AMANDA SUE DAVENPORT (M.D.) – Obstetrics & Gynecology Physician, NPI 1578883302

AMANDA SUE DAVENPORT (M.D.) is a healthcare provider. based in Jeffersonville, Indiana. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 47103 (KY). The NPI Number for AMANDA SUE DAVENPORT (M.D.) is 1578883302

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA SUE DAVENPORT (M.D.)
NPI
1578883302
Phone
(812) 282-6114
Address
301 GORDON GUTMANN BLVD
Enumeration Date
3 June 2010
Last Update Date
23 May 2019

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
8122826114
Graduation Year
2014 (12 years ago)
PAC ID
7810130507
Group Practice PAC ID
0749210748
Professional Enrollment ID
I20160516002488
Address ID
IN471303766JE301XXBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

966 OBSTETRICS/GYNECOLOGY in IN

Provider Addresses for AMANDA SUE DAVENPORT (M.D.)

  • 301 GORDON GUTMANN BLVD

    SUITE 201

    JEFFERSONVILLE, IN 471303764

    Phone: (812) 282-6114

    Fax: (812) 280-2142

    Type: Location

  • 301 GORDON GUTMANN BLVD STE 201

    JEFFERSONVILLE, IN 471303766

    Phone: (812) 282-6114

    Fax: (812) 650-5313

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $1,207.

Total Amount is formed as General ($1,207) + Research ($0) + Ownership ($0) = $1,207.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Boston Scientific Corporation ($365).

Total Amount

$1,207

General + Research + Ownership

Payments

44

Total payment records

General Amount

$1,207

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

View all Open Payments →|Open Payments Risk Radar →

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: 2016-05-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140915000343IObstetrics/GynecologyKYTBD
I20160516002488IObstetrics/GynecologyINTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2216$0
99214Established patient office or other outpatient visit, 30-39 minutes1713$0
99204New patient office or other outpatient visit, 45-59 minutes1616$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1212$0
View full utilization report →

Insurance plans in this area (ZIP 47130)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749210748View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)IN
O B S T E T R I C S/ G Y N E C O L O G YIN
Certified Nurse Midwife (Cnm)IN
-OK
Physician AssistantIN
O B S T E T R I C S/ G Y N E C O L O G YIN
Certified Nurse Midwife (Cnm)IN
O B S T E T R I C S/ G Y N E C O L O G YIN
Certified Nurse Midwife (Cnm)IN
O B S T E T R I C S/ G Y N E C O L O G YIN

Reviews

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Frequently asked questions

What number should I use to identify AMANDA SUE DAVENPORT (M.D.) for billing?
Administrative and clinical systems typically use NPI 1578883302 for AMANDA SUE DAVENPORT (M.D.).
Quick check: is AMANDA SUE DAVENPORT (M.D.) active?
Public NPPES data shows AMANDA SUE DAVENPORT (M.D.) with an active NPI status right now.
What does the directory say AMANDA SUE DAVENPORT (M.D.) does?
Insurance directories may phrase it differently, but here AMANDA SUE DAVENPORT (M.D.) maps to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit AMANDA SUE DAVENPORT (M.D.) in Jeffersonville, Indiana?
For routing, start with Jeffersonville, Indiana for AMANDA SUE DAVENPORT (M.D.), then verify phone and hours locally.
Why is information missing for AMANDA SUE DAVENPORT (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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