DR. ANDREW DAVIS (M.D.) – Retina Specialist (Ophthalmology) Physician, NPI 1922012582
Retina Specialist (Ophthalmology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
466 OPHTHALMOLOGY in WA
Provider Addresses for DR. ANDREW DAVIS (M.D.)
9040A FITZSIMMONS ST
TACOMA, WA 984332010
Phone: (253) 968-1760
Fax: (253) 968-1451
Type: Mailing
2376 N 400 E Ste 100
Tooele, UT 840743413
Phone: (801) 260-0034
Fax: (801) 260-0035
Type: Location
3465 South 4155 West, Ste 4
West Valley, UT 84120
Phone: (801) 260-0034
Fax: (801) 260-0335
Type: Location
75 ENTERPRISE STE 200
ALISO VIEJO, CA 926562626
Phone: (949) 688-6205
Type: Mailing
3855 W 7800 S STE 100
WEST JORDAN, UT 840885561
Phone: (801) 260-0034
Fax: (801) 260-0035
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 48 Open Payments records for all available years, with a total value of $3,102.
Total Amount is formed as General ($3,102) + Research ($0) + Ownership ($0) = $3,102.
Last reported payment date: 2024-11-16 • Largest payer in this snapshot: EyePoint Pharmaceuticals US, Inc. ($2,108).
Total Amount
$3,102
General + Research + Ownership
Payments
48
Total payment records
General Amount
$3,102
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2015-05-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150526002108 | I | Ophthalmology | UT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J2777 | Injection, faricimab-svoa, 0.1 mg | 13,020 | 32 | $0 |
| J2778 | Injection, ranibizumab, 0.1 mg | 4,859 | 142 | $0 |
| 67028 | Injection of drug into eye | 1,627 | 237 | $0 |
| 92134 | Imaging of retina | 1,406 | 291 | $0 |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 960 | 30 | $0 |
Insurance plans in this area (ZIP 98433)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | UT | |
| O P H T H A L M O L O G Y | UT | |
| O P H T H A L M O L O G Y | UT |
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