DR. JAMES ADAM DAVIS (MD) – Vascular Surgery Physician, NPI 1053632323

DR. JAMES ADAM DAVIS (MD) is a healthcare provider. based in Saint paul, Minnesota. specializing in VASCULAR SURGERY. They hold the professional credentials MD. They hold a License No. BP10036857 (TX). The NPI Number for DR. JAMES ADAM DAVIS (MD) is 1053632323

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES ADAM DAVIS (MD)
NPI
1053632323
Phone
(651) 290-0133
Address
225 SMITH AVE N
Enumeration Date
21 June 2010
Last Update Date
11 March 2021

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
6512417176
Graduation Year
2010 (16 years ago)
PAC ID
7810208444
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20150623001140
Address ID
MN551022568ST225XXNXXX401
Telehealth
Yes

Contacts

Secure Messaging
jdavis364407@excellian.direct.allina.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:15State licenses:2Other namesUpdated within 12 months

122 VASCULAR SURGERY in MN

Provider Addresses for DR. JAMES ADAM DAVIS (MD)

  • 225 SMITH AVE N

    ST. 400

    SAINT PAUL, MN 551022533

    Phone: (651) 290-0133

    Type: Mailing

  • 2925 CHICAGO AVE

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-5000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $884.

Total Amount is formed as General ($884) + Research ($0) + Ownership ($0) = $884.

Last reported payment date: 2024-08-22 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($533).

Total Amount

$884

General + Research + Ownership

Payments

10

Total payment records

General Amount

$884

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-22

Latest reported date

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: 2018-02-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150623001140IVascular SurgeryMNTBD
I20180205001493IVascular SurgeryWITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8573$0
93923Complete ultrasound study of arm and leg arteries7266$0
99212Established patient office or other outpatient visit, 10-19 minutes6360$0
93880Ultrasound of both sides of head and neck blood flow5855$0
99214Established patient office or other outpatient visit, 30-39 minutes3531$0
View full utilization report →

Insurance plans in this area (ZIP 55102)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

What is DR. JAMES ADAM DAVIS (MD)'s NPI number?
DR. JAMES ADAM DAVIS (MD)'s NPI is 1053632323 — the number used across U.S. healthcare to identify this provider.
Would DR. JAMES ADAM DAVIS (MD) appear as active to a payer?
You can treat DR. JAMES ADAM DAVIS (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. JAMES ADAM DAVIS (MD)'s focus?
For DR. JAMES ADAM DAVIS (MD), the primary taxonomy reads as Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. JAMES ADAM DAVIS (MD) associated with Saint Paul?
Public fields place DR. JAMES ADAM DAVIS (MD) around Saint Paul, Minnesota. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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