MICAH R DAVIS (D.O.) – Family Medicine Physician, NPI 1184605453
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
150 GENERAL PRACTICE in OH
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Provider Addresses for MICAH R DAVIS (D.O.)
1323, West 3rd Street, Dunbar Historic District, West Side, Dayton, Montgomery County, Ohio, 45402, United States
DAYTON, OH 454026714
Phone: (937) 586-9733
Fax: (937) 586-9736
Type: Mailing
Edwin C. Moses Boulevard, Dayton, Montgomery County, Ohio, 45422, United States
DAYTON, OH 45402
Phone: (937) 558-0180
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $41.
Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.
Last reported payment date: 2024-09-25 • Largest payer in this snapshot: ABBVIE INC. ($20).
Total Amount
$41
General + Research + Ownership
Payments
2
Total payment records
General Amount
$41
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $20 |
| Verrica Pharmaceuticals Inc. | $20 |
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: 2005-10-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051006000241 | I | General Practice | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45402)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OH | 83036 | Hemoglobin A1C level | 19 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OH | |
| Nurse Practitioner | OH | |
| General Practice | OH | |
| - | OH | |
| Certified Nurse Midwife (Cnm) | OH | |
| Physician Assistant | OH | |
| - | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH |
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