MARK DENIS P DAVIS (M.D.) – Dermatology Physician, NPI 1912983396

MARK DENIS P DAVIS (M.D.) is a healthcare provider. based in Rochester, Minnesota. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 25938 (AZ). The NPI Number for MARK DENIS P DAVIS (M.D.) is 1912983396

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
MARK DENIS P DAVIS (M.D.)
NPI
1912983396
Phone
(507) 284-2511
Address
200 1ST ST SW
Enumeration Date
19 December 2005
Last Update Date
13 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5072842511
Graduation Year
1987 (39 years ago)
PAC ID
0749366326
Group Practice PAC ID
6507778255
Professional Enrollment ID
I20100317001116
Address ID
MN559050001RO200XXSWXX400

Contacts

Secure Messaging
mdavis66171@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

419 DERMATOLOGY in MN

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Provider Addresses for MARK DENIS P DAVIS (M.D.)

  • 1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Mailing address matches the actual address.

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: 2010-03-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20080324000239IDermatologyAZTBD
I20090709000260IDermatologyFLTBD
I20100317001116IDermatologyMNTBD

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
17003Destruction of precancer skin growth, 2-14 growths36895$0
99213Established patient office or other outpatient visit, 20-29 minutes198193$0
17000Destruction of precancer skin growth, 1 growth144141$0
99214Established patient office or other outpatient visit, 30-39 minutes118113$0
99203New patient office or other outpatient visit, 30-44 minutes6565$0
View full utilization report →

Insurance plans in this area (ZIP 55905)

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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: 6507778255View full group profile

Reviews

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Frequently asked questions

What federal number belongs to MARK DENIS P DAVIS (M.D.)?
The federal identifier for MARK DENIS P DAVIS (M.D.) is NPI 1912983396.
Is MARK DENIS P DAVIS (M.D.)'s NPI currently valid?
The extract we use shows MARK DENIS P DAVIS (M.D.) as active.
What does MARK DENIS P DAVIS (M.D.) treat or focus on?
Patients typically see MARK DENIS P DAVIS (M.D.) under the specialty Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where is MARK DENIS P DAVIS (M.D.)'s primary listing?
We display Rochester, Minnesota because that is what the record indicates for MARK DENIS P DAVIS (M.D.).
What if Rochester, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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