DONALD E DAVIS (MD) – Dermatology Physician, NPI 1225017247
Dermatology Physician
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Profile Insights
NPPES metrics only — not quality of care.
419 DERMATOLOGY in MN
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Provider Addresses for DONALD E DAVIS (MD)
Mankato Post Office, East Main Street, Mankato, Blue Earth County, Minnesota, 56001, United States
MANKATO CLINIC LTD 1230 E. MAIN STREET
MANKATO, MN 560028674
Phone: (507) 625-1811
Type: Mailing
Mankato Clinic, 1230, East Main Street, High Ciara, Mankato, Blue Earth County, Minnesota, 56001, United States
MANKATO CLINIC AT MAIN STREET
MANKATO, MN 560028674
Phone: (507) 625-1811
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $386.
Total Amount is formed as General ($386) + Research ($0) + Ownership ($0) = $386.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($98).
Total Amount
$386
General + Research + Ownership
Payments
18
Total payment records
General Amount
$386
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-02-01
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 |
|---|---|---|---|---|
| I20100201000800 | I | Dermatology | MN | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 930 | 294 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 862 | 636 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 531 | 394 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 258 | 215 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 205 | 185 | $0 |
Insurance plans in this area (ZIP 56002)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| Diagnostic Radiology | CO | |
| Physician Assistant | MN | |
| P O D I A T R Y | MN | |
| - | MN | |
| - | MN | |
| General Surgery | MN | |
| Diagnostic Radiology, Internal Medicine | MN |
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