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ROBERT J DAVIDSON M.D.
NPI 1790774826
Family Medicine in Pinckneyville, IL

Active since October 20, 2005PECOS EnrolledAccepts Medicare Assignment
13 N WALNUT ST, PINCKNEYVILLE, IL 62274(618) 357-2147(618) 357-8142 Get Directions Write a Review

NPPES record last updated: December 20, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert J Davidson M.d. NPPES

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

ROBERT J DAVIDSON M.D. (NPI 1790774826) is an individual family medicine provider in Pinckneyville, Illinois, licensed in Illinois (36-079086) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Pinckneyville Community Hospital, and is a graduate of State University Of New York - State College Optometry (1979).

NPPES Registry Identity

NPI1790774826
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT J DAVIDSONCredential: M.D.
Location Address13 N WALNUT STPinckneyville, IL 62274-1050
Mailing Address3702 Shoshone CirPinckneyville, IL 62274-4113 · (618) 357-2147 · Fax (618) 357-8142
Phone(618) 357-2147
Fax(618) 357-8142
Sole ProprietorYes
Medical School CMSState University Of New York - State College OptometryGraduated 1979
Enumeration DateOctober 20, 2005
Last NPPES UpdateDecember 20, 2013
✔ NPI 1790774826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 36-079086
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13 N WALNUT ST, Pinckneyville, IL 62274
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Other Identifiers 2

Medicare UPIND95014IL
Medicare ID-Type Unspecified919710IL

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

Robert J 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 ID244322097
PECOS Enrollment IDI20070823000929
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 3

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

Pinckneyville Community Hospital

Critical Access Hospitals · Pinckneyville, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141307
Location5383 State Route 154Pinckneyville, IL 62274 · Perry County
Emergency services

Washington County Hospital

Critical Access Hospitals · Nashville, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141308
Location705 S Grand AveNashville, IL 62263 · Washington County
Emergency services

Marshall Browning Hospital

Critical Access Hospitals · Du Quoin, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141331
Location900 North Washington StreetDu Quoin, IL 62832 · Perry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62274 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

Reported Quality Measures

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%41 patients
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
17%222 patients1/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
51%425 patients3/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
17%479 patients1/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
18%87 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
66%1,944 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%2,552 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
65%63 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
55%929 patients3/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
20%639 patients1/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
6%929 patients1/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
1%929 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 23

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers17 claims59 services$6.79 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
2 suppliers11 claims11 services$17.77 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone A4315
DME-Orthotic Devices · category DF000N
2 suppliers12 claims12 services$25.30 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
2 suppliers12 claims144 services$2.13 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers16 claims18 services$9.31 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
3 suppliers16 claims720 services$7.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

BETH A BIGHAM M.D.
Family Medicine
13 N WALNUT ST
PINCKNEYVILLE, IL 62274
Perry County (618) 357-2147

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 Robert Davidson's NPI number?

The NPI number for Robert Davidson is 1790774826. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is Robert Davidson located?

Robert Davidson practices at 13 N Walnut St, Pinckneyville, IL 62274. The listed phone number is (618) 357-2147.

What is Robert Davidson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Davidson enrolled in Medicare?

Yes. Robert Davidson 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.

Is Robert Davidson affiliated with any hospitals?

According to CMS data, Robert Davidson is affiliated with Pinckneyville Community Hospital, Washington County Hospital and Marshall Browning Hospital.

When was this NPI record last updated?

The NPPES record for Robert Davidson was last updated on December 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.