JASON DAVIS (PA-C) – Physician Assistant, NPI 1306170808
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JASON DAVIS (PA-C)
705 Pleasant Ave S
Park Rapids, MN 564701440
Phone: (218) 732-2800
Fax: (218) 732-2857
Type: Location
Park Nicollet Clinic, 3900, Park Nicollet Boulevard, Wolfe Park, Saint Louis Park, Hennepin County, Minnesota, 55416, United States
ST LOUIS PARK, MN 554162503
Phone: (952) 883-3150
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $2,927.
Total Amount is formed as General ($2,927) + Research ($0) + Ownership ($0) = $2,927.
Last reported payment date: 2023-07-15 • Largest payer in this snapshot: Lilly USA, LLC ($2,754).
Total Amount
$2,927
General + Research + Ownership
Payments
17
Total payment records
General Amount
$2,927
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $2,754 |
| Regeneron Healthcare Solutions, Inc. | $29 |
| ABBVIE INC. | $21 |
| E.R. Squibb & Sons, L.L.C. | $19 |
| Incyte Corporation | $17 |
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: 2011-02-04
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 |
|---|---|---|---|---|
| I20110204000959 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 82 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 27 | 11 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 23 | 17 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 21 | 21 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 18 | $0 |
Insurance plans in this area (ZIP 56470)
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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 |
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