DR. DONALD D JR. DAVENPORT (D.O.) – Surgery Physician, NPI 1982608964

DR. DONALD D JR. DAVENPORT (D.O.) is a healthcare provider. based in Odessa, Texas. specializing in GENERAL SURGERY. They hold the professional credentials D.O.. They hold a License No. L0118 (TX). The NPI Number for DR. DONALD D JR. DAVENPORT (D.O.) is 1982608964

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. DONALD D JR. DAVENPORT (D.O.)
NPI
1982608964
Phone
(432) 580-8330
Address
540 W 5TH ST STE 470
Enumeration Date
8 June 2005
Deactivation Date
21 March 2006
Reactivation Date
28 March 2006
Last Update Date
11 October 2007

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4325808330
Graduation Year
1995 (31 years ago)
PAC ID
1153371018
Professional Enrollment ID
I20050127000956
Address ID
TX797615070OD540XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,644 GENERAL SURGERY in TX

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Provider Addresses for DR. DONALD D JR. DAVENPORT (D.O.)

  • West 5th Street, Rochester Heights, Odessa, Ector County, Texas, 79763, United States

    ODESSA, TX 797615070

    Phone: (432) 580-8330

    Fax: (432) 580-8333

    Type: Mailing

  • H-E-B Pharmacy, 540, West 5th Street, Scharbauer Place, Westside, Odessa, Ector County, Texas, 79761, United States

    STE 470

    ODESSA, TX 797615070

    Phone: (432) 580-8330

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $2,590.

Total Amount is formed as General ($2,590) + Research ($0) + Ownership ($0) = $2,590.

Last reported payment date: 2024-08-26 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($1,133).

Total Amount

$2,590

General + Research + Ownership

Payments

20

Total payment records

General Amount

$2,590

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-26

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: 2005-01-27

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
I20050127000956IGeneral SurgeryTXTBD

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
99203New patient office or other outpatient visit, 30-44 minutes5252$0
99213Established patient office or other outpatient visit, 20-29 minutes4532$0
99214Established patient office or other outpatient visit, 30-39 minutes3221$0
99204New patient office or other outpatient visit, 45-59 minutes2626$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2613$0
View full utilization report →

Insurance plans in this area (ZIP 79761)

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Reviews

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Frequently asked questions

Does DR. DONALD D JR. DAVENPORT (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. DONALD D JR. DAVENPORT (D.O.) uses 1982608964.
Can I rely on DR. DONALD D JR. DAVENPORT (D.O.) being an active provider?
As of the registry snapshot, DR. DONALD D JR. DAVENPORT (D.O.) is marked active.
What taxonomy line describes DR. DONALD D JR. DAVENPORT (D.O.)?
For research purposes, treat DR. DONALD D JR. DAVENPORT (D.O.) as Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. DONALD D JR. DAVENPORT (D.O.) based?
DR. DONALD D JR. DAVENPORT (D.O.) is tied to Odessa, Texas in the data we show; additional addresses may exist on the full record.
Is the information about DR. DONALD D JR. DAVENPORT (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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