THOMAS EDWARD DAVIDSON (M.D.) – Obstetrics & Gynecology Physician, NPI 1417064080

THOMAS EDWARD DAVIDSON (M.D.) is a healthcare provider. based in Andover, Massachusetts. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 81498 (MA). The NPI Number for THOMAS EDWARD DAVIDSON (M.D.) is 1417064080

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS EDWARD DAVIDSON (M.D.)
NPI
1417064080
Phone
(978) 475-2731
Address
323 LOWELL ST
Enumeration Date
23 August 2006
Last Update Date
16 March 2026

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9784752731
Graduation Year
1995 (31 years ago)
PAC ID
9335123645
Group Practice PAC ID
0345224648
Professional Enrollment ID
I20040615000975
Address ID
MA018104659AN323XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

1,231 OBSTETRICS/GYNECOLOGY in MA

Provider Addresses for THOMAS EDWARD DAVIDSON (M.D.)

  • 323 LOWELL ST

    ANDOVER, MA 018104659

    Phone: (978) 475-2731

    Type: Mailing

  • 40, Nutmeg Lane, Marble Ridge Station, North Andover, Essex County, Massachusetts, 01845, United States

    NORTH ANDOVER, MA 018454838

    Phone: (978) 475-2731

    Type: Mailing

  • Winchester Hospital OB-GYN Womens Care, 100, Andover Bypass, North Andover, Essex County, Massachusetts, 01845, United States

    140 HAVERHILL

    ANDOVER, MA 01810

    Phone: (978) 475-2731

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $133.

Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.

Last reported payment date: 2024-09-04 • Largest payer in this snapshot: ABBVIE INC. ($36).

Total Amount

$133

General + Research + Ownership

Payments

6

Total payment records

General Amount

$133

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-04

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: 2004-06-15

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
I20040615000975IObstetrics/GynecologyMATBD

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 minutes4732$0
76830Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina3634$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3333$0
76856Complete ultrasound scan of pelvis2828$0
99204New patient office or other outpatient visit, 45-59 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 01810)

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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: 0345224648View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerMA
O B S T E T R I C S/ G Y N E C O L O G YMA
O B S T E T R I C S/ G Y N E C O L O G YMA
Nurse PractitionerMA
Certified Nurse Midwife (Cnm)MA
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
O B S T E T R I C S/ G Y N E C O L O G YMA
Nurse PractitionerNH

Reviews

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Frequently asked questions

How do payers reference THOMAS EDWARD DAVIDSON (M.D.)?
For THOMAS EDWARD DAVIDSON (M.D.), use NPI 1417064080 as the unique 10-digit identifier.
Is THOMAS EDWARD DAVIDSON (M.D.) still an active registrant?
THOMAS EDWARD DAVIDSON (M.D.) carries an active NPI according to the public dataset.
What kind of doctor is THOMAS EDWARD DAVIDSON (M.D.)?
THOMAS EDWARD DAVIDSON (M.D.) is associated with Obstetrics & Gynecology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with THOMAS EDWARD DAVIDSON (M.D.)?
Directory geography for THOMAS EDWARD DAVIDSON (M.D.) centers on Andover, Massachusetts.
When was this NPI issued?
Enumeration for THOMAS EDWARD DAVIDSON (M.D.) is noted as August 23, 2006 where the registry provides it.

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