAPECCHI RM 1S100Salt Lake City, UT 84112

Mailing AddressPo Box 810Hanover, NH 03755-0810 · (603) 308-1472

Phone(801) 581-2121

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 22, 2020

Last NPPES UpdateDecember 10, 20257 updates tracked since enumeration

NPPES CertifiedDecember 10, 2025

✔ NPI 1780200253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Licenses✔ Licensed in NH · 25544✔ Licensed in UT · 13869905-1205

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 13869905-1205 (UT)

Also ListedInternal MedicineTaxonomy 207R00000X · License 2020015723 (MO)

HELIX: 30 N MARIO CAPECCHI RM 1S100, Salt Lake City, UT 84112

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield 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

Matthew Davis Md 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 ID3173946951

PECOS Enrollment IDI20240726002659, I20250918003203

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.

Hospital Affiliations CMS Care Compare

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300003

Location1 Medical Center DriveLebanon, NH 03756 · Grafton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

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 6

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

MS. AMANDA MARIE WALKER MD

Dermatology