DR. KATHRYN LORANN DAVIS (M.D.) – Vascular Surgery Physician, NPI 1871791301
Vascular Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
240 VASCULAR SURGERY in IL
Provider Addresses for DR. KATHRYN LORANN DAVIS (M.D.)
4600 Memorial Dr Ste W1
Belleville, IL 622265359
Phone: (618) 233-3066
Fax: (618) 233-3180
Type: Location
Box Street, Port Charlotte, Charlotte County, Florida, 33948, United States
CHARLOTTE, NC 282333369
Phone: (704) 916-2108
Fax: (719) 473-3553
Type: Mailing
Vail Avenue, Rosemont, Midtown, Charlotte, Mecklenburg County, North Carolina, 28207, United States
CHARLOTTE, NC 282071222
Phone: (704) 333-0741
Fax: (704) 365-2073
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $543.
Total Amount is formed as General ($543) + Research ($0) + Ownership ($0) = $543.
Last reported payment date: 2024-02-06 • Largest payer in this snapshot: Endologix LLC ($385).
Total Amount
$543
General + Research + Ownership
Payments
5
Total payment records
General Amount
$543
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Endologix LLC | $385 |
| Penumbra, Inc. | $149 |
| Kerecis Limited | $9 |
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: 2024-05-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20190916002923 | I | Vascular Surgery | NC | TBD |
| I20200828002143 | I | Vascular Surgery | MN | TBD |
| I20240521000397 | I | Vascular 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | MN | |
| Hematology/Oncology, Internal Medicine | MN | |
| - | MN | |
| Nurse Practitioner | MN | |
| Addiction Medicine | MN | |
| - | MN | |
| - | TN | |
| Emergency Medicine | MN | |
| Nurse Practitioner | MN | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | MN |
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