JARED DAVIS (D.O.) – Urology Physician, NPI 1114459476
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
469 UROLOGY in MI
Provider Addresses for JARED DAVIS (D.O.)
1000 HARRINGTON BOULEVARD
MOUNT CLEMENS, MI 48043
Phone:
Fax: (586) 493-3250
Type: Mailing
1619 Anderson Rd
Petoskey, MI 497709256
Phone: (231) 417-6075
Type: Location
8881 M 119
Harbor Springs, MI 497409586
Phone: (231) 487-2270
Type: Location
14695 Park Ave Ste A
Charlevoix, MI 497201920
Phone: (231) 487-2270
Type: Location
829 N Center Ave Ste 260
Gaylord, MI 497351597
Phone: (989) 731-6405
Type: Location
McLaren Macomb, 1000, Harrington Street, Mount Clemens, Clinton Township, Macomb County, Michigan, 48043, United States
MOUNT CLEMENS, MI 48043
Phone: (586) 493-8000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 78 Open Payments records for all available years, with a total value of $11,150.
Total Amount is formed as General ($11,150) + Research ($0) + Ownership ($0) = $11,150.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,991).
Total Amount
$11,150
General + Research + Ownership
Payments
78
Total payment records
General Amount
$11,150
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $3,991 |
| Boston Scientific Corporation | $3,279 |
| Teleflex LLC | $1,658 |
| Olympus America Inc. | $792 |
| COLOPLAST CORP | $533 |
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: 2023-09-22
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 |
|---|---|---|---|---|
| I20230922002257 | I | Urology | MI | 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 |
|---|---|---|---|---|
| 81002 | Urinalysis, manual test | 138 | 104 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 86 | 69 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 50 | 46 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 32 | 30 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 48043)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MI | |
| Family Practice | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Family Practice | MI | |
| H E M A T O L O G Y/ O N C O L O G Y | IL | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| Physician Assistant | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI |
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