MR. RICHARD H. JR. DAVIS (PA-C) – Physician Assistant, NPI 1023040482

MR. RICHARD H. JR. DAVIS (PA-C) is a healthcare provider. based in Orlando, Florida. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA1845 (FL). The NPI Number for MR. RICHARD H. JR. DAVIS (PA-C) is 1023040482

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
MR. RICHARD H. JR. DAVIS (PA-C)
NPI
1023040482
Phone
(352) 273-9900
Address
PO BOX 918025
Enumeration Date
7 July 2006
Last Update Date
19 December 2011

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1982 (44 years ago)
PAC ID
6406971613
Group Practice PAC ID
0345146254
Professional Enrollment ID
I20100911000039
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 MR. RICHARD H. JR. DAVIS (PA-C)

  • Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil

    ORLANDO, FL 328918025

    Phone: (352) 273-9900

    Fax: (352) 392-3618

    Type: Mailing

  • UF Health Shands Hospital, 1600, Archer Road, Gainesville, Alachua County, Florida, 32608, United States

    GAINESVILLE, FL 326103003

    Phone: (352) 273-9900

    Fax: (352) 392-3618

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $71.

Total Amount is formed as General ($71) + Research ($0) + Ownership ($0) = $71.

Last reported payment date: 2023-09-08 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($71).

Total Amount

$71

General + Research + Ownership

Payments

1

Total payment records

General Amount

$71

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-08

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: 2010-09-11

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100911000039IPhysician AssistantFLTBD

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 32891)

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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: 0345146254View full group profile

Reviews

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Frequently asked questions

How do payers reference MR. RICHARD H. JR. DAVIS (PA-C)?
For MR. RICHARD H. JR. DAVIS (PA-C), use NPI 1023040482 as the unique 10-digit identifier.
Would MR. RICHARD H. JR. DAVIS (PA-C) appear as active to a payer?
You can treat MR. RICHARD H. JR. DAVIS (PA-C) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MR. RICHARD H. JR. DAVIS (PA-C)?
At a glance, MR. RICHARD H. JR. DAVIS (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Florida is MR. RICHARD H. JR. DAVIS (PA-C) registered?
Use Orlando, Florida as the headline location for MR. RICHARD H. JR. DAVIS (PA-C) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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