ASHLEY DAVIS – Physician Assistant, NPI 1215557467
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
Provider Addresses for ASHLEY DAVIS
2720 FAIRVIEW AVE N STE 200
ROSEVILLE, MN 551131306
Phone: (651) 633-6883
Fax: (651) 528-6276
Type: Mailing
5298 Ashdale Ln
Baxter, MN 564258303
Phone: (218) 232-5418
Type: Location
5298 ASHDALE LN
BAXTER, MN 564258303
Phone: (218) 232-5418
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 $1,181.
Total Amount is formed as General ($1,181) + Research ($0) + Ownership ($0) = $1,181.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Medtronic, Inc. ($1,131).
Total Amount
$1,181
General + Research + Ownership
Payments
10
Total payment records
General Amount
$1,181
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,131 |
| GENZYME CORPORATION | $50 |
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: 2024-02-06
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 |
|---|---|---|---|---|
| I20220927000124 | I | Physician Assistant | MN | TBD |
| I20240206004313 | I | Physician Assistant | WI | 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 |
|---|---|---|---|---|
| Q4186 | Epifix, per square centimeter | 765 | 34 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 191 | 50 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 90 | 82 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 65 | 32 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 61 | 61 | $0 |
Insurance plans in this area (ZIP 55113)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MN | |
| Physician Assistant | MN | |
| D E R M A T O L O G Y | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| P O D I A T R Y | WI | |
| P A T H O L O G Y | IL | |
| Physician Assistant | MN | |
| P A T H O L O G Y | CT | |
| D E R M A T O L O G Y | MN |
Reviews
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