ELISSA DAVIS (M.D.) – Orthopaedic Hand Surgery Physician, NPI 1629496203
Orthopaedic Hand Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,265 ORTHOPEDIC SURGERY in IL
Provider Addresses for ELISSA DAVIS (M.D.)
4700 Memorial Dr Ste 340
Belleville, IL 622265373
Phone: (618) 234-9884
Type: Location
4700 MEMORIAL DR STE 340
BELLEVILLE, IL 622265373
Phone: (618) 234-9884
Type: Mailing
4700 MEMORIAL DR STE 350
BELLEVILLE, IL 622265373
Phone: (618) 212-4414
Fax: (618) 235-9020
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $608.
Total Amount is formed as General ($608) + Research ($0) + Ownership ($0) = $608.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: AXOGEN ($287).
Total Amount
$608
General + Research + Ownership
Payments
19
Total payment records
General Amount
$608
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AXOGEN | $287 |
| Endo Pharmaceuticals Inc. | $84 |
| Endo USA, Inc. | $51 |
| Horizon Therapeutics plc | $50 |
| Elite Orthopedics, LLC | $47 |
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: 2020-09-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200909003465 | I | Orthopedic Surgery | IL | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 15,065 | 191 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 359 | 246 | $0 |
| 20550 | Injection into tendon or ligament | 200 | 118 | $0 |
| 20600 | Aspiration and/or injection of fluid from small joint | 130 | 68 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 102 | 102 | $0 |
Insurance plans in this area (ZIP 62226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| G A S T R O E N T E R O L O G Y | GA | |
| Physician Assistant | IL | |
| - | MO | |
| Gastroenterology, Gastroenterology, Internal Medicine | OH |
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