DR. DAVID RICHARD DAVIS (MD) – Emergency Medicine Physician, NPI 1043234768

DR. DAVID RICHARD DAVIS (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. ME96442 (FL). The NPI Number for DR. DAVID RICHARD DAVIS (MD) is 1043234768

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID RICHARD DAVIS (MD)
NPI
1043234768
Phone
(904) 641-6628
Address
8761 PERIMETER PARK BLVD STE 106
Enumeration Date
26 July 2006
Last Update Date
28 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9043916300
Graduation Year
2003 (23 years ago)
PAC ID
5294732079
Group Practice PAC ID
8628153087
Professional Enrollment ID
I20061109000187
Address ID
FL320975421YU46254RDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,232 EMERGENCY MEDICINE in FL

Loading map...

Provider Addresses for DR. DAVID RICHARD DAVIS (MD)

  • Perimeter Park Boulevard, Jacksonville, Duval County, Florida, 33216, United States

    JACKSONVILLE, FL 322166397

    Phone: (904) 641-6628

    Fax: (904) 641-6638

    Type: Location

  • 655 W. 8TH STREET

    DEPARTMENT OF EMERGENCY MEDICINE

    JACKSONVILLE, FL 32209

    Phone: (904) 244-5504

    Fax: (904) 244-4508

    Type: Mailing

  • 48, Jefferson Avenue, St. Johns Seaview Park, Ponte Vedra Beach, Saint Johns County, Florida, 32082, United States

    PONTE VEDRA BEACH, FL 320822809

    Phone: (904) 373-0841

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2006-11-09

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
I20061109000187IEmergency MedicineFLTBD

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
99284Emergency department visit with moderate level of medical decision making4141$0
99283Emergency department visit with low level of medical decision making2626$0
99285Emergency department visit with high level of medical decision making1919$0
99282Emergency department visit with straightforward medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 32216)

Loading plans...

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: 8628153087View full group profile
NameSpecialtyState
Emergency MedicineNV
Emergency MedicineRI
Emergency MedicineGA
-FL
Internal Medicine, Emergency MedicineFL
Emergency MedicineFL
Nurse PractitionerFL
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineOH

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for DR. DAVID RICHARD DAVIS (MD)?
The registry entry for DR. DAVID RICHARD DAVIS (MD) shows NPI 1043234768.
Is DR. DAVID RICHARD DAVIS (MD)'s NPI status active today?
Active status means DR. DAVID RICHARD DAVIS (MD)'s NPI record is not deactivated in the public file.
What does the directory say DR. DAVID RICHARD DAVIS (MD) does?
Insurance directories may phrase it differently, but here DR. DAVID RICHARD DAVIS (MD) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. DAVID RICHARD DAVIS (MD)?
DR. DAVID RICHARD DAVIS (MD) is associated with Jacksonville, Florida in the same public data insurers reference.
Why is information missing for DR. DAVID RICHARD DAVIS (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

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
NPI: 1295738367

DR. EMILY FONTANE (MD)

Emergency Medicine Physician
PO BOX 44008
NPI: 1972504355

DR. ALEXANDER SCOTT BERK (M.D.)

Emergency Medicine Physician
PO BOX 44008
NPI: 1699777151

JACKSONVILLE EMERGENCY CONSULTANTS

Emergency Medicine Physician
Memorial Hospital, 3625, University Boulevard South, Englewood, Jacksonville, Duval County, Florida, 32216, United States
NPI: 1831184845

MR. CARLOS BARBERIS (MD)

Emergency Medicine Physician
Cesery Boulevard, Jacksonville, Duval County, Florida, 32211, United States
NPI: 1598750564

BRADLEY BRAGG (MD)

Emergency Medicine Physician
Mayo Clinic Emergency Room, 4500, San Pablo Road South, Isle of Palms South, Jacksonville, Duval County, Florida, 32224, United States
NPI: 1093701443

DR. SAMUEL B. EDELMAN (D.O.)

Pediatric Critical Care Medicine Physician
Columbus Post Office, 5th Street, Columbus, Bartholomew County, Indiana, 47201, United States
NPI: 1629064134

FRANK H GILBERSTADT (MD)

Emergency Medicine Physician
PO BOX 863026
NPI: 1780670083

Unknown Individual

Emergency Medicine Physician
PO BOX 863026
NPI: 1841286150