DR. CHARLES REESE DAVIS (M.D.) – Surgery Physician, NPI 1326136565

DR. CHARLES REESE DAVIS (M.D.) is a healthcare provider. based in Sandy, Utah. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 241883 (NY). The NPI Number for DR. CHARLES REESE DAVIS (M.D.) is 1326136565

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES REESE DAVIS (M.D.)
NPI
1326136565
Phone
(801) 566-3062
Address
10011 CENTENNIAL PKWY
Enumeration Date
11 October 2006
Last Update Date
25 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8019653600
Graduation Year
2000 (26 years ago)
PAC ID
5890887368
Group Practice PAC ID
3476465691
Professional Enrollment ID
I20070829000038
Address ID
UT841193602WE2965X3500300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

238 GENERAL SURGERY in UT

Provider Addresses for DR. CHARLES REESE DAVIS (M.D.)

  • 10011, Centennial Parkway, Shops at South Town, Sandy, Salt Lake County, Utah, 84070, United States

    SUITE 150

    SANDY, UT 840704156

    Phone: (801) 566-3062

    Fax: (801) 545-8495

    Type: Mailing

  • PO BOX 70629

    SALT LAKE CITY, UT 841700629

    Phone: (801) 965-3600

    Type: Mailing

  • 4252 S HIGHLAND DR STE 200

    HOLLADAY, UT 841242690

    Phone: (801) 965-3600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: PFIZER INC. ($33).

Total Amount

$60

General + Research + Ownership

Payments

3

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-08-29

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
I20070829000038IGeneral SurgeryUTTBD

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 minutes3737$0
99204New patient office or other outpatient visit, 45-59 minutes2020$0
49650Repair of groin hernia using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 84070)

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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: 3476465691View full group profile
NameSpecialtyState
Nurse PractitionerUT
U R O L O G YUT
-UT
Pain ManagementUT
Physician AssistantUT
-UT
Sports Medicine, Family PracticeUT
-UT
Family PracticeUT
Internal MedicineUT

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Frequently asked questions

What unique ID ties claims to DR. CHARLES REESE DAVIS (M.D.)?
NPI 1326136565 is assigned to DR. CHARLES REESE DAVIS (M.D.) under the national enumeration system.
Is DR. CHARLES REESE DAVIS (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. CHARLES REESE DAVIS (M.D.) treat or focus on?
Patients typically see DR. CHARLES REESE DAVIS (M.D.) under the specialty Surgery Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. CHARLES REESE DAVIS (M.D.)?
The page summarizes Sandy, Utah for DR. CHARLES REESE DAVIS (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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