MITCHELL DAVIS (PA) – Physician Assistant, NPI 1023721883
Physician Assistant
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for MITCHELL DAVIS (PA)
PO BOX 6095
BEND, OR 977086095
Phone: (541) 706-5922
Fax: (541) 706-6869
Type: Mailing
2500 NE NEFF RD
BEND, OR 977016015
Phone: (541) 382-4321
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $4,471.
Total Amount is formed as General ($4,471) + Research ($0) + Ownership ($0) = $4,471.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Medtronic, Inc. ($4,091).
Total Amount
$4,471
General + Research + Ownership
Payments
29
Total payment records
General Amount
$4,471
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $4,091 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $148 |
| ABIOMED | $107 |
| Getinge USA Sales, LLC | $82 |
| Abbott Laboratories | $24 |
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: 2023-06-12
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 |
|---|---|---|---|---|
| I20230612000470 | I | Physician Assistant | OR | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 99 | 92 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 38 | 35 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 97708)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OR | |
| Orthopedic Surgery | NM | |
| Family Practice | OR | |
| Nurse Practitioner | OR | |
| Hand Surgery | OR | |
| Diagnostic Radiology | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| General Surgery | OR | |
| - | OR |
Reviews
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