DR. WAYTE DAVILL (MD) – Family Medicine Physician, NPI 1043950470

DR. WAYTE DAVILL (MD) is a healthcare provider. based in Gaylord, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4301512281 (MI). The NPI Number for DR. WAYTE DAVILL (MD) is 1043950470

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
DR. WAYTE DAVILL (MD)
NPI
1043950470
Phone
(989) 731-7996
Address
825 N Center Ave
Enumeration Date
1 April 2022
Last Update Date
10 June 2025

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9549395000
Graduation Year
2025 (1 year ago)
PAC ID
4082129747
Group Practice PAC ID
4688778228
Professional Enrollment ID
I20250714000470
Address ID
MI481924668WY2333XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for DR. WAYTE DAVILL (MD)

  • 825 N Center Ave

    Gaylord, MI 497351592

    Phone: (989) 731-7996

    Fax: (989) 731-9151

    Type: Location

  • 829 N Center Ave Ste 130

    Gaylord, MI 497351684

    Phone: (989) 731-7930

    Type: Location

  • 1100 E Michigan Ave

    Grayling, MI 497381312

    Phone: (989) 348-5461

    Fax: (989) 348-5724

    Type: Location

  • 1250 E Michigan Ave Ste C

    Grayling, MI 497387074

    Phone: (989) 348-0550

    Fax: (989) 348-0473

    Type: Location

  • 14700 Lake Shore Dr

    Charlevoix, MI 497201931

    Phone: (231) 547-3840

    Fax: (231) 392-7330

    Type: Location

  • 400 Hobart St

    Cadillac, MI 496012331

    Phone: (231) 876-7200

    Type: Location

  • 405 W LINCOLN WAY

    LISBON, OH 444321107

    Phone: (385) 528-8258

    Type: Mailing

  • 540 E CANFIELD ST RM 4374

    DETROIT, MI 482011928

    Phone: (313) 577-0714

    Type: Location

  • 1105 SIXTH ST

    TRAVERSE CITY, MI 496842345

    Phone:

    Type: Mailing

  • 1373 TORREY RD

    GROSSE POINTE WOODS, MI 482362339

    Phone: (385) 528-8258

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $142.

Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.

Last reported payment date: 2024-04-25 • Largest payer in this snapshot: REVANCE THERAPEUTICS, INC. ($127).

Total Amount

$142

General + Research + Ownership

Payments

2

Total payment records

General Amount

$142

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-25

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: 2025-07-14

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
I20250714000470IFamily PracticeMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49735)

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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: 4688778228View full group profile
NameSpecialtyState
Internal MedicineMI
Emergency MedicineMI
Family PracticeMI
Physician AssistantMI
Family PracticeMI
Physician AssistantMI
Emergency MedicineMI
Nurse PractitionerMI
Nurse PractitionerMI
Physician AssistantMI

Reviews

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Frequently asked questions

Is DR. WAYTE DAVILL (MD) listed with a National Provider Identifier?
Yes — DR. WAYTE DAVILL (MD) has NPI 1043950470 on file in the registry.
Is DR. WAYTE DAVILL (MD) still an active registrant?
DR. WAYTE DAVILL (MD) carries an active NPI according to the public dataset.
What kind of doctor is DR. WAYTE DAVILL (MD)?
DR. WAYTE DAVILL (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. WAYTE DAVILL (MD) located near Gaylord?
DR. WAYTE DAVILL (MD) currently maps to Gaylord, Michigan in this extract.
When was this NPI issued?
Enumeration for DR. WAYTE DAVILL (MD) is noted as April 1, 2022 where the registry provides it.

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