DR. MARK L DAVIS (D.O.) – Orthopaedic Surgery Physician, NPI 1083618615
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,081 ORTHOPEDIC SURGERY in MI
Provider Addresses for DR. MARK L DAVIS (D.O.)
110 BEECH ST STE B
TAWAS CITY, MI 487638314
Phone: (989) 362-9859
Fax: (989) 362-9862
Type: Location
1515, Lake Lansing Road, Eastwood Towne Center, Lansing Charter Township, Ingham County, Michigan, 48912, United States
SUITE B1
LANSING, MI 489123753
Phone: (517) 371-3407
Fax: (517) 371-1366
Type: Mailing
1515 Lake Lansing Rd
Suite B1
Lansing, MI 489123753
Phone: (517) 371-3407
Fax: (517) 371-1366
Type: Location
110 Beech St Ste B
Tawas City, MI 487638314
Phone: (989) 362-9859
Fax: (989) 362-9862
Type: Location
3269 N STOCKTON HILL RD
KINGMAN, AZ 864093619
Phone: (928) 757-2101
Type: Mailing
1739 E BEVERLY AVE STE 102
KINGMAN, AZ 864093593
Phone: (928) 681-8693
Fax: (928) 681-8694
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $84.
Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.
Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Globus Medical, Inc. ($50).
Total Amount
$84
General + Research + Ownership
Payments
3
Total payment records
General Amount
$84
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Globus Medical, Inc. | $50 |
| Ethicon US, LLC | $18 |
| Bioventus LLC | $15 |
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: 2018-03-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050317000104 | I | Orthopedic Surgery | MI | TBD |
| I20180316001404 | I | Orthopedic Surgery | AZ | 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 | 284 | 27 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 58 | 45 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 40 | 37 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 34 | 28 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 22 | 21 | $0 |
Insurance plans in this area (ZIP 48763)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | MI | 20610 | Aspiration and/or injection of large joint or joint capsule | 32 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | MI | |
| Family Practice | MI | |
| - | MI | |
| Emergency Medicine, Hospitalist, Emergency Medicine, Internal Medicine | MI | |
| - | MI | |
| H E M A T O L O G Y/ O N C O L O G Y | MO | |
| Radiation Oncology | MI | |
| Nurse Practitioner | MI | |
| Family Practice | WA | |
| P O D I A T R Y | MI |
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