DAVID L DAVIS-BOOZER (MD) – Family Medicine Physician, NPI 1912330861

DAVID L DAVIS-BOOZER (MD) is a healthcare provider. based in Richland, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. A191430 (CA). The NPI Number for DAVID L DAVIS-BOOZER (MD) is 1912330861

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DAVID L DAVIS-BOOZER (MD)
NPI
1912330861
Phone
Not provided
Address
550 GAGE BLVD STE 101
Enumeration Date
14 August 2013
Last Update Date
17 May 2024

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3103766262
Graduation Year
2018 (8 years ago)
PAC ID
7517217276
Group Practice PAC ID
5991609737
Professional Enrollment ID
I20240122003106
Address ID
CA902665929MA1010XBLVD400
Telehealth
Yes

Contacts

Secure Messaging
dboozer1109598@oc.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

4,141 FAMILY PRACTICE in WA

Provider Addresses for DAVID L DAVIS-BOOZER (MD)

  • 550 GAGE BLVD STE 101

    RICHLAND, WA 993529532

    Phone:

    Type: Mailing

  • 940 NORTHGATE DR

    RICHLAND, WA 99352

    Phone: (509) 942-2516

    Fax: (509) 942-3218

    Type: Location

  • 5100 W GOLDLEAF CIR STE 200

    LOS ANGELES, CA 900561271

    Phone: (323) 293-7171

    Fax: (310) 348-3716

    Type: Mailing

  • PO BOX 3158

    PORTLAND, OR 972083158

    Phone: (503) 215-6494

    Type: Mailing

  • 29345 SW TOWN CENTER LOOP E STE 110

    WILSONVILLE, OR 970708486

    Phone: (503) 582-2100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-01-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210604002313IFamily PracticeORTBD
I20240122003106IFamily PracticeCATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes132104$0
99214Established patient office or other outpatient visit, 30-39 minutes131103$0
96127Assessment of emotional or behavioral problems1911$0
99204New patient office or other outpatient visit, 45-59 minutes1919$0
83036Hemoglobin a1c level1715$0
View full utilization report →

Insurance plans in this area (ZIP 99352)

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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: 5991609737View full group profile
NameSpecialtyState
-CA
Infectious Disease, Internal MedicineCA
N E U R O L O G YCA
-CA
Internal MedicineCA
Nurse PractitionerCA
-CA
Rheumatology, Internal MedicineCA
H O S P I T A L I S TNY
O B S T E T R I C S/ G Y N E C O L O G YCA

Reviews

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Frequently asked questions

What is the registry number for DAVID L DAVIS-BOOZER (MD)?
The registry entry for DAVID L DAVIS-BOOZER (MD) shows NPI 1912330861.
Is DAVID L DAVIS-BOOZER (MD) currently accepting referrals based on NPI status?
Registry metadata lists DAVID L DAVIS-BOOZER (MD) as active.
How should patients interpret DAVID L DAVIS-BOOZER (MD)'s specialty?
The extract shows Family Medicine Physician for DAVID L DAVIS-BOOZER (MD). Clinical services aligned with this taxonomy classification.
Which community is linked to DAVID L DAVIS-BOOZER (MD)?
DAVID L DAVIS-BOOZER (MD) shows a connection to Richland, Washington in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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