SCOTT B DAVIDSON (MD) – Surgery Physician, NPI 1811977424

SCOTT B DAVIDSON (MD) is a healthcare provider. based in Kalamazoo, Michigan. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 4301056087 (MI). The NPI Number for SCOTT B DAVIDSON (MD) is 1811977424

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT B DAVIDSON (MD)
NPI
1811977424
Phone
(269) 341-6022
Address
601 JOHN ST
Enumeration Date
19 January 2006
Last Update Date
27 September 2024

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2319357514
Graduation Year
1990 (36 years ago)
PAC ID
8022920511
Group Practice PAC ID
3072426287
Professional Enrollment ID
I20040225001010
Address ID
MI496842345TR1105XSTXX300

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,444 GENERAL SURGERY in MI

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Provider Addresses for SCOTT B DAVIDSON (MD)

  • Bronson Methodist Hospital, 601, John Street, Kalamazoo, Kalamazoo County, Michigan, 49007, United States

    SUITE M452

    KALAMAZOO, MI 490075341

    Phone: (269) 341-6022

    Fax: (269) 341-8244

    Type: Location

  • 1221 Sixth St Ste 300

    Traverse City, MI 496842360

    Phone: (231) 935-2400

    Fax: (231) 392-2424

    Type: Location

  • 601 John St

    Suite M452

    Kalamazoo, MI 490075341

    Phone: (269) 341-6022

    Fax: (269) 341-8244

    Type: Location

  • 4100 Park Forest Dr

    Traverse City, MI 496847331

    Phone: (231) 392-8900

    Fax: (231) 392-8973

    Type: Location

  • 1105 SIXTH ST

    TRAVERSE CITY, MI 496842345

    Phone: (231) 935-7514

    Fax: (231) 392-0039

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-02-25

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
I20040225001010IGeneral SurgeryMITBD

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
99291Critical care, first 30-74 minutes2713$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1811$0
View full utilization report →

Insurance plans in this area (ZIP 49007)

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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: 3072426287View full group profile

Reviews

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Frequently asked questions

What is SCOTT B DAVIDSON (MD)'s NPI number?
SCOTT B DAVIDSON (MD)'s NPI is 1811977424 — the number used across U.S. healthcare to identify this provider.
Is there an active status for SCOTT B DAVIDSON (MD)?
For scheduling context, SCOTT B DAVIDSON (MD) is shown as active in the registry.
What expertise is attributed to SCOTT B DAVIDSON (MD)?
SCOTT B DAVIDSON (MD)'s specialty line reads Surgery Physician. Clinical services aligned with this taxonomy classification.
Is SCOTT B DAVIDSON (MD) located near Kalamazoo?
SCOTT B DAVIDSON (MD) currently maps to Kalamazoo, Michigan in this extract.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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