JERRY A DAVIS (MD) – Neurological Surgery Physician, NPI 1760487573

JERRY A DAVIS (MD) is a healthcare provider. based in La crosse, Wisconsin. specializing in NEUROSURGERY. They hold the professional credentials MD. They hold a License No. 39878 (WI). The NPI Number for JERRY A DAVIS (MD) is 1760487573

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
JERRY A DAVIS (MD)
NPI
1760487573
Phone
(608) 782-7300
Address
1836 SOUTH AVE
Enumeration Date
17 June 2005
Last Update Date
10 February 2014

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
6087827300
Graduation Year
1992 (34 years ago)
PAC ID
0042262313
Group Practice PAC ID
2163331414
Professional Enrollment ID
I20050215000394
Address ID
WI546015467LA1910XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

156 NEUROSURGERY in WI

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Provider Addresses for JERRY A DAVIS (MD)

  • 1836, South Avenue, La Crosse, La Crosse County, Wisconsin, 54601, United States

    LA CROSSE, WI 546015429

    Phone: (608) 782-7300

    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)

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: 2009-11-19

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
I20050215000394INeurosurgeryWITBD
I20091119000687INeurosurgeryMNTBD

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
99204New patient office or other outpatient visit, 45-59 minutes4242$0
99203New patient office or other outpatient visit, 30-44 minutes3838$0
99214Established patient office or other outpatient visit, 30-39 minutes3833$0
61783Computer-assisted spinal procedure1515$0
63047Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment1414$0
View full utilization report →

Insurance plans in this area (ZIP 54601)

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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: 2163331414View full group profile
NameSpecialtyState
-WI
P S Y C H I A T R YWI
Physician AssistantWI
-WI
-WI
Family PracticeWI
Nurse PractitionerWI
-IL
-WI
Gastroenterology, Internal MedicineWI

Reviews

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Frequently asked questions

What number should I use to identify JERRY A DAVIS (MD) for billing?
Administrative and clinical systems typically use NPI 1760487573 for JERRY A DAVIS (MD).
Quick check: is JERRY A DAVIS (MD) active?
Public NPPES data shows JERRY A DAVIS (MD) with an active NPI status right now.
Which specialty label fits JERRY A DAVIS (MD)?
NPPES ties JERRY A DAVIS (MD) to Neurological Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JERRY A DAVIS (MD)?
JERRY A DAVIS (MD) is associated with La Crosse, Wisconsin in the same public data insurers reference.
Why is information missing for JERRY A DAVIS (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.