KEITH R DAVIS (MD) – Obstetrics & Gynecology Physician, NPI 1235129859
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
966 OBSTETRICS/GYNECOLOGY in IN
Loading map...
Provider Addresses for KEITH R DAVIS (MD)
2518, East Dupont Road, Fort Wayne, Allen County, Indiana, 46825, United States
FORT WAYNE, IN 468251675
Phone: (260) 432-4400
Fax: (260) 969-6898
Type: Mailing
West Jefferson Boulevard, Fort Wayne, Allen County, Indiana, 46814, United States
FORT WAYNE, IN 468044140
Phone: (260) 432-4400
Fax: (260) 969-6898
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $362.
Total Amount is formed as General ($362) + Research ($0) + Ownership ($0) = $362.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Novo Nordisk Inc ($69).
Total Amount
$362
General + Research + Ownership
Payments
20
Total payment records
General Amount
$362
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $69 |
| Organon LLC | $42 |
| Sumitomo Pharma America, Inc. | $38 |
| ABBVIE INC. | $34 |
| Baxter Healthcare | $32 |
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: 2004-05-03
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 |
|---|---|---|---|---|
| I20040503000314 | I | Obstetrics/Gynecology | IN | 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 |
|---|---|---|---|---|
| 77063 | Screening 3d breast mammography | 130 | 130 | $0 |
| 77067 | Screening mammography | 130 | 130 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 63 | 63 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 61 | 58 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 14 | $0 |
Insurance plans in this area (ZIP 46825)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ME | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WV | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| - | IN |
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.