KENT MATTHEW DAVIS (MD) – Geriatric Medicine (Internal Medicine) Physician, NPI 1548259179

KENT MATTHEW DAVIS (MD) is a healthcare provider. based in Longview, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. H5863 (TX). The NPI Number for KENT MATTHEW DAVIS (MD) is 1548259179

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
KENT MATTHEW DAVIS (MD)
NPI
1548259179
Phone
(903) 315-5600
Address
701 E Marshall Ave Ste 400
Enumeration Date
17 October 2005
Last Update Date
11 September 2023

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
-
Graduation Year
1982 (44 years ago)
PAC ID
1759420201
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20091123000570
Address ID
TX752846098DAPOXXXBOXX201
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

Provider Addresses for KENT MATTHEW DAVIS (MD)

  • 701 E Marshall Ave Ste 400

    Longview, TX 756015595

    Phone: (903) 315-5600

    Type: Location

  • 8288 S Broadway Ave

    Tyler, TX 75703

    Phone: (903) 606-7060

    Type: Location

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752846098

    Phone: (903) 324-6400

    Type: Mailing

  • South Broadway Avenue, Tyler, Smith County, Texas, 75703, United States

    TYLER, TX 75703

    Phone: (903) 606-7060

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $447.

Total Amount is formed as General ($447) + Research ($0) + Ownership ($0) = $447.

Last reported payment date: 2024-08-10 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($196).

Total Amount

$447

General + Research + Ownership

Payments

6

Total payment records

General Amount

$447

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-10

Latest reported date

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: 2009-11-23

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
I20091123000570IInternal 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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes684207$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes395308$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes226119$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 75601)

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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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

Reviews

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Frequently asked questions

Can I use this page to confirm KENT MATTHEW DAVIS (MD)'s NPI?
Yes. KENT MATTHEW DAVIS (MD) is listed with NPI 1548259179 in the public NPI dataset.
Is KENT MATTHEW DAVIS (MD) still practicing?
KENT MATTHEW DAVIS (MD) is currently listed as active in the public NPI registry.
What healthcare role does KENT MATTHEW DAVIS (MD) hold?
Scheduling teams often label KENT MATTHEW DAVIS (MD) under Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where should I expect KENT MATTHEW DAVIS (MD) on a map?
Expect Longview, Texas as a primary anchor for KENT MATTHEW DAVIS (MD) unless the record lists multiple sites.
Is the information about KENT MATTHEW DAVIS (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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