LAURA J DAVIS (MD) – Allergy Physician, NPI 1083607014

LAURA J DAVIS (MD) is a healthcare provider. based in Vancouver, Washington. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD00043457 (WA). The NPI Number for LAURA J DAVIS (MD) is 1083607014

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
LAURA J DAVIS (MD)
NPI
1083607014
Phone
(360) 695-8553
Address
14508 NE 20TH AVE
Enumeration Date
24 August 2005
Deactivation Date
27 March 2006
Reactivation Date
31 March 2006
Last Update Date
29 February 2008

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
0749240158
Group Practice PAC ID
3779707856
Professional Enrollment ID
I20180531002150
Address ID
CO815018209GR2635XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,056 INTERNAL MEDICINE in WA

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Provider Addresses for LAURA J DAVIS (MD)

  • Northeast 20th Avenue, West Minnehaha, Vancouver, Clark County, Washington, 98663, United States

    #200

    VANCOUVER, WA 986866418

    Phone: (360) 695-8553

    Fax: (360) 737-3713

    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 2 Open Payments records for all available years, with a total value of $49.

Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($49).

Total Amount

$49

General + Research + Ownership

Payments

2

Total payment records

General Amount

$49

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2018-05-31

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
I20180531002150IInternal MedicineCOTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes249113$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes19693$0
99239Hospital discharge day management, more than 30 minutes9999$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6664$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 98686)

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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: 3779707856View full group profile
NameSpecialtyState
-CO
-CO
Cardiovascular Disease (Cardiology)VA
Physician AssistantCO
Physician AssistantWV
-CO
Pulmonary DiseaseGA
Physician AssistantCO
Obstetrics/Gynecology, Osteopathic Manipulative MedicineCO
Physician AssistantCO

Reviews

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Frequently asked questions

What unique ID ties claims to LAURA J DAVIS (MD)?
NPI 1083607014 is assigned to LAURA J DAVIS (MD) under the national enumeration system.
Is LAURA J DAVIS (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize LAURA J DAVIS (MD)'s specialty in plain language?
Clinically, the directory lists LAURA J DAVIS (MD) with Allergy Physician. Clinical services aligned with this taxonomy classification.
Where is LAURA J DAVIS (MD)'s primary listing?
We display Vancouver, Washington because that is what the record indicates for LAURA J DAVIS (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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