DAVID GREGORY DAVENPORT (MD) – Diagnostic Radiology Physician, NPI 1174511919

DAVID GREGORY DAVENPORT (MD) is a healthcare provider. based in Anchorage, Alaska. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 6038 (AK). The NPI Number for DAVID GREGORY DAVENPORT (MD) is 1174511919

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
DAVID GREGORY DAVENPORT (MD)
NPI
1174511919
Phone
(907) 792-7920
Address
PO BOX 140349
Enumeration Date
6 October 2005
Last Update Date
19 February 2026

Doctor Profile

Medical School Name
ST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
3017908000
Graduation Year
1988 (38 years ago)
PAC ID
5294834156
Group Practice PAC ID
7113811795
Professional Enrollment ID
I20090518000594
Address ID
FL336297810TA3914XSTXX500

Contacts

Secure Messaging
ddavenport2766906@epic00.corewelldirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness95
Years active:20State licenses:4Other names

90 DIAGNOSTIC RADIOLOGY in AK

Loading map...

Provider Addresses for DAVID GREGORY DAVENPORT (MD)

  • PO BOX 140349

    ANCHORAGE, AK 995140349

    Phone: (907) 792-7920

    Fax: (907) 792-7901

    Type: Mailing

  • 2751, Debarr Road, Anchorage, Alaska, 99508, United States

    SUITE 390

    ANCHORAGE, AK 995082952

    Phone: (907) 792-7920

    Fax: (907) 792-7901

    Type: Location

  • 1001 Sam Perry Blvd

    Fredericksburg, VA 224014453

    Phone: (540) 741-5610

    Type: Location

  • 3601 W 13 Mile Rd

    Royal Oak, MI 480736712

    Phone: (248) 898-6509

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070619000355IDiagnostic RadiologyAKTBD
I20090518000594IDiagnostic RadiologyFLTBD
I20191230000759IDiagnostic RadiologyTXTBD
I20250428000306IDiagnostic RadiologyMDTBD
I20251008003557IDiagnostic RadiologyVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view1,4041,183$0
70450Ct scan head or brain without contrast515485$0
74177Ct scan of abdomen and pelvis with contrast377361$0
71275Ct scan of blood vessels of chest with contrast218211$0
71046X-ray of chest, 2 views180177$0
View full utilization report →

Insurance plans in this area (ZIP 99514)

Loading plans...

Provider's Procedures

DAVID GREGORY DAVENPORT (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYAK71250CT scan chest5555
DIAGNOSTIC RADIOLOGYAK73110X-ray of wrist, minimum of 3 views4746
DIAGNOSTIC RADIOLOGYAK73140X-ray of fingers, minimum of 2 views1817

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113811795View full group profile
NameSpecialtyState
Pain Management, Physical Medicine And Rehabilitation, Physical Medicine And Rehabilitation, Interventional Pain ManagementWV
Internal MedicineMD
Orthopedic SurgeryMD
Orthopedic SurgeryMD
Hospitalist, Family PracticeIL
-PA
Orthopedic SurgeryMD
-MD
Physician AssistantPA
Orthopedic SurgeryMD

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for DAVID GREGORY DAVENPORT (MD)?
Save NPI 1174511919 if you need a stable reference for DAVID GREGORY DAVENPORT (MD).
Is DAVID GREGORY DAVENPORT (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DAVID GREGORY DAVENPORT (MD)'s specialty in plain language?
Clinically, the directory lists DAVID GREGORY DAVENPORT (MD) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where is DAVID GREGORY DAVENPORT (MD)'s primary listing?
We display Anchorage, Alaska because that is what the record indicates for DAVID GREGORY DAVENPORT (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.