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Active NPI 1265406755 Individual Practitioner Male Practitioner

Dr. Jefferson John Davis , DO

Orthopaedic Surgery • Duluth, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jefferson Davis, DO is a certified Orthopaedic Surgery practicing in Duluth, MN. With approximately 30 years of clinical experience since graduating from Ohio State University College Of Homeopathic Medicine in 1996, Dr. Davis delivers high-quality medical care to the local community at 400 E 3RD ST.

Dr. Davis maintains professional affiliations with Polinsky Medical Rehabilitation Center, The Duluth Clinic Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 E 3rd St

Duluth, MN 558051951

Telephone 2187868364
Associated Practice Facility / Clinic
🏢 The Duluth Clinic, Ltd Facility NPI 1245278209

Medicare Profile & Education

Medical School

Ohio State University College Of Homeopathic Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Duluth, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
30 Yrs +4.9 yrs vs City Avg
City Avg: 25.1 Yrs
State Avg: 22.9 Yrs
Regional Practice Density
29 Specialists

Practicing in Duluth, MN (674 Statewide)

Telehealth Adoption Rate
6.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Davis (30 Years) 30 Yrs
Duluth Specialty Average (25.1 Years) 25.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
39 29 $96.15 $33.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
15 15 $215.80 $91.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
11 11 $344.09 $125.30

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MN 48352

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
258493000 (MN)

Hospital & Practice Group Affiliations

Polinsky Medical Rehabilitation Center

1600 Miller Trunk Hwy, Duluth, MN 558115640

Phone: 2187865360

The Duluth Clinic Ltd

400 E 3rd St, Duluth, MN 558051951

Phone: 2187868364

Polinsky Medical Rehabilitation Center

1600 Miller Trunk Hwy, Duluth, MN 558115640

Phone: 2187865360

Practice Associates & Co-Workers

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

40 Associated Practitioners
Molly Dwyer , APRN, CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003468760

Advanced Practice Registered Nurse, Certified Nurse Practitioner

NPI 1003565292

Doctor of Medicine (M.D.)

Kelsey O'neil , APRN, CNP

Nurse Practitioner - Family

NPI 1003677303

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Annette Barker

Nurse Practitioner - Family

NPI 1003845595
Bruce Derauf

Radiology - Diagnostic Radiology

NPI 1003847385
Nizar Saleh

Internal Medicine - Cardiovascular Disease

NPI 1003857889

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 20, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 20, 2016

Registered at 400 E 3RD ST, DULUTH, MN 558051951 (Tel: 2187868364)

📍
Updated Business Mailing Address May 20, 2016

Registered at 400 E 3RD ST, DULUTH, MN 558051951

👤
Provider Name / Credentials Updated May 20, 2016

Recorded as JEFFERSON DAVIS, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2016

Orthopaedic Surgery (License #48352 in MN)

🟢
Initial NPI Registration & Enumeration February 14, 2006

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: 1265406755
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2006
Last Update: May 20, 2016
Sole Proprietor: No

Mailing Address

400 E 3rd St

Duluth, MN 558051951

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.