DR. MICHAEL ROBERT DAVIS (M.D.) – Plastic Surgery Physician, NPI 1477622934
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
126 PLASTIC AND RECONSTRUCTIVE SURGERY in IN
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Provider Addresses for DR. MICHAEL ROBERT DAVIS (M.D.)
Pointe Inverness Way, Covington Dells, Fort Wayne, Allen County, Indiana, 46804, United States
FORT WAYNE, IN 468047934
Phone: (260) 479-3514
Fax: (260) 479-3520
Type: Mailing
306, West Jefferson Boulevard, Fort Wayne, Allen County, Indiana, 46802, United States
FORT WAYNE, IN 468044128
Phone: (260) 458-3610
Fax: (260) 458-3611
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $1,156.
Total Amount is formed as General ($1,156) + Research ($0) + Ownership ($0) = $1,156.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: TELA Bio, Inc. ($774).
Total Amount
$1,156
General + Research + Ownership
Payments
14
Total payment records
General Amount
$1,156
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TELA Bio, Inc. | $774 |
| Acera Surgical, Inc. | $165 |
| PolyNovo North America LLC | $89 |
| Mentor Worldwide LLC | $49 |
| REVANCE THERAPEUTICS, INC. | $35 |
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: 2020-07-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20181210001473 | I | Plastic And Reconstructive Surgery | PA | TBD |
| I20200709003260 | I | Plastic And Reconstructive Surgery | TX | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 46804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery | TX | |
| - | TX | |
| Nurse Practitioner | FL | |
| Plastic And Reconstructive Surgery | TX | |
| Plastic And Reconstructive Surgery | TX |
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