ROGER W DAVIS (MD) – Orthopaedic Surgery Physician, NPI 1124058094

ROGER W DAVIS (MD) is a healthcare provider. based in Pueblo, Colorado. specializing in Orthopaedic Surgery Physician. They hold the professional credentials MD. They hold a License No. 30919 (CO). The NPI Number for ROGER W DAVIS (MD) is 1124058094

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
ROGER W DAVIS (MD)
NPI
1124058094
Phone
(719) 553-2206
Address
PO BOX 9000
Enumeration Date
4 July 2006
Last Update Date
16 October 2013

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
7195532200
Graduation Year
1986 (40 years ago)
PAC ID
7810967866
Group Practice PAC ID
4284524067
Professional Enrollment ID
I20040728000782
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ROGER W DAVIS (MD)

  • 9000, Meredith Place, Beverly Hills, Los Angeles County, California, 90210, United States

    PUEBLO, CO 810089000

    Phone: (719) 553-2206

    Fax: (719) 553-2226

    Type: Mailing

  • Parker Boulevard, Pueblo, Pueblo County, Colorado, 81008, United States of America

    SUITE 230

    PUEBLO, CO 810082212

    Phone: (719) 553-2206

    Fax: (719) 553-2226

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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 81008)

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Provider's Procedures

ROGER W DAVIS (MD) performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYCO20610Aspiration and/or injection of large joint or joint capsule12954

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: 4284524067View full group profile
NameSpecialtyState
-CO
Family PracticeCO
-CO
-KS
Family PracticeCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Physical Medicine And Rehabilitation, Sports MedicineCO
Nurse PractitionerCO

Reviews

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Frequently asked questions

What number should I use to identify ROGER W DAVIS (MD) for billing?
Administrative and clinical systems typically use NPI 1124058094 for ROGER W DAVIS (MD).
Is ROGER W DAVIS (MD)'s NPI status active today?
Active status means ROGER W DAVIS (MD)'s NPI record is not deactivated in the public file.
What type of care does ROGER W DAVIS (MD) provide?
ROGER W DAVIS (MD)'s profile centers on Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is ROGER W DAVIS (MD) tied to Pueblo, Colorado?
If you are local to Pueblo, Colorado, ROGER W DAVIS (MD) may be relevant to your search.
Why is information missing for ROGER W DAVIS (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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