DR. BRENT RYAN DAVIDSON (M.D.) – Ophthalmology Physician, NPI 1437127065

DR. BRENT RYAN DAVIDSON (M.D.) is a healthcare provider. based in Fenton, Missouri. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 2005009915 (MO). The NPI Number for DR. BRENT RYAN DAVIDSON (M.D.) is 1437127065

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRENT RYAN DAVIDSON (M.D.)
NPI
1437127065
Phone
(636) 717-1700
Address
1011 BOWLES AVE
Enumeration Date
9 March 2006
Last Update Date
23 January 2015

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5739157000
Graduation Year
2001 (25 years ago)
PAC ID
3870538911
Group Practice PAC ID
0042375941
Professional Enrollment ID
I20050621000026
Address ID
MO636401947FA1390XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

444 OPHTHALMOLOGY in MO

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Provider Addresses for DR. BRENT RYAN DAVIDSON (M.D.)

  • 1011, Bowles Avenue, Fenton, Saint Louis County, Missouri, 63026, United States

    SUITE 200

    FENTON, MO 630262395

    Phone: (636) 717-1700

    Fax: (636) 203-4727

    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)

CMS reports 48 Open Payments records for all available years, with a total value of $1,481.

Total Amount is formed as General ($1,481) + Research ($0) + Ownership ($0) = $1,481.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Alcon Vision LLC ($333).

Total Amount

$1,481

General + Research + Ownership

Payments

48

Total payment records

General Amount

$1,481

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-06-21

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050621000026IOphthalmologyMOTBD

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
92014Established patient complete exam of visual system713652$0
92250Photography of the retina471450$0
92202Extended exam of the back part of the eye with optic nerve drawing266254$0
92136Measurement of corneal curvature and depth of eye259175$0
92134Imaging of retina255237$0
View full utilization report →

Insurance plans in this area (ZIP 63026)

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Provider's Procedures

DR. BRENT RYAN DAVIDSON (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYMO92012Eye and medical examination for diagnosis and treatment, established patient320229
OPHTHALMOLOGYMO92083Measurement of field of vision during daylight conditions185175
OPHTHALMOLOGYMO92134Diagnostic imaging of retina126118

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: 0042375941View full group profile
NameSpecialtyState
-MO
O P H T H A L M O L O G YMO
O P H T H A L M O L O G YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P H T H A L M O L O G YOK

Reviews

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Frequently asked questions

Can I use this page to confirm DR. BRENT RYAN DAVIDSON (M.D.)'s NPI?
Yes. DR. BRENT RYAN DAVIDSON (M.D.) is listed with NPI 1437127065 in the public NPI dataset.
Is DR. BRENT RYAN DAVIDSON (M.D.) listed as active for patients and plans?
The listing shows DR. BRENT RYAN DAVIDSON (M.D.) as active in the NPI system.
What is DR. BRENT RYAN DAVIDSON (M.D.)'s specialty?
The listing groups DR. BRENT RYAN DAVIDSON (M.D.) with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. BRENT RYAN DAVIDSON (M.D.)?
DR. BRENT RYAN DAVIDSON (M.D.)'s geographic hint is Fenton, Missouri in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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