BRIAN R DAVIS (MD) – Ophthalmology Physician, NPI 1679583470

BRIAN R DAVIS (MD) is a healthcare provider. based in South jordan, Utah. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 172302-1205 (UT). The NPI Number for BRIAN R DAVIS (MD) is 1679583470

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN R DAVIS (MD)
NPI
1679583470
Phone
(801) 253-3080
Address
1325 W SOUTH JORDAN PKWY
Enumeration Date
8 August 2006
Last Update Date
30 June 2009

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
9739092255
Group Practice PAC ID
0446388805
Professional Enrollment ID
I20040123000246
Address ID
UT840959060SO1325XPKWY501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

214 OPHTHALMOLOGY in UT

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Provider Addresses for BRIAN R DAVIS (MD)

  • 1325, West South Jordan Parkway, Chattel Number 5, South Jordan, Salt Lake County, Utah, 84095, United States

    SUITE 103

    SOUTH JORDAN, UT 840959060

    Phone: (801) 253-3080

    Fax: (801) 253-0772

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $476.

Total Amount is formed as General ($476) + Research ($0) + Ownership ($0) = $476.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($180).

Total Amount

$476

General + Research + Ownership

Payments

18

Total payment records

General Amount

$476

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2004-01-23

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
I20040123000246IOphthalmologyUTTBD

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
92012Established patient problem focused exam of visual system6549$0
92136Measurement of corneal curvature and depth of eye5227$0
92014Established patient complete exam of visual system4444$0
92250Photography of the retina3939$0
99214Established patient office or other outpatient visit, 30-39 minutes3937$0
View full utilization report →

Insurance plans in this area (ZIP 84095)

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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: 0446388805View full group profile
NameSpecialtyState
O P H T H A L M O L O G YNV
O P T O M E T R YUT
O P T O M E T R YUT

Reviews

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Frequently asked questions

What is the standard ID for BRIAN R DAVIS (MD) in the U.S.?
In the U.S., BRIAN R DAVIS (MD) is identified by NPI 1679583470.
Is BRIAN R DAVIS (MD)'s NPI status active today?
Active status means BRIAN R DAVIS (MD)'s NPI record is not deactivated in the public file.
What type of care does BRIAN R DAVIS (MD) provide?
BRIAN R DAVIS (MD)'s profile centers on Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Is BRIAN R DAVIS (MD) tied to South Jordan, Utah?
If you are local to South Jordan, Utah, BRIAN R DAVIS (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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