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CARLY RAE DAVIS M.D.
NPI 1801121108
Pediatrics in Riverton, UT

Active since October 05, 2009PECOS EnrolledAccepts Medicare Assignment
12391 S 4000 W, RIVERTON, UT 84096(801) 302-1700 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 20, 2025, Dec 16, 2015 (2 updates tracked since 2015).

About Carly Rae Davis M.d. NPPES

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

CARLY RAE DAVIS M.D. (NPI 1801121108) is an individual pediatrics provider in Riverton, Utah, licensed in Utah (7996415-1205) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2008).

NPPES Registry Identity

NPI1801121108
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCARLY RAE DAVISCredential: M.D.
Location Address12391 S 4000 WRiverton, UT 84096-7012
Mailing Address12391 S 4000 WRiverton, UT 84096-7012 · (801) 302-1700
Phone(801) 302-1700
Sole ProprietorYes
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2008
Enumeration DateOctober 5, 2009
Last NPPES UpdateFebruary 20, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
✔ NPI 1801121108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in UT · 7996415-1205✔ Licensed in AZ · R70650
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric Infectious DiseasesTaxonomy 2080P0208X · License 7996415-1205 (UT)
12391 S 4000 W, Riverton, UT 84096
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah 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

Carly Rae Davis 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 ID8921231028
PECOS Enrollment IDI20250321000724
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 84096 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
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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.

DR. MONICA CHILD WONNACOTT M.D.
Pediatrics
12391 S 4000 W
RIVERTON, UT 84096
Salt Lake County (801) 302-1700
CHRISTOPHER J. JOLLES MD, PC
Specialist
12391 S 4000 W, STE 208
RIVERTON, UT 84096
Salt Lake County (801) 302-5360
APEX FAMILY & COSMETIC DENTISTRY
Dentist (General Practice)
12391 S 4000 W, SUITE 206
RIVERTON, UT 84096
Salt Lake County (801) 748-0379
MR. ADAM CODY CHRISTIANSEN PA-C
Physician Assistant
12391 S 4000 W
RIVERTON, UT 84096
Salt Lake County (801) 302-1700
MR. BRAD ROBERT PULSIPHER MSN-FNP
Nurse Practitioner (Primary Care)
12391 S 4000 W
RIVERTON, UT 84096
Salt Lake County (801) 302-1700
AUBREY ROCHELLE GEORGE FNP-C
Nurse Practitioner (Family)
12391 S 4000 W
RIVERTON, UT 84096
Salt Lake County (801) 302-1700
GRANGER MEDICAL SPECIALISTS LLC
Clinic/Center (Multi-Specialty)
12391 S 4000 W
RIVERTON, UT 84096
Salt Lake County (801) 302-1700
GARRETT KORDSIEMON PA-C
Physician Assistant (Medical)
12391 S 4000 W
RIVERTON, UT 84096
Salt Lake County (801) 965-3600

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 Carly Davis's NPI number?

The NPI number for Carly Davis is 1801121108. It was assigned to this individual provider in the NPPES registry on October 5, 2009.

Where is Carly Davis located?

Carly Davis practices at 12391 S 4000 W, Riverton, UT 84096. The listed phone number is (801) 302-1700.

What is Carly Davis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Carly Davis enrolled in Medicare?

Yes. Carly 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 Carly Davis accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Carly 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.

When was this NPI record last updated?

The NPPES record for Carly Davis was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.