RICHARD S DAVIDSON (M.D.) – Orthopaedic Surgery Physician, NPI 1104847789

RICHARD S DAVIDSON (M.D.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. MD026953E (PA). The NPI Number for RICHARD S DAVIDSON (M.D.) is 1104847789

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD S DAVIDSON (M.D.)
NPI
1104847789
Phone
(267) 425-9538
Address
100 E PENN SQ
Enumeration Date
21 July 2006
Last Update Date
13 March 2013

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2674259505
Graduation Year
1976 (50 years ago)
PAC ID
3274602438
Group Practice PAC ID
9739083494
Professional Enrollment ID
I20080514000755
Address ID
PA191044319PH3401XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,620 ORTHOPEDIC SURGERY in PA

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Provider Addresses for RICHARD S DAVIDSON (M.D.)

  • 100, East Penn Square, Philadelphia, Philadelphia County, Pennsylvania, 19107, United States

    THE WANAMAKER BUILDING 9TH FL

    PHILADELPHIA, PA 191073323

    Phone: (267) 425-9538

    Fax: (267) 425-9552

    Type: Mailing

  • Civic Center Boulevard, West Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States

    CHILDREN'S HOSPITAL OF PHILADELPHIA

    PHILADELPHIA, PA 191044306

    Phone: (215) 590-1527

    Fax: (215) 590-1501

    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 $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-06-03 • Largest payer in this snapshot: Paladin Technology Solutions ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-03

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: 2008-05-14

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
I20080514000755IOrthopedic SurgeryPATBD

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 19107)

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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: 9739083494View full group profile
NameSpecialtyState
Orthopedic SurgeryPA
-PA
-PA
Sports MedicinePA
General SurgeryPA
O P H T H A L M O L O G YNJ
General SurgeryPA
Nurse PractitionerPA
Thoracic SurgeryPA
-PA

Reviews

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Frequently asked questions

Can I cross-check RICHARD S DAVIDSON (M.D.) using NPI 1104847789?
NPI 1104847789 belongs to RICHARD S DAVIDSON (M.D.); compare other details if you need extra assurance.
Would RICHARD S DAVIDSON (M.D.) appear as active to a payer?
You can treat RICHARD S DAVIDSON (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to RICHARD S DAVIDSON (M.D.)?
RICHARD S DAVIDSON (M.D.)'s specialty line reads Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is RICHARD S DAVIDSON (M.D.) associated with Philadelphia?
Public fields place RICHARD S DAVIDSON (M.D.) around Philadelphia, Pennsylvania. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for RICHARD S DAVIDSON (M.D.) is noted as July 21, 2006 where the registry provides it.

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