Deactivated NPI 1982608964 Deactivated / Inactive NPI Male Practitioner

Dr. Donald D Davenport , DO

Surgery • Odessa, TX

✓ Accepts Medicare Assignment

⚠️

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. Donald Davenport has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 08, 2005

NPI Deactivation Date March 21, 2006

Total Practice Duration ~11 Years of Practice (1995 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Donald Davenport, DO was a registered Surgery in Odessa, TX. Prior to record deactivation on 2006-03-21, Dr. Davenport completed approximately 11 years of clinical practice following graduation from Ohio University, College Of Osteopathic Medicine in 1995.

Dr. Davenport accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

540 W 5th St
Ste 470

Odessa, TX 797615070

Telephone 4325808330

Associated Practice Facility / Clinic

🏢 James Y Li Md Pa Facility NPI 1093799025

Medicare Profile & Education

Medical School

Ohio University, College Of Osteopathic Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Odessa, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +5.5 yrs vs City Avg

City Avg: 25.5 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

17 Specialists

Practicing in Odessa, TX (2342 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Davenport (31 Years) 31 Yrs

Odessa Specialty Average (25.5 Years) 25.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes	41	31	$135.00	$86.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$242.00	$156.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	22	$175.00	$122.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$250.00	$124.29
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$333.83	$196.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$173.13	$106.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	12	$76.00	$50.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$307.00	$165.09
47562 Removal of gallbladder using an endoscope	12	12	$3019.00	$632.98
49650 Repair of groin hernia using an endoscope	11	11	$1841.00	$510.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$170.00	$104.54
99213 Established patient office or other outpatient visit, typically 15 minutes	45	32	$135.78	$86.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	21	$177.09	$119.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	13	$122.00	$76.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$242.00	$152.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$76.00	$54.04
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$331.00	$181.85
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$170.00	$17.17
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$1169.00	$303.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$250.00	$125.00
49650 Repair of groin hernia using an endoscope	13	13	$1841.00	$428.07
47562 Removal of gallbladder using an endoscope	12	12	$3019.00	$548.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$307.00	$166.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	70	45	$137.43	$85.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$170.00	$105.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	27	$175.00	$120.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$242.00	$157.68
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$331.00	$191.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$76.00	$54.50
47562 Removal of gallbladder using an endoscope	12	12	$3019.00	$547.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	88	54	$135.40	$86.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$170.00	$110.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	22	$175.00	$127.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	17	$122.00	$70.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$242.00	$164.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$76.00	$55.22
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$331.00	$196.43
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$1169.00	$314.58
47562 Removal of gallbladder using an endoscope	14	14	$3019.00	$617.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$307.00	$194.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$250.00	$132.49
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$170.00	$18.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	61	45	$135.00	$72.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$171.57	$103.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	35	$249.83	$135.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	26	$76.00	$44.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	21	$122.48	$71.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$242.00	$156.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$175.00	$103.22
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$1169.00	$311.89
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	15	$170.00	$18.49
49650 Repair of groin hernia using an endoscope	11	11	$1841.00	$426.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	104	62	$135.00	$66.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$170.00	$101.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	36	$175.61	$100.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	29	$77.50	$43.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	21	$122.00	$70.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$242.00	$153.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$307.00	$197.04
47562 Removal of gallbladder using an endoscope	20	20	$3019.00	$613.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	18	$250.00	$133.46
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	17	17	$170.00	$16.41
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$1169.00	$296.71
49650 Repair of groin hernia using an endoscope	14	14	$1841.00	$472.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	157	85	$135.22	$67.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$170.00	$100.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	19	$122.00	$68.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	31	$76.00	$40.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$301.73	$186.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	22	$177.68	$91.11
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$130.00	$70.14
49650 Repair of groin hernia using an endoscope	18	18	$1841.00	$467.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$250.00	$129.28
47562 Removal of gallbladder using an endoscope	16	16	$3019.00	$552.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$242.00	$153.98
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$331.00	$193.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	197	93	$130.33	$65.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$172.37	$95.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	25	$120.39	$65.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	37	$76.00	$37.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	33	$307.00	$183.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	31	$175.00	$96.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$242.00	$147.50
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$331.00	$185.51
49650 Repair of groin hernia using an endoscope	19	19	$1841.00	$429.99
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$130.00	$63.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$250.00	$124.06
47562 Removal of gallbladder using an endoscope	11	11	$3019.00	$598.83

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX L0118

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Surgical Critical Care

NUCC Taxonomy Code: 2086S0102X

State License TX L0118

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Surgery - Pediatric Surgery

NUCC Taxonomy Code: 2086S0120X

State License TX L0118

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Surgery - Trauma Surgery

NUCC Taxonomy Code: 2086S0127X

State License TX L0118

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Colon & Rectal Surgery

NUCC Taxonomy Code: 208C00000X

State License TX L0118

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Surgery - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License TX L0118

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Privider #

8F0641 (TX)

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Nathaniel Wolkenfeld , MD

Surgery

NPI 1023317351

Doctor of Medicine (M.D.)

Donna Johnson , RNC, FNP-C

Nurse Practitioner - Family

NPI 1124011275

RNC, Family Nurse Practitioner (Certified)

Robin Samford , LSA

Specialist/Technologist, Other - Surgical Technologist

NPI 1134138126

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location October 11, 2007

Registered at 540 W 5TH ST, STE 470, ODESSA, TX 797615070 (Tel: 4325808330)

📍

Updated Business Mailing Address October 11, 2007

Registered at 540 W 5TH ST STE 470, ODESSA, TX 797615070 (Tel: 4325808330)

👤

Provider Name / Credentials Updated October 11, 2007

Recorded as DONALD DAVENPORT, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2007

Surgery (License #L0118 in TX)

🔄

NPI Profile Reactivated March 28, 2006

Record officially reactivated for active practice on March 28, 2006

⚠️

NPI Profile Deactivated March 21, 2006

Record deactivated on March 21, 2006

🟢

Initial NPI Registration & Enumeration June 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Donald Davenport. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1982608964

Entity Type:

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

Enumeration Date: June 08, 2005

Last Update: October 11, 2007

Deactivation Date: March 21, 2006

Sole Proprietor: No

Update or Correct Profile

Mailing Address

540 W 5th St Ste 470

Odessa, TX 797615070

Phone: 4325808330

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.