MR. JASON ORRIN DAVIS (PA-C) – Physician Assistant, NPI 1134400385
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,672 PHYSICIAN ASSISTANT in WI
Provider Addresses for MR. JASON ORRIN DAVIS (PA-C)
5982 MARIBEL RD
DENMARK, WI 542088901
Phone: (401) 480-1993
Type: Mailing
2021 S WEBSTER AVE
GREEN BAY, WI 543012257
Phone: (920) 965-0345
Fax: (920) 273-6011
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: 2015-08-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130129000328 | I | Physician Assistant | WI | TBD |
| I20150810000402 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 341 | 40 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 165 | 111 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 75 | 53 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 51 | 45 | $0 |
| 13101 | Complicated repair of wound of trunk, 2.6-7.5 cm | 40 | 37 | $0 |
Insurance plans in this area (ZIP 54208)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WI | |
| - | WI | |
| Physician Assistant | WI | |
| Physician Assistant | WI | |
| Physician Assistant | WI | |
| Physician Assistant | MI | |
| Physician Assistant | WI | |
| Physician Assistant | WI | |
| Physician Assistant | WI | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | WI |
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