JAKE A DAVIS (PA-C) – Physician Assistant, NPI 1710380795
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,648 PHYSICIAN ASSISTANT in IA
Provider Addresses for JAKE A DAVIS (PA-C)
300 PERSHING AVVENUE
SHENANDOAH, IA 51601
Phone: (712) 246-1230
Type: Location
1700 W TOWNLINE ST
CRESTON, IA 508011054
Phone: (641) 782-7091
Fax: (641) 782-3830
Type: Mailing
1610 W TOWNLINE ST
CRESTON, IA 508011066
Phone: (641) 782-3887
Fax: (641) 782-3504
Type: Location
9600 BROADWAY EXT
OKLAHOMA CITY, OK 731147408
Phone: (405) 230-9000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $89.
Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Agiliti Health, Inc. ($27).
Total Amount
$89
General + Research + Ownership
Payments
4
Total payment records
General Amount
$89
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Agiliti Health, Inc. | $27 |
| Boston Scientific Corporation | $24 |
| Conetic Solutions, Inc. | $22 |
| Smith+Nephew, Inc. | $16 |
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: 2014-11-03
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 |
|---|---|---|---|---|
| I20141103001130 | I | Physician Assistant | IA | 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 | 774 | 65 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 100 | 87 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 81 | 65 | $0 |
| 73562 | X-ray of knee, 3 views | 27 | 23 | $0 |
Insurance plans in this area (ZIP 51601)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | IA | 27447 | Repair of knee joint | 22 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Emergency Medicine | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Nephrology, Internal Medicine | NE | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | NE | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IA | |
| Internal Medicine | OK |
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