KEVIN DAVIS (PA) – Medical Physician Assistant, NPI 1811903529

KEVIN DAVIS (PA) is a healthcare provider. based in Hindman, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA244 (KY). The NPI Number for KEVIN DAVIS (PA) is 1811903529

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN DAVIS (PA)
NPI
1811903529
Phone
(606) 785-9440
Address
70 HOLLY HILLS MALL RD
Enumeration Date
1 August 2006
Last Update Date
12 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6064762593
Graduation Year
1994 (32 years ago)
PAC ID
8527976687
Group Practice PAC ID
7618875873
Professional Enrollment ID
I20040311001104
Address ID
KY417318749CO464XX699X400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for KEVIN DAVIS (PA)

  • 70 HOLLY HILLS MALL RD

    HINDMAN, KY 418229121

    Phone: (606) 785-9440

    Fax: (606) 785-9645

    Type: Location

  • 70 Holly Hills Mall Rd

    Hindman, KY 418229121

    Phone: (606) 785-9440

    Fax: (606) 785-9645

    Type: Location

  • 396 HIGHWAY 899

    HINDMAN, KY 418228953

    Phone: (606) 785-9440

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $217.

Total Amount is formed as General ($217) + Research ($0) + Ownership ($0) = $217.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Lilly USA, LLC ($68).

Total Amount

$217

General + Research + Ownership

Payments

12

Total payment records

General Amount

$217

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

Latest reported date

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: 2004-03-11

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040311001104IPhysician AssistantKYTBD

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
80053Blood test, comprehensive group of blood chemicals7960$0
83036Hemoglobin a1c level7642$0
80061Blood test, lipids (cholesterol and triglycerides)5444$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)5036$0
84443Blood test, thyroid stimulating hormone (tsh)4642$0
View full utilization report →

Insurance plans in this area (ZIP 41822)

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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: 7618875873View full group profile
NameSpecialtyState
Nurse PractitionerKY
Internal MedicineKY
Nurse PractitionerKY
Nurse PractitionerKY
Clinical Social WorkerKY
Nurse PractitionerKY
Nurse PractitionerKY
-KY
Physician AssistantKY
Clinical Social WorkerKY

Reviews

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Frequently asked questions

What is the standard ID for KEVIN DAVIS (PA) in the U.S.?
In the U.S., KEVIN DAVIS (PA) is identified by NPI 1811903529.
Quick check: is KEVIN DAVIS (PA) active?
Public NPPES data shows KEVIN DAVIS (PA) with an active NPI status right now.
Which specialty label fits KEVIN DAVIS (PA)?
NPPES ties KEVIN DAVIS (PA) to Medical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is KEVIN DAVIS (PA) tied to Hindman, Kentucky?
If you are local to Hindman, Kentucky, KEVIN DAVIS (PA) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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