Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083618615 Individual Practitioner Male Practitioner

Dr. Mark L Davis , DO

Orthopaedic Surgery • Kingman, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Davis, DO is a certified Orthopaedic Surgery practicing in Kingman, AZ. With approximately 31 years of clinical experience since graduating from Michigan State University College Of Osteopathic Medicine in 1995, Dr. Davis delivers high-quality medical care to the local community at 1739 E BEVERLY AVE STE 102.

Dr. Davis is affiliated with Marlette Regional Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1739 E Beverly Ave Ste 102

Kingman, AZ 864093593

Telephone 9286818693
Fax 9286818694
Associated Practice Facility / Clinic
🏢 Kingman Healthcare, Inc Facility NPI 1265423917

Medicare Profile & Education

Medical School

Michigan State University College Of Osteopathic Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Kingman, AZ

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
31 Yrs -4.3 yrs vs City Avg
City Avg: 35.3 Yrs
State Avg: 26.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Kingman, AZ (501 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
77.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Davis (31 Years) 31 Yrs
Kingman Specialty Average (35.3 Years) 35.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
284 27 $6.00 $1.04
99213 Established patient office or other outpatient visit, typically 15 minutes
58 45 $297.00 $86.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
40 37 $438.00 $124.19
20610 Aspiration and/or injection of fluid from large joint
34 28 $269.88 $64.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
22 22 $557.00 $126.59
27447 Replacement of knee joint, both sides of knee
22 21 $5633.00 $1246.24

Medical Specialties & State Licenses

CMS Verified: 2022-04-11
Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License AZ 007480

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License MI 5101012747

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4837808 (MI)
Commercial Insurance / Payer ID Bcbs Mi
200C313650 (MI)
Commercial Insurance / Payer ID Bluecare Network
200C31650 (MI)
Commercial Insurance / Payer ID Tricare
300040412 (MI)
Commercial Insurance / Payer ID Physicians Health Plan
200000001852 (MI)
Commercial Insurance / Payer ID Blue Shield
2053302675 (MI)

Hospital & Practice Group Affiliations

Marlette Regional Hospital

2770 Main St, Marlette, MI 484531141

Phone: 9896354000

Marlette Regional Hospital

2750 Main St, Marlette, MI 484531100

Phone: 9896354050

Secondary Practice Locations

1515 Lake Lansing Rd, Suite B1

Lansing, MI 489123753

Phone: 5173713407

110 Beech St Ste B

Tawas City, MI 487638314

Phone: 9893629859

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Craig Ono , MD

Orthopaedic Surgery

NPI 1457329955

Doctor of Medicine (M.D.)

Kaylee Herrero , PA

Physician Assistant

NPI 1598243149

Physician Assistant

Dr. Stan Allen , DO

Orthopaedic Surgery

NPI 1629043740

Doctor of Osteopathic Medicine (D.O.)

Maryssa Del Monaco , PA

Physician Assistant

NPI 1891653804

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events
📍
Updated Practice Location April 11, 2022

Registered at 1739 E BEVERLY AVE STE 102, KINGMAN, AZ 864093593 (Tel: 9286818693)

📍
Updated Business Mailing Address April 11, 2022

Registered at 3269 N STOCKTON HILL RD, KINGMAN, AZ 864093619 (Tel: 9287572101)

NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2018

Registered at 110 BEECH ST STE B, TAWAS CITY, MI 487638314 (Tel: 9893629859)

📍
Updated Business Mailing Address March 17, 2018

Registered at 1515 LAKE LANSING RD, SUITE B1, LANSING, MI 489123753 (Tel: (517) 371-3407)

👤
Provider Name / Credentials Updated March 17, 2018

Recorded as MARK DAVIS, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Orthopaedic Surgery (License #5101012747 in MI)

NPI Profile Active August 02, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2017

Registered at 110 BEECH ST STE B, TAWAS CITY, MI 487638314 (Tel: 9893629859)

📍
Updated Business Mailing Address August 02, 2017

Registered at 1515 LAKE LANSING RD, SUITE B1, LANSING, MI 489123753 (Tel: (517) 371-3407)

👤
Provider Name / Credentials Updated August 02, 2017

Recorded as MARK DAVIS, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2017

Orthopaedic Surgery (License #5101012747 in MI)

NPI Profile Active January 26, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 26, 2015

Registered at 1515 LAKE LANSING RD, SUITE B1, LANSING, MI 489123753 (Tel: 5173713407)

📍
Updated Business Mailing Address January 26, 2015

Registered at 1515 LAKE LANSING RD, SUITE B1, LANSING, MI 489123753 (Tel: 5173713407)

👤
Provider Name / Credentials Updated January 26, 2015

Recorded as MARK DAVIS, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2015

Orthopaedic Surgery (License #5101012747 in MI)

🟢
Initial NPI Registration & Enumeration June 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083618615
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2005
Last Update: April 11, 2022
Sole Proprietor: Yes

Mailing Address

3269 N Stockton Hill Rd

Kingman, AZ 864093619

Phone: 9287572101

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.