TISH D DAVIS (PA-C) – Medical Physician Assistant, NPI 1548201007
Medical Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,531 PHYSICIAN ASSISTANT in ID
Provider Addresses for TISH D DAVIS (PA-C)
9850 St Lukes Dr
Nampa, ID 836877912
Phone: (208) 343-6458
Fax: (208) 343-5031
Type: Location
425 W Bannock St
Boise, ID 837026035
Phone: (208) 343-6458
Fax: (208) 343-5031
Type: Location
1200 Garrity Blvd
Nampa, ID 836873402
Phone: (208) 343-6458
Fax: (208) 343-5031
Type: Location
425, West Bannock Street, Downtown, Boise, Ada County, Idaho, 83702, United States
BOISE, ID 837026035
Phone: (208) 343-1702
Fax: (208) 342-7042
Type: Mailing
East Gala Street, Meridian, Ada County, Idaho, 83642, United States
MERIDIAN, ID 836428026
Phone: (208) 887-3724
Fax: (208) 887-1682
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $129.
Total Amount is formed as General ($129) + Research ($0) + Ownership ($0) = $129.
Last reported payment date: 2024-05-16 • Largest payer in this snapshot: ABBVIE INC. ($109).
Total Amount
$129
General + Research + Ownership
Payments
6
Total payment records
General Amount
$129
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $109 |
| Merck Sharp & Dohme LLC | $20 |
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: 2018-01-25
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 |
|---|---|---|---|---|
| I20180125002168 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 126 | 115 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 83 | 66 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 39 | 39 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 32 | 32 | $0 |
Insurance plans in this area (ZIP 83687)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| Gastroenterology, Internal Medicine | ID | |
| Internal Medicine, Gastroenterology | ID | |
| Nurse Practitioner | WA | |
| - | ID | |
| Nurse Practitioner | ID | |
| Gastroenterology, Internal Medicine | ID | |
| P A T H O L O G Y | TX | |
| Physician Assistant | ID | |
| Gastroenterology, Internal Medicine | ID |
Reviews
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