DR. WILLIAM TYLER DAVIS (M.D.) – Emergency Medicine Physician, NPI 1043699697

DR. WILLIAM TYLER DAVIS (M.D.) is a healthcare provider. based in Jbsa ft sam houston, Texas. specializing in EMERGENCY MEDICINE, GENERAL PRACTICE. They hold the professional credentials M.D.. They hold a License No. R8881 (TX). The NPI Number for DR. WILLIAM TYLER DAVIS (M.D.) is 1043699697

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM TYLER DAVIS (M.D.)
NPI
1043699697
Phone
(210) 916-5512
Address
3551 ROGER BROOKE DR
Enumeration Date
28 May 2015
Last Update Date
26 December 2022

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8303343617
Graduation Year
2015 (11 years ago)
PAC ID
4284979949
Group Practice PAC ID
7810117223
Professional Enrollment ID
I20181227001500
Address ID
TX780616601PE200XX35XX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

4,051 EMERGENCY MEDICINE in TX

Provider Addresses for DR. WILLIAM TYLER DAVIS (M.D.)

  • 3551 ROGER BROOKE DR

    JBSA FT SAM HOUSTON, TX 782344504

    Phone: (210) 916-5512

    Type: Mailing

  • 2200 BERGQUIST DR STE 1

    WHMC/GE-2200

    JBSA LACKLAND AFB, TX 782365300

    Phone: (210) 916-5545

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-12-27

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
I20181227001500IEmergency MedicineTXTBD

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
99284Emergency department visit with moderate level of medical decision making1717$0
View full utilization report →

Insurance plans in this area (ZIP 78234)

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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: 7810117223View full group profile

Reviews

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Frequently asked questions

Does DR. WILLIAM TYLER DAVIS (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. WILLIAM TYLER DAVIS (M.D.) uses 1043699697.
Does the file indicate DR. WILLIAM TYLER DAVIS (M.D.) is practicing under active NPI?
Directory data currently reports DR. WILLIAM TYLER DAVIS (M.D.) as active.
What is DR. WILLIAM TYLER DAVIS (M.D.)'s primary classification?
Emergency Medicine Physician is the headline specialty for DR. WILLIAM TYLER DAVIS (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does DR. WILLIAM TYLER DAVIS (M.D.) serve?
DR. WILLIAM TYLER DAVIS (M.D.)'s listing highlights Jbsa Ft Sam Houston, Texas; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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