SCOTT B DAVIDSON MD
NPI 1811977424
Surgery in Traverse City, MI

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
84.88/100
CMS Quality Rating
1105 SIXTH ST, TRAVERSE CITY, MI 49684(231) 935-7514(231) 392-0039 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 27, 2024, Oct 2, 2020 (2 updates tracked since 2020).

About Scott B Davidson Md NPPES

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

SCOTT B DAVIDSON MD (NPI 1811977424) is an individual surgery provider in Traverse City, Michigan, licensed in Michigan (4301056087) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1811977424
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSCOTT B DAVIDSONCredential: MD
Location Address1105 SIXTH STTraverse City, MI 49684-2345
Mailing Address601 John St, Suite M452Kalamazoo, MI 49007-5341 · (269) 341-6022 · Fax (269) 341-8244
Fax(231) 392-0039
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1990
Enumeration DateJanuary 19, 2006
Last NPPES UpdateSeptember 27, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
NPI 1811977424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MI · 4301056087
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1105 SIXTH ST, Traverse City, MI 49684

Secondary Practice Locations 3

Location 11221 Sixth St Ste 300Traverse City, MI 49684-2360 · Phone (231) 935-2400 · Fax (231) 392-2424
Location 24100 Park Forest DrTraverse City, MI 49684-7331 · Phone (231) 392-8900 · Fax (231) 392-8973
Location 3601 John St, Suite M452Kalamazoo, MI 49007-5341 · Phone (269) 341-6022 · Fax (269) 341-8244

Other Identifiers 2

OtherCA2184MI · Railroad Medicare
Medicaid4575043MI

Accepted 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

Scott B Davidson 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 ID8022920511
PECOS Enrollment IDI20040225001010
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.

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.29
Promoting Interoperability100
Improvement Activities40
Cost68.32

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.

Internal Medicine
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Nurse Practitioner
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Internal Medicine
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Internal Medicine
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Physician Assistant
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Internal Medicine
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Nurse Practitioner (Family)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Internal Medicine
1105 SIXTH ST
TRAVERSE CITY, MI 49684

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811977424, enumerated as an "individual" on January 19, 2006.

The provider is located at 1105 SIXTH ST TRAVERSE CITY, MI 49684 and the phone number is (231) 935-7514.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.

Scott Davidson is affiliated with: MUNSON MEDICAL CENTER.