MICHAEL KEVIN DAVIS (PA-C) – Physician Assistant, NPI 1003540410

MICHAEL KEVIN DAVIS (PA-C) is a healthcare provider. based in Newark, Delaware. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. C5-0011756 (DE). The NPI Number for MICHAEL KEVIN DAVIS (PA-C) is 1003540410

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL KEVIN DAVIS (PA-C)
NPI
1003540410
Phone
(302) 273-1701
Address
200 Hygeia Dr
Enumeration Date
12 July 2022
Last Update Date
14 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3022730727
Graduation Year
2022 (4 years ago)
PAC ID
7810372760
Group Practice PAC ID
0143657247
Professional Enrollment ID
I20221006003288
Address ID
DE197131324NE550XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

762 PHYSICIAN ASSISTANT in DE

Provider Addresses for MICHAEL KEVIN DAVIS (PA-C)

  • 200 Hygeia Dr

    Newark, DE 197132049

    Phone: (302) 273-1701

    Fax: (302) 273-4497

    Type: Location

  • 310 E Pulaski Hwy

    Elkton, MD 219216435

    Phone: (443) 485-6213

    Fax: (443) 485-6226

    Type: Location

  • 13 LAXFORD DR

    NEWARK, DE 197024265

    Phone: (302) 358-1053

    Type: Mailing

  • 316 LANTANA DR

    HOCKESSIN, DE 197078807

    Phone: (302) 766-9700

    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.

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: 2023-11-05

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220914000786IPhysician AssistantPATBD
I20221006003288IPhysician AssistantDETBD
I20231105000080IPhysician AssistantMDTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes107104$0
99204New patient office or other outpatient visit, 45-59 minutes6565$0
99213Established patient office or other outpatient visit, 20-29 minutes5151$0
99203New patient office or other outpatient visit, 30-44 minutes3737$0
81003Automated urinalysis test3029$0
View full utilization report →

Insurance plans in this area (ZIP 19713)

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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: 0143657247View full group profile
NameSpecialtyState
Nurse PractitionerMD
Family PracticePA
Nurse PractitionerDE
Physician AssistantDE
Nurse PractitionerDE
Family PracticePA
Nurse PractitionerPA
Physician AssistantDE
Nurse PractitionerDE
Physician AssistantDE

Reviews

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Frequently asked questions

How do I look up MICHAEL KEVIN DAVIS (PA-C) by NPI?
Use NPI 1003540410 when you need to reference MICHAEL KEVIN DAVIS (PA-C) in forms, claims, or directories.
Is MICHAEL KEVIN DAVIS (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MICHAEL KEVIN DAVIS (PA-C)?
The page reflects Physician Assistant for MICHAEL KEVIN DAVIS (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place MICHAEL KEVIN DAVIS (PA-C)?
The snapshot lists Newark, Delaware for MICHAEL KEVIN DAVIS (PA-C); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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