Douglas Peter Davidson , PA
Physician Assistant • San Rafael, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Douglas Davidson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Douglas Davidson, PA was a registered Physician Assistant practicing in San Rafael, CA. Throughout an active medical career spanning 1 years, Douglas Davidson provided care at the practice location at 50 ACACIA AVE until profile deactivation on 2022-02-26.
Douglas Davidson maintained professional affiliations with Dignity Health Medical Foundation, Clinic Services Of California Medical Group Inc and accepted Medicare assignment.
Historical Medicare Part B clinical services included established patient outpatient office visit, emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
50 Acacia Ave
San Rafael, CA 949012230
Medicare Profile & Education
Other
2022
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in San Rafael, CA
Practicing in San Rafael, CA (14617 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
41 | 41 | $400.00 | $81.82 |
|
99285
Emergency department visit for life threatening or functioning severity
|
31 | 30 | $1224.00 | $142.90 |
|
99284
Emergency department visit with moderate level of medical decision making
|
23 | 15 | $832.00 | $98.48 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
15 | 15 | $567.00 | $115.18 |
|
87811
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
|
15 | 15 | $207.00 | $40.55 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
14 | 14 | $85.56 | $13.10 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
12 | 12 | $523.00 | $99.97 |
|
81003
Automated urinalysis test
|
12 | 11 | $29.00 | $2.20 |
Medical Specialties & State Licenses
CMS Verified: 2023-03-07NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Hospital & Practice Group Affiliations
Dignity Health Medical Foundation
2081 Bronze Star Dr, Woodland, CA 957765423
Phone: 5306682600
Clinic Services Of California Medical Group Inc
1235 W Vine St, Lodi, CA 952405144
Phone: 2093343411
Dignity Health Medical Foundation
632 W Gibson Rd, Woodland, CA 956955169
Phone: 5306682600
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physician Assistant
ATCOTC
Student in an Organized Health Care Education/Training Program
Physician Assistant
Physician Assistant (Certified)
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Physician Assistant
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Recorded as DOUGLAS DAVIDSON, PA
Registered at 50 ACACIA AVE, SAN RAFAEL, CA 949012230 (Tel: 9518168970)
Registered at 38332 MAPLE CT, MURRIETA, CA 925623406 (Tel: 9518168970)
Recorded as DOUGLAS DAVIDSON, DO
Student in an Organized Health Care Education/Training Program
Record deactivated on February 26, 2022
NPI status registered as active in NPPES database
Registered at 50 ACACIA AVE, SAN RAFAEL, CA 949012230 (Tel: 9518168970)
Registered at 38332 MAPLE CT, MURRIETA, CA 925623406 (Tel: 9518168970)
Recorded as DOUGLAS DAVIDSON, DO
Student in an Organized Health Care Education/Training Program
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
Mailing Address
38332 Maple Ct
Murrieta, CA 925623406
Phone: 9518168970
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