DR. DUSTIN WAYNE DAVIS (D.O.) – Family Medicine Physician, NPI 1992155626

DR. DUSTIN WAYNE DAVIS (D.O.) is a healthcare provider. based in Talihina, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 7059 (OK). The NPI Number for DR. DUSTIN WAYNE DAVIS (D.O.) is 1992155626

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. DUSTIN WAYNE DAVIS (D.O.)
NPI
1992155626
Phone
(918) 658-4314
Address
13319 SE 202ND ROAD
Enumeration Date
14 June 2016
Last Update Date
23 December 2023

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
7196881483
Graduation Year
2016 (10 years ago)
PAC ID
8921423807
Group Practice PAC ID
0648612341
Professional Enrollment ID
I20201209003273
Address ID
OK747013006DU1800XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for DR. DUSTIN WAYNE DAVIS (D.O.)

  • 13319 SE 202ND ROAD

    TALIHINA, OK 74571

    Phone: (918) 658-4314

    Type: Mailing

  • 900 8th Ave

    Plaza Medical Center

    Fort Worth, TX 76104

    Phone: (817) 336-2100

    Type: Location

  • 1801 CHUKKA HINA

    DURANT, OK 747017117

    Phone: (580) 920-2100

    Type: Mailing

  • 1 CHOCTAW WAY

    TALIHINA, OK 745712022

    Phone: (918) 567-7000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: ABBVIE INC. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$18
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: 2020-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200810001684IFamily PracticeTXTBD
I20201209003273IFamily PracticeOKTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes17471$0
99213Established patient office or other outpatient visit, 20-29 minutes7356$0
99283Emergency department visit with low level of medical decision making2121$0
99284Emergency department visit with moderate level of medical decision making1413$0
99282Emergency department visit with straightforward medical decision making1212$0
View full utilization report →

Insurance plans in this area (ZIP 74571)

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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: 0648612341View full group profile
NameSpecialtyState
Family Practice, Peripheral Vascular DiseaseTX
Family PracticeTX
Emergency MedicineOH
Emergency MedicineTX
Family PracticeOK
Family Practice, Emergency MedicineOK
Family PracticeOK
Family PracticeOK
Nurse PractitionerOK
Family PracticeTX

Reviews

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Frequently asked questions

Is DR. DUSTIN WAYNE DAVIS (D.O.) listed with a National Provider Identifier?
Yes — DR. DUSTIN WAYNE DAVIS (D.O.) has NPI 1992155626 on file in the registry.
Is DR. DUSTIN WAYNE DAVIS (D.O.) shown as active in public data?
Registry records indicate DR. DUSTIN WAYNE DAVIS (D.O.) maintains an active NPI.
How would a patient describe DR. DUSTIN WAYNE DAVIS (D.O.)'s focus?
For DR. DUSTIN WAYNE DAVIS (D.O.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. DUSTIN WAYNE DAVIS (D.O.)?
Directory geography for DR. DUSTIN WAYNE DAVIS (D.O.) centers on Talihina, Oklahoma.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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