DR. JONATHAN SAM DAVIDSON (M.D.) – Gastroenterology Physician, NPI 1295891224

DR. JONATHAN SAM DAVIDSON (M.D.) is a healthcare provider. based in Ceres, California. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. G66389 (CA). The NPI Number for DR. JONATHAN SAM DAVIDSON (M.D.) is 1295891224

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. JONATHAN SAM DAVIDSON (M.D.)
NPI
1295891224
Phone
(209) 751-7165
Address
PO BOX 3068
Enumeration Date
27 December 2006
Last Update Date
22 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9166998592
Graduation Year
1988 (38 years ago)
PAC ID
1355412842
Professional Enrollment ID
I20091102000219
Address ID
CA958211619SA2288XBLVD301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:19State licenses:1Digital endpointsOther names

1,990 GASTROENTEROLOGY in CA

Provider Addresses for DR. JONATHAN SAM DAVIDSON (M.D.)

  • Ceres Post Office, 2-6, Main Street, Bridgend, Ceres, Fife, Scotland, KY15 5NA, United Kingdom

    CERES, CA 953079032

    Phone: (209) 751-7165

    Type: Mailing

  • 4206 TECHNOLOGY DR STE 2

    MODESTO, CA 953568769

    Phone: (209) 492-0735

    Type: Location

  • 1658 CITADELLA DR

    ROSEVILLE, CA 957475022

    Phone: (916) 699-8592

    Type: Mailing

  • 2288 AUBURN BLVD STE 101

    SACRAMENTO, CA 958211619

    Phone: (916) 699-8592

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 62 Open Payments records for all available years, with a total value of $1,003.

Total Amount is formed as General ($1,003) + Research ($0) + Ownership ($0) = $1,003.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Biotech, Inc. ($422).

Total Amount

$1,003

General + Research + Ownership

Payments

62

Total payment records

General Amount

$1,003

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-11-02

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20091102000219IGastroenterologyCATBD

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
99203New patient office or other outpatient visit, 30-44 minutes152152$0
99213Established patient office or other outpatient visit, 20-29 minutes10488$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare8786$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope4140$0
95810Sleep study in sleep lab (6 years or older)1212$0
View full utilization report →

Insurance plans in this area (ZIP 95307)

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Provider's Procedures

DR. JONATHAN SAM DAVIDSON (M.D.) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYCA95811Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube3229

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JONATHAN SAM DAVIDSON (M.D.)?
DR. JONATHAN SAM DAVIDSON (M.D.) — NPI 1295891224 — is the standard way to identify this listing.
Can I rely on DR. JONATHAN SAM DAVIDSON (M.D.) being an active provider?
As of the registry snapshot, DR. JONATHAN SAM DAVIDSON (M.D.) is marked active.
What is DR. JONATHAN SAM DAVIDSON (M.D.) best known for clinically?
Directory data describes DR. JONATHAN SAM DAVIDSON (M.D.) with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Does DR. JONATHAN SAM DAVIDSON (M.D.) list a practice location?
Patients near Ceres, California may find DR. JONATHAN SAM DAVIDSON (M.D.) in results; validate coverage separately.
Why does DR. JONATHAN SAM DAVIDSON (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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