MRS. ELAINE M. DAVIDSON (M.D.) – Family Medicine Physician, NPI 1093705022
Family Medicine Physician
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NPPES metrics only — not quality of care.
971 FAMILY PRACTICE in ID
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Provider Addresses for MRS. ELAINE M. DAVIDSON (M.D.)
St. Luke's Boise Medical Center, 190, East Bannock Street, Downtown, Boise, Ada County, Idaho, 83712, United States
BOISE, ID 837126241
Phone: (208) 381-2222
Fax: (208) 463-3044
Type: Mailing
Saltzer Medical Group, 215, East Hawaii Avenue, Nampa, Canyon County, Idaho, 83686, United States
NAMPA, ID 836866011
Phone: (208) 468-5910
Fax: (208) 463-3044
Type: Location
2840 S MERIDIAN RD
MERIDIAN, ID 836427960
Phone: (208) 593-6393
Fax: (208) 593-6402
Type: Location
215 E HAWAII AVE
NAMPA, ID 836866011
Phone: (208) 463-3000
Type: Mailing
875 S VANGUARD WAY
MERIDIAN, ID 836427552
Phone: (208) 468-5910
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $620.
Total Amount is formed as General ($620) + Research ($0) + Ownership ($0) = $620.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($107).
Total Amount
$620
General + Research + Ownership
Payments
26
Total payment records
General Amount
$620
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-09-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050902000222 | I | Family Practice | ID | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 120 | 77 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 110 | 110 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 29 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 28 | 28 | $0 |
| G0008 | Administration of influenza virus vaccine | 24 | 24 | $0 |
Insurance plans in this area (ZIP 83712)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | ID | 90670 | Pneumococcal vaccine for injection into muscle | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| Physician Assistant | ID | |
| Family Practice | ID | |
| Nurse Practitioner | OR |
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