JOHN WAYNE DAVIS (DO) – Family Medicine Physician, NPI 1275161473
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
496 FAMILY PRACTICE in AK
Provider Addresses for JOHN WAYNE DAVIS (DO)
8941 GOWDY AVE
SAN DIEGO, CA 921233458
Phone:
Type: Mailing
2801 DEBARR RD
ANCHORAGE, AK 995082932
Phone: (907) 276-1131
Type: Location
1664 N Virginia St # MS 0316
Reno, NV 895570001
Phone: (775) 682-8648
Type: Location
1664 N VIRGINIA ST # MS 0316
RENO, NV 895570001
Phone: (775) 682-8648
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $41.
Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.
Last reported payment date: 2023-11-08 • Largest payer in this snapshot: SCPHARMACEUTICALS INC. ($41).
Total Amount
$41
General + Research + Ownership
Payments
1
Total payment records
General Amount
$41
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SCPHARMACEUTICALS INC. | $41 |
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: 2024-12-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231006003179 | I | Family Practice | NV | TBD |
| I20240603002908 | I | Family Practice | CA | TBD |
| I20241204000009 | I | Family Practice | AK | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92123)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MT | |
| Internal Medicine | DC | |
| Internal Medicine | FL | |
| Emergency Medicine | OR | |
| Internal Medicine | MI | |
| Internal Medicine | TX | |
| Physician Assistant | OR | |
| Internal Medicine, Hospitalist | NY | |
| Internal Medicine | ID | |
| Physician Assistant | OR |
Reviews
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