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Active NPI 1326136565 Individual Practitioner Male Practitioner

Dr. Charles Reese Davis , MD

Surgery • Holladay, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Charles Davis, MD is a certified Surgery practicing in Holladay, UT. With approximately 26 years of clinical experience since completing medical education in 2000, Dr. Davis delivers high-quality medical care to the local community at 4252 S HIGHLAND DR STE 200.

Dr. Davis is affiliated with Granger Medical Clinic Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, repair of groin hernia using an endoscope, removal of gallbladder using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4252 S Highland Dr Ste 200

Holladay, UT 841242690

Telephone 8019653600
Associated Practice Facility / Clinic
🏢 Granger Medical Clinic Pc Facility NPI 1104857549

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Holladay, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs Matches City Avg
City Avg: 26.0 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Holladay, UT (278 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Davis (26 Years) 26 Yrs
Holladay Specialty Average (26.0 Years) 26.0 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
32 32 $238.00 $105.68

Medical Specialties & State Licenses

CMS Verified: 2023-09-25
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License UT 6463025-1205

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

NUCC Taxonomy Code: 208600000X

State License NY 241883

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1265638357 (UT)

Hospital & Practice Group Affiliations

Granger Medical Clinic Pc

2965 W 3500, West Valley City, UT 841193602

Phone: 8019653600

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Casey Henich , MD

Family Medicine

NPI 1003041740

Doctor of Medicine (M.D.)

NPI 1013985522

Doctor of Medicine (M.D.)

NPI 1023040276

Doctor of Podiatric Medicine

Dr. Ashleigh Byrne , MD

Pain Medicine - Interventional Pain Medicine

NPI 1023269537

Doctor of Medicine (M.D.)

Melanie Riederer , FNP-C

Nurse Practitioner

NPI 1023823044

Family Nurse Practitioner (Certified)

NPI 1033141270

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location September 25, 2023

Registered at 4252 S HIGHLAND DR STE 200, HOLLADAY, UT 841242690 (Tel: 8019653600)

📍
Updated Business Mailing Address September 25, 2023

Registered at PO BOX 70629, SALT LAKE CITY, UT 841700629 (Tel: 8019653600)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2023

Surgery (License #241883 in NY)

NPI Profile Active April 02, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 02, 2008

Registered at 10011 CENTENNIAL PKWY, SUITE 150, SANDY, UT 840704156 (Tel: 8015663062)

📍
Updated Business Mailing Address April 02, 2008

Registered at 10011 CENTENNIAL PKWY, SUITE 150, SANDY, UT 840704156 (Tel: 8015663062)

👤
Provider Name / Credentials Updated April 02, 2008

Recorded as CHARLES DAVIS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2008

Surgery (License #6463025-1205 in UT)

🟢
Initial NPI Registration & Enumeration October 11, 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: 1326136565
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: September 25, 2023
Sole Proprietor: No

Mailing Address

Po Box 70629

Salt Lake City, UT 841700629

Phone: 8019653600

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.