Active NPI 1487747713 Individual Practitioner Male Practitioner

Mark L. Davis , PA-C

Physician Assistant - Medical • Shawnee, OK

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Mark Davis, PA-C is a certified Physician Assistant - Medical practicing in Shawnee, OK. With approximately 30 years of clinical experience since completing medical education in 1996, Mark Davis delivers high-quality medical care to the local community at 3315 KETHLEY RD.

Mark Davis is affiliated with Saints Medical Group, Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, 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

3315 Kethley Rd

Shawnee, OK 748049638

Telephone 4052735801

Fax 4058783814

Associated Practice Facility / Clinic

🏢 Saints Medical Group, Llc Facility NPI 1881648285

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Shawnee, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +10.2 yrs vs City Avg

City Avg: 19.8 Yrs

State Avg: 19.3 Yrs

Regional Practice Density

7 Specialists

Practicing in Shawnee, OK (527 Statewide)

Telehealth Adoption Rate

42.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

61.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Davis (30 Years) 30 Yrs

Shawnee Specialty Average (19.8 Years) 19.8 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	796	439	$201.41	$79.01
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	697	400	$41.98	$13.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	104	91	$281.98	$116.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$260.62	$108.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	68	68	$301.20	$105.87

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	715	409	$204.38	$78.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	249	192	$282.27	$115.37
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	95	95	$356.00	$133.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$256.10	$103.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$251.00	$104.12
77067 Screening mammography	15	15	$171.00	$83.24
77063 Screening digital tomography of both breasts	15	15	$49.00	$21.65

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	822	454	$247.00	$80.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	181	143	$269.98	$117.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$225.17	$110.56

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	992	494	$167.34	$80.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	96	96	$224.95	$110.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	69	66	$281.04	$116.60
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$118.02	$55.25
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$231.41	$135.46

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	860	461	$129.57	$65.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	111	107	$267.96	$92.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$225.09	$106.39
99442 Telephone medical discussion with physician, 11-20 minutes	44	44	$64.35	$42.37
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	28	18	$144.00	$56.69
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$80.26	$41.97
77080 Dxa bone density measurement of hip, pelvis, spine	21	21	$49.16	$8.24
99443 Telephone medical discussion with physician, 21-30 minutes	15	15	$116.23	$65.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$154.49	$93.37
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	12	12	$11.93	$7.05

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	1,065	571	$129.19	$50.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	145	132	$267.39	$70.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	112	112	$223.26	$106.28
99213 Established patient office or other outpatient visit, typically 15 minutes	47	42	$78.01	$34.99
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	43	43	$235.67	$137.72
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	38	20	$132.55	$56.19
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	36	17	$174.50	$74.67
77080 Dxa bone density measurement of hip, pelvis, spine	33	33	$49.16	$8.16
99496 Transitional care management services for problem of high complexity	29	25	$312.91	$127.50
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	28	19	$85.54	$36.07
99495 Transitional care management services for problem of at least moderate complexity	23	23	$221.48	$87.48

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	1,121	587	$129.43	$49.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	131	131	$226.98	$104.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	88	82	$268.59	$67.27
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	64	25	$85.54	$36.45
99213 Established patient office or other outpatient visit, typically 15 minutes	56	51	$79.35	$35.04
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	35	19	$174.50	$74.90
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	30	30	$8.89	$7.03
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	24	18	$132.24	$56.80
77080 Dxa bone density measurement of hip, pelvis, spine	22	22	$49.16	$8.42
99496 Transitional care management services for problem of high complexity	19	18	$308.58	$132.03

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	1,128	560	$128.55	$49.83
99213 Established patient office or other outpatient visit, typically 15 minutes	114	97	$80.11	$34.65
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	91	33	$85.54	$36.18
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	71	39	$174.50	$74.02
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	54	32	$132.24	$55.88
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	30	27	$8.89	$6.98
77080 Dxa bone density measurement of hip, pelvis, spine	26	26	$49.16	$8.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$128.29	$62.69
99496 Transitional care management services for problem of high complexity	22	19	$308.58	$130.57
99495 Transitional care management services for problem of at least moderate complexity	13	13	$213.28	$90.14

Medical Specialties & State Licenses

Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License OK PA801

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100715900B (OK)

Hospital & Practice Group Affiliations

Saints Medical Group, Llc

608 Nw 9th St, Oklahoma City, OK 731021049

Saints Medical Group, Llc

3315 Kethley Rd, Shawnee, OK 748049638

Phone: 4052735801

Saints Medical Group, Llc

1102 W Macarthur St, Shawnee, OK 748041743

Phone: 4052732270

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Jeremy Holter , MD

Internal Medicine

NPI 1003859778

Doctor of Medicine (M.D.)

Cary Nation , PA-C

Physician Assistant

NPI 1043257165

Physician Assistant (Certified)

Laynie Shebester , PA-C

Physician Assistant

NPI 1053358275

Physician Assistant (Certified)

Dr. Grant Mcclune , MD

Surgery

NPI 1083656243

Doctor of Medicine (M.D.)

Dr. Michael Butcher , MD

Internal Medicine

NPI 1134168610

Doctor of Medicine (M.D.)

Dr. Kelli Koons , MD

Internal Medicine

NPI 1134169295

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 29, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 29, 2012

Registered at 3315 KETHLEY RD, SHAWNEE, OK 748049638 (Tel: 4052735801)

📍

Updated Business Mailing Address August 29, 2012

Registered at PO BOX 849, SHAWNEE, OK 748020849 (Tel: 4052735801)

👤

Provider Name / Credentials Updated August 29, 2012

Recorded as MARK DAVIS, P.A.-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2012

Physician Assistant (License #PA801 in OK)

🟢

Initial NPI Registration & Enumeration September 30, 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: 1487747713

Entity Type:

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

Enumeration Date: September 30, 2006

Last Update: August 29, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 849

Shawnee, OK 748020849

Phone: 4052735801

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.