JOHN SCOTT DAVIS (MD) – Surgery Physician, NPI 1902805849

JOHN SCOTT DAVIS (MD) is a healthcare provider. based in Sparks, Nevada. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 8606 (NV). The NPI Number for JOHN SCOTT DAVIS (MD) is 1902805849

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
JOHN SCOTT DAVIS (MD)
NPI
1902805849
Phone
(702) 853-3300
Address
2345 E PRATER WAY STE 207
Enumeration Date
20 July 2005
Last Update Date
17 June 2019

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
7028035534
Graduation Year
1988 (38 years ago)
PAC ID
7719163286
Group Practice PAC ID
4082630512
Professional Enrollment ID
I20110517000829
Address ID
NV891485615LA6070XRDXX501
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

308 GENERAL SURGERY in NV

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Provider Addresses for JOHN SCOTT DAVIS (MD)

  • 207, East Prater Way, Sparks, Washoe County, Nevada, 89431, United States

    SPARKS, NV 894349634

    Phone: (702) 853-3300

    Fax: (702) 640-0604

    Type: Mailing

  • South Rainbow Boulevard, Charleston Heights, Las Vegas, Clark County, Nevada, 89146-1126, United States

    LAS VEGAS, NV 891181896

    Phone: (702) 853-3300

    Fax: (702) 640-0604

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $522.

Total Amount is formed as General ($522) + Research ($0) + Ownership ($0) = $522.

Last reported payment date: 2024-10-19 • Largest payer in this snapshot: MIMEDX Group, Inc. ($290).

Total Amount

$522

General + Research + Ownership

Payments

9

Total payment records

General Amount

$522

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-19

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: 2011-05-17

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
I20110517000829IGeneral SurgeryNVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89434)

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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: 4082630512View full group profile
NameSpecialtyState
-NV
Nurse PractitionerNV
Physician AssistantNV
Internal Medicine, EndocrinologyTX
Family PracticeNV
Vascular SurgeryPA
General PracticeFL
Nurse PractitionerNV
Internal Medicine, Infectious DiseaseNY
Nurse PractitionerNJ

Reviews

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Frequently asked questions

Does JOHN SCOTT DAVIS (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JOHN SCOTT DAVIS (MD) uses 1902805849.
Does CMS list JOHN SCOTT DAVIS (MD) as active?
Yes — JOHN SCOTT DAVIS (MD) is active in the NPI listing used on this page.
What taxonomy line describes JOHN SCOTT DAVIS (MD)?
For research purposes, treat JOHN SCOTT DAVIS (MD) as Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does JOHN SCOTT DAVIS (MD) serve?
JOHN SCOTT DAVIS (MD)'s listing highlights Sparks, Nevada; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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