DR. EDDIE DEAN DAVENPORT MD
NPI 1962512210
Internal Medicine - Cardiovascular Disease in Wright Patterson Afb, OH
About Dr. Eddie Dean Davenport Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDDIE DEAN DAVENPORT MD (NPI 1962512210) is an individual cardiovascular disease provider in Wright Patterson Afb, Ohio, licensed in Ohio (35.097215) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Wilson Memorial Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
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
Dr. Eddie Dean Davenport 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.
Medicare Billing Reassignments
2Medicare enrollment records show Eddie Davenport reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Yellow Springs, OH 45387
- Reassigned Medicare billing, Ohio enrollment
- 812 clinicians in this Medicare group
San Antonio, TX 78229
- Reassigned Medicare billing, Texas enrollment
- 6 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.
Areas of Expertise CMS Part B claims 11
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wilson Memorial Hospital
Acute Care Hospitals · Sidney, OHMiami Valley Hospital
Acute Care Hospitals · Dayton, OHUpper Valley Medical Center
Acute Care Hospitals · Troy, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
WRIGHT PATTERSON AFB, OH 45433
WRIGHT PATTERSON AFB, OH 45433
WRIGHT PATTERSON AFB, OH 45433
WRIGHT PATTERSON AFB, OH 45433
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 Eddie Davenport's NPI number?
The NPI number for Eddie Davenport is 1962512210. It was assigned to this individual provider in the NPPES registry on August 30, 2006.
Where is Eddie Davenport located?
Eddie Davenport practices at 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433. The listed phone number is (937) 938-2752.
What is Eddie Davenport's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Eddie Davenport enrolled in Medicare?
Yes. Eddie Davenport 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 Eddie Davenport's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eddie Davenport reassigns Medicare benefits to 2 organizations: Premier Health Specialists Inc (Yellow Springs, OH) and Schnitzler Cardiovascular Consultants PLLC (San Antonio, TX). 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 Eddie Davenport's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Eddie Davenport accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Eddie Davenport 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 Eddie Davenport affiliated with any hospitals?
According to CMS data, Eddie Davenport is affiliated with Wilson Memorial Hospital, Miami Valley Hospital and Upper Valley Medical Center.
When was this NPI record last updated?
The NPPES record for Eddie Davenport was last updated on August 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Eddie Dean Davenport, MD · NPI 1962512210
Cardiovascular Disease physician in Wright Patterson Afb, Ohio. Individual provider, active in the CMS NPPES registry since August 30, 2006.
## Identity
- **NPI:** 1962512210 (Entity type: Individual)
- **Enumerated:** August 30, 2006
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 35.097215 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 4881 SUGAR MAPLE DR, Wright Patterson Afb, OH 45433
- **Phone:** (937) 938-2752
## 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): Premier Health Specialists Inc (NPI 1356639397, Yellow Springs, OH); Schnitzler Cardiovascular Consultants PLLC (NPI 1275632754, San Antonio, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** August 9, 2019
- **Other identifiers:** Medicaid 0054374 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1962512210) · Data from the CMS NPPES public registry.