Active NPI 1417914730 Individual Practitioner Male Practitioner

Patrick W Davis , PA-C

Physician Assistant • Boulder City, NV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Patrick Davis, PA-C is a certified Physician Assistant practicing in Boulder City, NV. With approximately 24 years of clinical experience since graduating from University Of Washington School Of Medicine in 2002, Patrick Davis delivers high-quality medical care to the local community at 724 KENDALL LN.

Patrick Davis accepts Medicare assignment.

Frequently performed procedures and clinical services include partial removal of spine bone with release of spinal cord and/or nerves, partial removal of middle spine bone with release of spinal cord and/or nerves, insertion of cage or mesh device to spine bone and disc space during spine fusion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

724 Kendall Ln

Boulder City, NV 890051112

Telephone 7026047422

Fax 7025493178

Associated Practice Facility / Clinic

🏢 Patrick Davis Pa-C Ltd Facility NPI 1366702797

Medicare Profile & Education

Medical School

University Of Washington School Of Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Boulder City, NV

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +9.0 yrs vs City Avg

City Avg: 15.0 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

2 Specialists

Practicing in Boulder City, NV (1097 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

95.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Davis (24 Years) 24 Yrs

Boulder City Specialty Average (15.0 Years) 15.0 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
63048 Partial removal of spine bone with release of spinal cord and/or nerves	29	17	$683.19	$27.16
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	15	15	$2660.00	$116.80
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	14	12	$756.06	$33.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
63048 Partial removal of spine bone with release of spinal cord and/or nerves	27	15	$615.63	$28.86
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	18	18	$3088.89	$127.70
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	16	14	$807.48	$35.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
63048 Partial removal of spine bone with release of spinal cord and/or nerves	33	18	$639.71	$30.67
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	32	23	$797.33	$37.57
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	26	26	$2633.17	$136.18
22840 Placement of stabilizing device to back of 1 spine bone in neck	15	15	$1635.20	$110.85
22633 Fusion of spine in lower back with partial removal of spine bone and disc	12	12	$4015.00	$270.24
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	11	11	$2500.00	$37.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	15	12	$796.09	$38.25
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$2697.67	$128.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
63048 Partial removal of spine bone with release of spinal cord and/or nerves	92	48	$504.89	$30.68
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	60	59	$2809.67	$115.35
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	47	34	$428.94	$37.61
22840 Placement of stabilizing device to back of 1 spine bone in neck	25	25	$724.30	$110.46
22633 Fusion of spine in lower back with partial removal of spine bone and disc	25	25	$1879.20	$268.15
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	12	12	$3758.33	$245.76
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$1496.67	$110.97
22845 Placement of stabilizing device to front, 2-3 spine bone segments	12	12	$1358.33	$105.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
63048 Partial removal of spine bone with release of spinal cord and/or nerves	56	32	$675.93	$29.47
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	36	36	$2983.33	$106.43
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	34	31	$444.71	$36.06
22633 Fusion of spine in lower back with partial removal of spine bone and disc	21	21	$2118.10	$258.01
22840 Placement of stabilizing device to back of 1 spine bone in neck	20	20	$872.10	$106.07
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$1553.33	$106.61
63045 Partial removal of upper spine bone with release of spinal cord and/or nerves	11	11	$2918.18	$138.25
22845 Placement of stabilizing device to front, 2-3 spine bone segments	11	11	$1489.09	$101.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
63048 Partial removal of spine bone with release of spinal cord and/or nerves	50	30	$459.90	$29.49
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	40	39	$2406.25	$107.30
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	23	22	$294.78	$34.88
22840 Placement of stabilizing device to back of 1 spine bone in neck	19	19	$612.11	$106.06
22633 Fusion of spine in lower back with partial removal of spine bone and disc	19	19	$1620.00	$257.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
63048 Partial removal of spine bone with release of spinal cord and/or nerves	69	43	$428.68	$29.20
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	50	50	$2619.07	$110.89
22842 Placement of stabilizing device to back, 3-6 spine bone segments	22	22	$889.64	$105.46
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	20	20	$418.80	$36.01
22612 Fusion of spine in lower back	19	19	$1889.89	$212.83
22614 Fusion of additional segment of spine	17	15	$524.82	$54.12
63075 Removal of upper spine disc and release of spinal cord and/or nerves	12	12	$1260.00	$108.88
22840 Placement of stabilizing device to back of 1 spine bone in neck	12	12	$919.33	$105.04

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NV PA823

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.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License NV PA823

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100502933 (NV)

Medicaid State Provider ID

850273 (AZ)

Commercial Insurance / Payer ID Nsbme

PA823 (NV)

Commercial Insurance / Payer ID Railroad Medicare

P00206370 (NV)

Commercial Insurance / Payer ID Medicare Ptan

CC535Y (NV)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Joseph Delappi , PA-C

Physician Assistant - Surgical

NPI 1265499586

Physician Assistant (Certified)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location October 22, 2019

Registered at 724 KENDALL LN, BOULDER CITY, NV 890051112 (Tel: 7026047422)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2019

Physician Assistant (License #PA823 in NV)

✅

NPI Profile Active September 27, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 27, 2017

Registered at 4318 W CHEYENNE AVE, NORTH LAS VEGAS, NV 890322484 (Tel: 7026047422)

📍

Updated Business Mailing Address September 27, 2017

Registered at PO BOX 752287, LAS VEGAS, NV 891362287 (Tel: 7026047422)

👤

Provider Name / Credentials Updated September 27, 2017

Recorded as PATRICK DAVIS, P.A.C.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2017

Physician Assistant (License #PA823 in NV)

✅

NPI Profile Active March 06, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 06, 2013

Registered at 3006 S MARYLAND PKWY, STE. 765, LAS VEGAS, NV 891092218 (Tel: 7026047422)

📍

Updated Business Mailing Address March 06, 2013

Registered at PO BOX 752287, LAS VEGAS, NV 891362287 (Tel: 7026047422)

👤

Provider Name / Credentials Updated March 06, 2013

Recorded as PATRICK DAVIS, P.A.C.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2013

Physician Assistant (License #PA823 in NV)

🟢

Initial NPI Registration & Enumeration April 28, 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: 1417914730

Entity Type:

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

Enumeration Date: April 28, 2006

Last Update: October 22, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 752287

Las Vegas, NV 891362287

Phone: 7026047422

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.