DR. RANDY DAVIDSON (M.D.) – Emergency Medicine Physician, NPI 1922074624

DR. RANDY DAVIDSON (M.D.) is a healthcare provider. based in Cortez, Colorado. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 04-19213 (KS). The NPI Number for DR. RANDY DAVIDSON (M.D.) is 1922074624

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. RANDY DAVIDSON (M.D.)
NPI
1922074624
Phone
(970) 564-2152
Address
1311 N MILDRED RD
Enumeration Date
23 February 2006
Last Update Date
7 November 2019

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
9705656666
Graduation Year
1980 (46 years ago)
PAC ID
6901843614
Group Practice PAC ID
5890699326
Professional Enrollment ID
I20140314001416
Address ID
CO813212231CO1311XRDXX400

Contacts

Secure Messaging
RandyDavidson@swhealth.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

1,199 EMERGENCY MEDICINE in CO

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Provider Addresses for DR. RANDY DAVIDSON (M.D.)

  • Southwest Memorial Hospital, 1311, North Mildred Road, Cortez, Montezuma County, Colorado, 81321, United States

    CORTEZ, CO 813212231

    Phone: (970) 564-2152

    Fax: (970) 564-2155

    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)

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: 2014-03-14

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
I20140314001416IEmergency MedicineCOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81321)

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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: 5890699326View full group profile
NameSpecialtyState
Emergency MedicineCO
Clinical Social WorkerCO
Family Practice, Obstetrics/GynecologyCA
Family PracticeCO
Family PracticeCA
Physician AssistantCO
Interventional CardiologyOR
-CO
Physician AssistantCO
-CO

Reviews

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Frequently asked questions

What number should I use to identify DR. RANDY DAVIDSON (M.D.) for billing?
Administrative and clinical systems typically use NPI 1922074624 for DR. RANDY DAVIDSON (M.D.).
Does the public listing show DR. RANDY DAVIDSON (M.D.) as active?
DR. RANDY DAVIDSON (M.D.)'s NPI record reflects an active status in NPPES.
What does the directory say DR. RANDY DAVIDSON (M.D.) does?
Insurance directories may phrase it differently, but here DR. RANDY DAVIDSON (M.D.) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. RANDY DAVIDSON (M.D.) in Cortez, Colorado?
For routing, start with Cortez, Colorado for DR. RANDY DAVIDSON (M.D.), then verify phone and hours locally.
Who maintains DR. RANDY DAVIDSON (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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