TRISTAN L DAVIS (DO) – Emergency Medicine Physician, NPI 1174044259

TRISTAN L DAVIS (DO) is a healthcare provider. based in Muskegon, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 5101023386 (MI). The NPI Number for TRISTAN L DAVIS (DO) is 1174044259

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
TRISTAN L DAVIS (DO)
NPI
1174044259
Phone
(231) 727-5244
Address
1675 LEAHY ST STE 315A
Enumeration Date
29 June 2017
Last Update Date
30 September 2021

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2317284601
Graduation Year
2017 (9 years ago)
PAC ID
0345678355
Group Practice PAC ID
0749569242
Professional Enrollment ID
I20200324003744
Address ID
MI494551228SH72XXXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

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Provider Addresses for TRISTAN L DAVIS (DO)

  • Leahy Street, Muskegon, Muskegon County, Michigan, 49444, United States

    MUSKEGON, MI 494425543

    Phone: (231) 727-5244

    Type: Mailing

  • Mercy Health Hackley Campus, 1700, Clinton Street, Muskegon, Muskegon County, Michigan, 49444, United States

    MUSKEGON, MI 494425502

    Phone: (231) 728-4936

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-01-31 • Largest payer in this snapshot: Fisher & Paykel Healthcare Inc ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-31

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: 2020-03-24

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
I20200324003744IEmergency MedicineMITBD

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
99285Emergency department visit with high level of medical decision making9695$0
99284Emergency department visit with moderate level of medical decision making9089$0
99291Critical care, first 30-74 minutes8584$0
99283Emergency department visit with low level of medical decision making2121$0
View full utilization report →

Insurance plans in this area (ZIP 49442)

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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: 0749569242View full group profile
NameSpecialtyState
Nurse PractitionerMI
Emergency MedicineMI
Nurse PractitionerMI
Emergency MedicineMI
Emergency MedicineMI
Nurse PractitionerMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI

Reviews

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Frequently asked questions

Does TRISTAN L DAVIS (DO) have a public NPI I can cite?
Public records show TRISTAN L DAVIS (DO) under NPI 1174044259.
Should I treat TRISTAN L DAVIS (DO) as an active provider?
Patients and plans typically see TRISTAN L DAVIS (DO) as active in the national extract.
What services align with TRISTAN L DAVIS (DO)'s listing?
TRISTAN L DAVIS (DO)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to TRISTAN L DAVIS (DO)?
The directory associates TRISTAN L DAVIS (DO) with Muskegon, Michigan. Check all listed addresses for suites or satellite offices.
Can I export TRISTAN L DAVIS (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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