BENJAMIN RAY DAVIS (P.A.) – Medical Physician Assistant, NPI 1609247477
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for BENJAMIN RAY DAVIS (P.A.)
1010 W LA VETA AVE STE 750
ORANGE, CA 928684312
Phone: (714) 639-9401
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 204 Open Payments records for all available years, with a total value of $4,243.
Total Amount is formed as General ($4,243) + Research ($0) + Ownership ($0) = $4,243.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($579).
Total Amount
$4,243
General + Research + Ownership
Payments
204
Total payment records
General Amount
$4,243
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $579 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $563 |
| ABBVIE INC. | $254 |
| Novo Nordisk Inc | $233 |
| Lilly USA, LLC | $182 |
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: 2015-12-08
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151208001319 | I | Physician Assistant | CA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 182 | 143 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 112 | 94 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 46 | 46 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 22 | 20 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 22 | 19 | $0 |
Insurance plans in this area (ZIP 92868)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Internal Medicine | CA | |
| Physician Assistant | CA | |
| - | CA | |
| Internal Medicine | CA | |
| Physician Assistant | CA | |
| - | CA | |
| Internal Medicine, Geriatric Medicine | CA | |
| Nurse Practitioner | CA | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | CA |
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