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Active NPI 1508353954 Individual Practitioner Male Practitioner

Dr. Donald David Davis , MD

Orthopaedic Surgery • Herrin, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Donald Davis, MD is a certified Orthopaedic Surgery practicing in Herrin, IL. With approximately 8 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 2018, Dr. Davis delivers high-quality medical care to the local community at 510 LINCOLN DRIVE.

Dr. Davis maintains professional affiliations with Southern Orthopedic Associates Sc, Novacare Outpatient Rehabilitation East, Inc., Select Physical Therapy Holdings Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of lower and sacral spine, minimum of 4 views, new 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

510 Lincoln Drive

Herrin, IL 62948

Telephone 6189976800
Fax 6189971187
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Herrin, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -14.4 yrs vs City Avg
City Avg: 22.4 Yrs
State Avg: 27.0 Yrs
Regional Practice Density
16 Specialists

Practicing in Herrin, IL (1064 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
81.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Davis (8 Years) 8 Yrs
Herrin Specialty Average (22.4 Years) 22.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
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
43 37 $421.53 $123.60
72110 X-ray of lower and sacral spine, minimum of 4 views
39 35 $230.00 $47.66
99213 Established patient office or other outpatient visit, typically 15 minutes
32 30 $299.91 $87.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
15 15 $375.00 $107.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
13 12 $581.92 $176.83
72148 MRI scan of lower spinal canal
11 11 $1900.00 $114.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
11 11 $453.00 $126.94

Medical Specialties & State Licenses

CMS Verified: 2024-01-19
Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IL 36171395

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 WA MD61380951

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
2254777 (WA)

Hospital & Practice Group Affiliations

Select Physical Therapy Holdings Inc

1104 W Main St, Benton, IL 628121565

Phone: 6184393399

Southern Orthopedic Associates Sc

510 Lincoln Dr, Herrin, IL 629486334

Phone: 6189976800

Novacare Outpatient Rehabilitation East, Inc.

1012 Water St, Meadville, PA 163353468

Phone: 8143372345

Select Physical Therapy Holdings Inc

326 E Main St, West Frankfort, IL 628962402

Phone: 6189376200

Practice Associates & Co-Workers

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

40 Associated Practitioners
John Nugent , PA-C

Physician Assistant

NPI 1033224654

Physician Assistant (Certified)

Dr. John Davis , MD

Orthopaedic Surgery

NPI 1063436756

Doctor of Medicine (M.D.)

Dr. James Davis , MD

Orthopaedic Surgery

NPI 1063516797

Doctor of Medicine (M.D.)

Jared Jones

Physical Therapist

NPI 1093486011
Dr. John Wood , MD

Orthopaedic Surgery

NPI 1154425882

Doctor of Medicine (M.D.)

Hollis Clark , PA-C

Physician Assistant

NPI 1154659894

Physician Assistant (Certified)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location December 10, 2024

Registered at 510 LINCOLN DRIVE, HERRIN, IL 62948 (Tel: 6189976800)

📍
Updated Business Mailing Address December 10, 2024

Registered at 510 LINCOLN DRIVE, HERRIN, IL 62948 (Tel: 6189976800)

📍
Updated Practice Location January 19, 2024

Registered at 550 17TH AVE FL 5, SEATTLE, WA 981225788 (Tel: 2063202800)

📍
Updated Business Mailing Address January 19, 2024

Registered at PO BOX 25608, SALT LAKE CITY, UT 841250608 (Tel: 2063204476)

👤
Provider Name / Credentials Updated January 19, 2024

Recorded as DONALD DAVIS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2024

Orthopaedic Surgery (License #MD61380951 in WA)

NPI Profile Active April 20, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 20, 2018

Registered at DEPARTMENT OF ORTHOPEDICS, 303 PARKWAY DRIVE, NE, 4TH FL., ATLANTA, GA 30312 (Tel: 4042651579)

📍
Updated Business Mailing Address April 20, 2018

Registered at DEPARTMENT OF ORTHOPEDICS, 303 PARKWAY DRIVE, NE, 4TH FL., ATLANTA, GA 30312

👤
Provider Name / Credentials Updated April 20, 2018

Recorded as DONALD DAVIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 20, 2018

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: 1508353954
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2018
Last Update: December 10, 2024
Sole Proprietor: Yes

Mailing Address

510 Lincoln Drive

Herrin, IL 62948

Phone: 6189976800

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.