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CODY C DAVIS PA-C
NPI 1912257536
Physician Assistant in Indian Head, MD

Active since September 11, 2012PECOS EnrolledAccepts Medicare Assignment
95.99/100
CMS Quality Rating
4141 W WILSON RD BLDG 1600, INDIAN HEAD, MD 20640(310) 744-1059 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cody C Davis Pa-c NPPES

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

CODY C DAVIS PA-C (NPI 1912257536) is an individual physician assistant in Indian Head, Maryland, licensed in Arizona (5198) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with Medstar Saint Mary's Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1912257536
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCODY C DAVISCredential: PA-C
Location Address4141 W WILSON RD BLDG 1600Indian Head, MD 20640-5162
Mailing Address4141 W Wilson Rd Bldg 1600Indian Head, MD 20640-5162
Phone(310) 744-1059
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 11, 2012
Last NPPES UpdateApril 10, 2024
NPPES CertifiedApril 10, 2024
✔ NPI 1912257536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 5198
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4141 W WILSON RD BLDG 1600, Indian Head, MD 20640
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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

Cody C Davis Pa-c 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 ID2668623976
PECOS Enrollment IDI20250721004194
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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
26 services26 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
19 services19 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Medstar Saint Mary's Hospital

Acute Care Hospitals · Leonardtown, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210028
Location25500 Point Lookout RoadLeonardtown, MD 20650 · St. Marys County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20640 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

95.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.48
Promoting Interoperability100
Improvement Activities40
Cost74.87

Other Providers at the Same Location NPPES 4

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

DR. CHATCHAVAL PONGSUGREE DDS
Dentist (General Practice)
4141 W WILSON RD BLDG 1600
INDIAN HEAD, MD 20640
Charles County (301) 744-4948
MRS. JENELLE ROBINSON ANTHONY PSY.D.
Psychologist (Clinical)
4141 W WILSON RD BLDG 1600
INDIAN HEAD, MD 20640
Charles County (301) 744-4601
DR. EDDIE EMANUEL NANCE MD
Family Medicine
4141 W WILSON RD BLDG 1600
INDIAN HEAD, MD 20640
Charles County (301) 744-4602
DANIELLE WHITACRE PA-C
Physician Assistant
4141 W WILSON RD BLDG 1600
INDIAN HEAD, MD 20640
Charles County (301) 744-4604

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 Cody Davis's NPI number?

The NPI number for Cody Davis is 1912257536. It was assigned to this individual provider in the NPPES registry on September 11, 2012.

Where is Cody Davis located?

Cody Davis practices at 4141 W Wilson Rd Bldg 1600, Indian Head, MD 20640. The listed phone number is (310) 744-1059.

What is Cody Davis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Cody Davis enrolled in Medicare?

Yes. Cody 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.

Is Cody Davis affiliated with any hospitals?

According to CMS data, Cody Davis is affiliated with Medstar Saint Mary's Hospital.

When was this NPI record last updated?

The NPPES record for Cody Davis was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.