Active NPI 1588177109 Individual Practitioner Male Practitioner

Boris Davydov , PA-C

Physician Assistant • Minneapolis, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Boris Davydov, PA-C is a certified Physician Assistant practicing in Minneapolis, MN. With approximately 9 years of clinical experience since graduating from University Of North Dakota School Of Medicine in 2017, Boris Davydov delivers high-quality medical care to the local community at 701 PARK AVE.

Boris Davydov maintains professional affiliations with Hennepin Healthcare System Inc, Consulting Radiologists Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include fine needle aspiration of first lesion using ultrasound guidance, drainage of fluid from abdominal cavity using imaging guidance, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

701 Park Ave

Minneapolis, MN 554151623

Telephone 6128733000

Associated Practice Facility / Clinic

🏢 Hennepin Healthcare System, Inc Facility NPI 1356369524

Medicare Profile & Education

Medical School

University Of North Dakota School Of Medicine

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Minneapolis, MN

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs -1.3 yrs vs City Avg

City Avg: 10.3 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

502 Specialists

Practicing in Minneapolis, MN (4026 Statewide)

Telehealth Adoption Rate

21.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Davydov (9 Years) 9 Yrs

Minneapolis Specialty Average (10.3 Years) 10.3 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
10005 Fine needle aspiration of first lesion using ultrasound guidance	22	22	$229.36	$56.36
49083 Drainage of fluid from abdominal cavity using imaging guidance	21	12	$350.67	$82.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	12	$205.00	$63.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$485.00	$104.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	22	$113.00	$38.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$466.00	$107.44
10005 Fine needle aspiration of first lesion using ultrasound guidance	13	13	$223.00	$59.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	11	$212.82	$65.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
49083 Drainage of fluid from abdominal cavity using imaging guidance	30	17	$323.00	$88.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	28	$210.54	$59.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
49083 Drainage of fluid from abdominal cavity using imaging guidance	27	12	$308.00	$89.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$106.00	$30.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	15	$209.00	$60.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	32	32	$170.00	$43.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$398.45	$116.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
49083 Drainage of fluid from abdominal cavity using imaging guidance	63	18	$283.92	$89.20
99213 Established patient office or other outpatient visit, typically 15 minutes	32	31	$170.69	$45.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$237.42	$65.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$316.68	$112.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	18	14	$250.00	$60.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$226.11	$65.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$303.41	$91.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$129.17	$36.32

Medical Specialties & State Licenses

CMS Verified: 2025-11-17

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 12513

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.

Hospital & Practice Group Affiliations

Hennepin Healthcare System Inc

701 Park Ave, Minneapolis, MN 554151623

Phone: 6128736963

Hennepin Healthcare System Inc

701 Park Ave, Minneapolis, MN 554151623

Consulting Radiologists Ltd

7595 Anagram Dr, Eden Prairie, MN 553447399

Phone: 6125732200

Secondary Practice Locations

7595 Anagram Dr

Eden Prairie, MN 553447399

Phone: 6125732200

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Michael Harlow , MD

Psychiatry & Neurology - Psychiatry

NPI 1003007345

Doctor of Medicine (M.D.)

Dr. Matthew Larson , MD

Anesthesiology

NPI 1003008269

Doctor of Medicine (M.D.)

Daniel Hart

Emergency Medicine

NPI 1003101379

George Noesen

Dentist - Oral and Maxillofacial Surgery

NPI 1003495904

Dr. Justin Schulz , MD

Student in an Organized Health Care Education/Training Program

NPI 1003549841

Doctor of Medicine (M.D.)

Evan Smith

Emergency Medicine

NPI 1003556630

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location October 23, 2023

Registered at 701 PARK AVE, MINNEAPOLIS, MN 554151623 (Tel: 6128733000)

📍

Updated Business Mailing Address October 23, 2023

Registered at 701 PARK AVE, MINNEAPOLIS, MN 554151623 (Tel: 6128733000)

📍

Updated Practice Location July 12, 2021

Registered at 2355 HWY 36 W., STE. 100, ROSEVILLE, MN 551133905 (Tel: 6512922000)

📍

Updated Practice Location May 13, 2021

Registered at 250 THOMPSON ST., ST. PAUL, MN 55102 (Tel: 6512922000)

📍

Updated Business Mailing Address May 13, 2021

Registered at 2355 HWY 36 W., STE. 100, ROSEVILLE, MN 551133905 (Tel: 6512922000)

📍

Updated Practice Location August 16, 2018

Registered at 4201 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416 (Tel: 9525643888)

✅

NPI Profile Active November 06, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location November 06, 2017

Registered at 4201 EXCELSIOR BLVD, ST LOUIS PARK, MN 554164728 (Tel: 9525643888)

📍

Updated Business Mailing Address November 06, 2017

Registered at 4201 EXCELSIOR BLVD, ST LOUIS PARK, MN 554164728 (Tel: 9525643888)

👤

Provider Name / Credentials Updated November 06, 2017

Recorded as BORIS DAVYDOV, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2017

Physician Assistant (License #12513 in MN)

🟢

Initial NPI Registration & Enumeration November 06, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1588177109

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 06, 2017

Last Update: November 17, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

701 Park Ave

Minneapolis, MN 554151623

Phone: 6128733000

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.