DR. KENDRA M DAVIS (MD) – Family Medicine Physician, NPI 1669433470

DR. KENDRA M DAVIS (MD) is a healthcare provider. based in Newport, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD069404L (PA). The NPI Number for DR. KENDRA M DAVIS (MD) is 1669433470

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENDRA M DAVIS (MD)
NPI
1669433470
Phone
(717) 567-3174
Address
300 BRETZ CT STE 100
Enumeration Date
31 March 2006
Last Update Date
23 January 2021

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7175673174
Graduation Year
1996 (30 years ago)
PAC ID
9032016696
Group Practice PAC ID
7618960493
Professional Enrollment ID
I20031212000845
Address ID
PA170748614NE300XXCTXX300
Telehealth
Yes

Contacts

Secure Messaging
kdavis6807@phsdirect.pinnaclehealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

6,103 FAMILY PRACTICE in PA

Provider Addresses for DR. KENDRA M DAVIS (MD)

  • 300 BRETZ CT STE 100

    NEWPORT, PA 170748615

    Phone: (717) 567-3174

    Fax: (717) 703-0018

    Mailing address matches the actual address.

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 $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Smith+Nephew, Inc. ($44).

Total Amount

$44

General + Research + Ownership

Payments

1

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$44
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: 2003-12-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031212000845IFamily PracticePATBD

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 minutes519215$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit167167$0
G0444Annual depression screening, 5 to 15 minutes160160$0
99213Established patient office or other outpatient visit, 20-29 minutes11695$0
96372Injection of drug or substance under skin or into muscle10625$0
View full utilization report →

Insurance plans in this area (ZIP 17074)

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Provider's Procedures

DR. KENDRA M DAVIS (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEPA90670Pneumococcal vaccine for injection into muscle3535

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: 7618960493View full group profile
NameSpecialtyState
Nurse PractitionerPA
Family PracticePA
-PA
Nurse PractitionerPA
-PA
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YPA
-TN
Hospitalist, Internal MedicinePA
Internal MedicinePA

Reviews

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Frequently asked questions

What federal number belongs to DR. KENDRA M DAVIS (MD)?
The federal identifier for DR. KENDRA M DAVIS (MD) is NPI 1669433470.
Is DR. KENDRA M DAVIS (MD)'s NPI currently valid?
The extract we use shows DR. KENDRA M DAVIS (MD) as active.
Does DR. KENDRA M DAVIS (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. KENDRA M DAVIS (MD). Clinical services aligned with this taxonomy classification.
Does DR. KENDRA M DAVIS (MD) practice in Pennsylvania?
You will see Newport, Pennsylvania on file for DR. KENDRA M DAVIS (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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