KEVIN LEE DAVIS (PA-C) – Physician Assistant, NPI 1750739405
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for KEVIN LEE DAVIS (PA-C)
PO BOX 1118
JUSTIN, TX 762471118
Phone: (940) 648-1402
Type: Mailing
111 W 5TH ST
JUSTIN, TX 762479622
Phone: (940) 648-1402
Fax: (940) 648-1400
Type: Location
111 W 5th St
Justin, TX 76247
Phone: (940) 255-6552
Fax: (940) 202-7058
Type: Location
PO BOX 1500
BRIDGEPORT, TX 764261500
Phone: (940) 255-6552
Fax: (940) 202-7058
Type: Mailing
1703 16TH ST
STE D
BRIDGEPORT, TX 764262179
Phone: (940) 648-1402
Fax: (940) 648-1400
Type: Location
1306 13TH ST
BRIDGEPORT, TX 764262454
Phone: (940) 648-1402
Fax: (940) 648-1400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 75 Open Payments records for all available years, with a total value of $1,970.
Total Amount is formed as General ($1,970) + Research ($0) + Ownership ($0) = $1,970.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: PFIZER INC. ($1,090).
Total Amount
$1,970
General + Research + Ownership
Payments
75
Total payment records
General Amount
$1,970
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2018-12-12
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 |
|---|---|---|---|---|
| I20181212003421 | I | Physician Assistant | TX | 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 | 129 | 58 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 83 | 53 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 17 | 17 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 15 | 12 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 13 | 11 | $0 |
Insurance plans in this area (ZIP 76247)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| C H I R O P R A C T I C | TX | |
| C H I R O P R A C T I C | TX | |
| C H I R O P R A C T I C | TX | |
| Physician Assistant | TX | |
| Family Practice | TX | |
| C H I R O P R A C T I C | TX | |
| C H I R O P R A C T I C | AL | |
| Physician Assistant | GA | |
| C H I R O P R A C T I C | TX |
Reviews
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