RUSSELL DAVIS DO
NPI 1821593203
Internal Medicine - Nephrology in Bolivar, MO

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment
1160 W PARKVIEW ST, BOLIVAR, MO 65613(417) 328-7373 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 8, 2026, Mar 27, 2018 (2 updates tracked since 2018).

About Russell Davis Do NPPES

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

RUSSELL DAVIS DO (NPI 1821593203) is an individual nephrology provider in Bolivar, Missouri, licensed in Missouri (2024032172) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1821593203
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameRUSSELL DAVISCredential: DO
Location Address1160 W PARKVIEW STBolivar, MO 65613
Mailing Address1160 W Parkview StBolivar, MO 65613 · (417) 328-7373
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 27, 2018
Last NPPES UpdateJanuary 8, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
NPI 1821593203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in MO · 2024032172
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1160 W PARKVIEW ST, Bolivar, MO 65613

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

Russell Davis Do 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 ID6305190422
PECOS Enrollment IDI20240924001268
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Golden Valley Memorial Hospital

Acute Care Hospitals · Clinton, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260175
Location1600 N 2nd StClinton, MO 64735 · Henry County
Emergency services Birthing friendly

Citizens Memorial Hospital

Acute Care Hospitals · Bolivar, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260195
Location1500 N OaklandBolivar, MO 65613 · Polk County
Emergency services Birthing friendly

Cedar County Memorial Hospital

Critical Access Hospitals · El Dorado Springs, MO
OwnershipGovernment - Local
CMS Certification Number261323
Location1401 South Park StreetEl Dorado Springs, MO 64744 · Cedar County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65613 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 2

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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1160 W PARKVIEW ST
BOLIVAR, MO 65613
Nurse Practitioner (Family)
1160 W PARKVIEW ST
BOLIVAR, MO 65613

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 Russell Davis's NPI number?

The NPI number for Russell Davis is 1821593203. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Russell Davis located?

Russell Davis practices at 1160 W Parkview St, Bolivar, MO 65613. The listed phone number is (417) 328-7373.

What is Russell Davis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Russell Davis enrolled in Medicare?

Yes. Russell 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 Russell Davis accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Russell 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.

Is Russell Davis affiliated with any hospitals?

According to CMS data, Russell Davis is affiliated with Mercy Hospital Springfield, Golden Valley Memorial Hospital, Citizens Memorial Hospital and Cedar County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Russell Davis was last updated on January 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.