DR. MICHAEL KEITH DAVENPORT (MD) – Surgery Physician, NPI 1710982517

DR. MICHAEL KEITH DAVENPORT (MD) is a healthcare provider. based in Cincinnati, Ohio. specializing in Surgery Physician. They hold the professional credentials MD. They hold a License No. 32327 (KY). The NPI Number for DR. MICHAEL KEITH DAVENPORT (MD) is 1710982517

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL KEITH DAVENPORT (MD)
NPI
1710982517
Phone
(859) 344-1600
Address
PO BOX 635283
Enumeration Date
17 June 2005
Last Update Date
18 November 2019

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
8592124468
Graduation Year
1991 (35 years ago)
PAC ID
0749292811
Group Practice PAC ID
2163326240
Professional Enrollment ID
I20060608000322
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

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Provider Addresses for DR. MICHAEL KEITH DAVENPORT (MD)

  • Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States

    CINCINNATI, OH 452635283

    Phone: (859) 344-1600

    Fax: (859) 344-0091

    Type: Mailing

  • 254, Medical Village Drive, Edgewood, Kenton County, Kentucky, 41017, United States

    EDGEWOOD, KY 410175401

    Phone: (859) 344-1600

    Fax: (859) 344-0091

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $6,185.

Total Amount is formed as General ($6,185) + Research ($0) + Ownership ($0) = $6,185.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($5,192).

Total Amount

$6,185

General + Research + Ownership

Payments

37

Total payment records

General Amount

$6,185

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2006-06-08

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
I20060608000322IGeneral SurgeryKYTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2717$0
99204New patient office or other outpatient visit, 45-59 minutes1919$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 45263)

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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: 2163326240View full group profile
NameSpecialtyState
Internal MedicineKY
Family PracticeOH
H O S P I T A L I S TOH
Family PracticeKY
Family PracticeOH
G A S T R O E N T E R O L O G YKY
-KY
Family PracticeOH
-FL
Nurse PractitionerKY

Reviews

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Frequently asked questions

How do payers reference DR. MICHAEL KEITH DAVENPORT (MD)?
For DR. MICHAEL KEITH DAVENPORT (MD), use NPI 1710982517 as the unique 10-digit identifier.
Would DR. MICHAEL KEITH DAVENPORT (MD) appear as active to a payer?
You can treat DR. MICHAEL KEITH DAVENPORT (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. MICHAEL KEITH DAVENPORT (MD)?
At a glance, DR. MICHAEL KEITH DAVENPORT (MD) is tied to Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MICHAEL KEITH DAVENPORT (MD)?
Directory geography for DR. MICHAEL KEITH DAVENPORT (MD) centers on Cincinnati, Ohio.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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