PATRICK W DAVIS (P.A.C.) – Physician Assistant, NPI 1417914730
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,238 PHYSICIAN ASSISTANT in NV
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Provider Addresses for PATRICK W DAVIS (P.A.C.)
PO BOX 752287
LAS VEGAS, NV 891362287
Phone: (702) 604-7422
Fax: (702) 549-3178
Type: Mailing
724, Kendall Lane, Boulder City, Clark County, Nevada, 89005, United States
BOULDER CITY, NV 890051112
Phone: (702) 604-7422
Fax: (702) 549-3178
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $267.
Total Amount is formed as General ($267) + Research ($0) + Ownership ($0) = $267.
Last reported payment date: 2024-08-21 • Largest payer in this snapshot: ABBVIE INC. ($250).
Total Amount
$267
General + Research + Ownership
Payments
3
Total payment records
General Amount
$267
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $250 |
| Boston Scientific 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: 2004-05-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040512000057 | I | Physician Assistant | NV | 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 |
|---|---|---|---|---|
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 27 | 15 | $0 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 18 | 18 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 16 | 14 | $0 |
Insurance plans in this area (ZIP 89136)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | NV | 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 11 | 11 |
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