CHARLES J DAVIS PA-C
NPI 1962422956
Physician Assistant - Medical in Renton, WA

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
14410 SE PETROVITSKY RD STE 104, RENTON, WA 98058(425) 690-3405(425) 690-9405 Get Directions Write a Review

NPPES record last updated: March 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles J Davis Pa-c NPPES

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

CHARLES J DAVIS PA-C (NPI 1962422956) is an individual medical provider in Renton, Washington, licensed in Washington (PA10004461) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Valley Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1962422956
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameCHARLES J DAVISCredential: PA-C
Location Address14410 SE PETROVITSKY RD STE 104Renton, WA 98058-8900
Mailing Address3600 Lind Ave Sw, Suite 100 Attn CredentialingRenton, WA 98057-4970 · (425) 690-2715
Fax(425) 690-9405
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 20, 2006
Last NPPES UpdateMarch 31, 2020
NPPES CertifiedMarch 31, 2020
NPI 1962422956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WA · PA10004461
14410 SE PETROVITSKY RD STE 104, Renton, WA 98058

Other Identifiers 2

Medicaid1023188WA
OtherG8971468WA · Medicare W Valley Medical Group - Renton

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

Charles J 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 ID7719068386
PECOS Enrollment IDI20080122000171
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
127 services91 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
85 services69 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
26 services26 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services15 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
17 services17 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Valley Medical Center

Acute Care Hospitals · Renton, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500088
Location400 S 43rd StRenton, WA 98055 · King County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 8

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

Family Medicine
14410 SE PETROVITSKY RD STE 104
RENTON, WA 98058
Family Medicine
14410 SE PETROVITSKY RD STE 104
RENTON, WA 98058
Family Medicine
14410 SE PETROVITSKY RD STE 104
RENTON, WA 98058
Family Medicine
14410 SE PETROVITSKY RD STE 104
RENTON, WA 98058
Nurse Practitioner
14410 SE PETROVITSKY RD STE 104
RENTON, WA 98058
Family Medicine
14410 SE PETROVITSKY RD STE 104
RENTON, WA 98058
Family Medicine (Sports Medicine)
14410 SE PETROVITSKY RD STE 104
RENTON, WA 98058
Family Medicine
14410 SE PETROVITSKY RD STE 104
RENTON, WA 98058

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 Charles Davis's NPI number?

The NPI number for Charles Davis is 1962422956. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Charles Davis located?

Charles Davis practices at 14410 SE Petrovitsky Rd Ste 104, Renton, WA 98058. The listed phone number is (425) 690-3405.

What is Charles Davis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Charles Davis enrolled in Medicare?

Yes. Charles 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 Charles Davis accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Charles 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 Charles Davis affiliated with any hospitals?

According to CMS data, Charles Davis is affiliated with Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Davis was last updated on March 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.