TERRY DAVIS (PA) – Physician Assistant, NPI 1093737371

TERRY DAVIS (PA) is a healthcare provider. based in Las vegas, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 584 (NV). The NPI Number for TERRY DAVIS (PA) is 1093737371

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
TERRY DAVIS (PA)
NPI
1093737371
Phone
(702) 430-5333
Address
9097 W POST RD
Enumeration Date
24 July 2006
Last Update Date
14 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
9830086727
Group Practice PAC ID
9830277136
Professional Enrollment ID
I20040304000149
Address ID
NV891482417La9097XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,238 PHYSICIAN ASSISTANT in NV

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Provider Addresses for TERRY DAVIS (PA)

  • West Post Road, Paradise, Clark County, Nevada, 89119-1001, United States

    STE 100

    LAS VEGAS, NV 891482417

    Phone: (702) 430-5333

    Fax: (702) 430-5335

    Type: Mailing

  • North Durango Drive, Lone Mountain, Las Vegas, Clark County, Nevada, 89129, United States

    LAS VEGAS, NV 891493923

    Phone: (702) 430-5333

    Fax: (702) 430-5335

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 145 Open Payments records for all available years, with a total value of $2,884.

Total Amount is formed as General ($2,884) + Research ($0) + Ownership ($0) = $2,884.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($851).

Total Amount

$2,884

General + Research + Ownership

Payments

145

Total payment records

General Amount

$2,884

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2004-03-04

PECOS data refreshed: 2026-06-15

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
I20040304000149IPhysician AssistantNVTBD

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 growths2,868452$0
99213Established patient office or other outpatient visit, 20-29 minutes1,009622$0
17000Destruction of precancer skin growth, 1 growth770546$0
99214Established patient office or other outpatient visit, 30-39 minutes333227$0
17004Destruction of precancer skin growth, 15 or more growths229142$0
View full utilization report →

Insurance plans in this area (ZIP 89148)

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Provider's Procedures

TERRY DAVIS (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTNV17003Destruction of 2-14 skin growths2617353

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: 9830277136View full group profile
NameSpecialtyState
Nurse PractitionerAZ
D E R M A T O L O G YNV
-NV
-NV
Physician AssistantOH
Physician AssistantNY
Radiation OncologyNV
Physician AssistantAZ
Nurse PractitionerNV
Physician AssistantNV

Reviews

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Frequently asked questions

What number should I use to identify TERRY DAVIS (PA) for billing?
Administrative and clinical systems typically use NPI 1093737371 for TERRY DAVIS (PA).
Is TERRY DAVIS (PA)'s NPI status active today?
Active status means TERRY DAVIS (PA)'s NPI record is not deactivated in the public file.
What does the directory say TERRY DAVIS (PA) does?
Insurance directories may phrase it differently, but here TERRY DAVIS (PA) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to TERRY DAVIS (PA)?
TERRY DAVIS (PA) shows a connection to Las Vegas, Nevada in registry-derived data.
Who maintains TERRY DAVIS (PA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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