CARLY RAE DAVIS M.D.
NPI 1801121108
Pediatrics in Riverton, UT
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Carly Davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Riverton, UT 84065
- Reassigned Medicare billing, Utah enrollment
- 190 clinicians in this Medicare group
West Valley City, UT 84119
- Reassigned Medicare billing, Utah enrollment
- 188 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
RIVERTON, UT 84096
RIVERTON, UT 84096
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.
Which organizations bill Medicare for Carly Davis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carly Davis reassigns Medicare benefits to 2 organizations: Granger Medical Clinic, PC (Riverton, UT) and Granger Medical Specialists LLC (West Valley City, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carly Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 20 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.
# Carly Rae Davis, M.D. · NPI 1801121108
Pediatrics physician in Riverton, Utah. Individual provider, active in the CMS NPPES registry since October 5, 2009.
## Identity
- **NPI:** 1801121108 (Entity type: Individual)
- **Enumerated:** October 5, 2009
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 7996415-1205 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12391 S 4000 W, Riverton, UT 84096-7012
- **Phone:** (801) 302-1700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Granger Medical Clinic, PC (NPI 1649541699, Riverton, UT); Granger Medical Specialists LLC (NPI 1376159368, West Valley City, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Iowa, Rj & L Carver College Of Medicine, class of 2008
## Record status
- **NPPES last updated:** February 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1801121108) · Data from the CMS NPPES public registry.