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Active NPI 1023304821 Individual Practitioner Male Practitioner

Mark Davis , PA-C

Physician Assistant • Pueblo, CO

Professional Overview & Biography Verified Profile Summary

Mark Davis, PA-C is a registered healthcare professional specializing in Physician Assistant in Pueblo, CO. Practice services are available at 902 LAKEVIEW AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

902 Lakeview Ave

Pueblo, CO 810043597

Telephone 7195575855
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Pueblo, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.3 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
61 Specialists

Practicing in Pueblo, CO (3810 Statewide)

Telehealth Adoption Rate
8.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
75 63 $226.00 $91.53

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CO 3209

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Madison Bassett

Student in an Organized Health Care Education/Training Program

NPI 1033903703
Rebecka Reatherford , AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1053895532

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Tiffany Garcia , FNP

Nurse Practitioner - Family

NPI 1154203172

Family Nurse Practitioner

NPI 1154586832

Doctor of Osteopathic Medicine (D.O.)

NPI 1164656542

Doctor of Medicine (M.D.)

John De Villa , FNP-BC

Nurse Practitioner - Family

NPI 1205474210

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 21, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2011

Registered at 902 LAKEVIEW AVE, PUEBLO, CO 810043597 (Tel: 7195575855)

📍
Updated Business Mailing Address June 21, 2011

Registered at 902 LAKEVIEW AVE, PUEBLO, CO 810043597 (Tel: 7195575855)

👤
Provider Name / Credentials Updated June 21, 2011

Recorded as MARK DAVIS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2011

Physician Assistant (License #3209 in CO)

🟢
Initial NPI Registration & Enumeration June 21, 2011

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: 1023304821
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2011
Last Update: June 21, 2011
Sole Proprietor: Yes

Mailing Address

902 Lakeview Ave

Pueblo, CO 810043597

Phone: 7195575855

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.