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Deactivated NPI 1124017652 Deactivated / Inactive NPI Male Practitioner

Dr. Richard T Davis , MD

Orthopaedic Surgery • Ontario, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Richard Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 18, 2005
NPI Deactivation Date August 02, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Richard Davis, MD was a registered Orthopaedic Surgery practicing in Ontario, OR. Throughout an active medical career spanning 18 years, Dr. Davis provided care at the practice location at 1050 SW 3RD AVE until profile deactivation on 2023-08-02.

Historical Medicare Part B clinical services included established patient outpatient office visit, computer-assisted surgery for muscle and bone procedure, x-ray of knee, 1-2 views. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1050 Sw 3rd Ave
Suite 1200

Ontario, OR 979142193

Telephone 5418893111
Fax 5418893999
Associated Practice Facility / Clinic
🏢 Foot & Ankle Clinic Pc Facility NPI 1184621880

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Ontario, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Ontario, OR (360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
77.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
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
29 28 $133.62 $88.67
99213 Established patient office or other outpatient visit, typically 15 minutes
22 19 $86.27 $62.31
20985 Computer-assisted surgery for muscle and bone procedure
22 22 $583.00 $129.24
73560 X-ray of knee, 1-2 views
17 11 $10.00 $7.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
17 17 $122.94 $90.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
16 16 $195.00 $124.07
27447 Replacement of knee joint, both sides of knee
14 14 $6272.00 $1105.39
20610 Aspiration and/or injection of fluid from large joint
13 13 $113.23 $46.28
64721 Release and/or relocation of hand nerve
13 11 $1862.00 $425.76
99213 Established patient office or other outpatient visit, typically 15 minutes
12 11 $74.00 $61.27

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OR MD28858

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Kacey Andreasen , PA-C

Physician Assistant - Medical

NPI 1215160510

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated August 02, 2023

Record deactivated on August 02, 2023

NPI Profile Active August 24, 2016

NPI status registered as active in NPPES database

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Updated Practice Location August 24, 2016

Registered at 1050 SW 3RD AVE, SUITE 1200, ONTARIO, OR 979142193 (Tel: 5418893111)

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Updated Business Mailing Address August 24, 2016

Registered at 910 NW 16TH ST, # 205, FRUITLAND, ID 836192265 (Tel: 5418893111)

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Provider Name / Credentials Updated August 24, 2016

Recorded as RICHARD DAVIS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2016

Orthopaedic Surgery (License #MD28858 in OR)

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Initial NPI Registration & Enumeration October 18, 2005

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: 1124017652
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2005
Last Update: August 24, 2016
Deactivation Date: August 02, 2023

Mailing Address

910 Nw 16th St, # 205

Fruitland, ID 836192265

Phone: 5418893111

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.