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Active NPI 1134378169 Individual Practitioner Male Practitioner

Robert Samuel Davis , PA-C

Physician Assistant • Spokane Valley, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Robert Davis, PA-C is a certified Physician Assistant practicing in Spokane Valley, WA. With approximately 18 years of clinical experience since completing medical education in 2008, Robert Davis delivers high-quality medical care to the local community at 16528 E DESMET CT.

Robert Davis is affiliated with Providence Health And Services Washington and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

16528 E Desmet Ct

Spokane Valley, WA 992163522

Telephone 5099448910
Fax 5092277070
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Spokane Valley, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs +7.7 yrs vs City Avg
City Avg: 10.3 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
64 Specialists

Practicing in Spokane Valley, WA (3774 Statewide)

Telehealth Adoption Rate
3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Davis (18 Years) 18 Yrs
Spokane Valley Specialty Average (10.3 Years) 10.3 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
190 180 $391.00 $107.16
99213 Established patient office or other outpatient visit, typically 15 minutes
79 79 $276.00 $76.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
11 11 $508.00 $142.10

Medical Specialties & State Licenses

CMS Verified: 2021-04-16
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA60055084

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 - Medical

NUCC Taxonomy Code: 363AM0700X

State License ID PA-767

Definition to come...

Hospital & Practice Group Affiliations

Providence Health And Services Washington

16528 E Desmet Ct, Spokane, WA 992163522

Providence Health And Services Washington

1200 E Columbia Ave, Colville, WA 991143354

Phone: 5096843701

Secondary Practice Locations

427 N 12th St.

Plummer, ID 83851

Phone: 2086861931

551 E Hawthorne Rd

Spokane, WA 992181417

Phone: 5094892369

421 S Division St

Spokane, WA 992021331

Phone: 5094742100

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003374265
NPI 1003811712

Doctor of Philosophy (Ph.D.)

Dr. Robert Wales , MD, FACC

Internal Medicine - Cardiovascular Disease

NPI 1003820275

Doctor of Medicine (M.D.), FACC

Kevin Kellogg , PA-C

Physician Assistant - Surgical

NPI 1003899493

Physician Assistant (Certified)

Martha Winje , PA-C

Physician Assistant

NPI 1013007822

Physician Assistant (Certified)

Breanna Bergeron , RD

Dietitian, Registered

NPI 1013040849

Registered Dietitian

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location December 06, 2020

Registered at 16528 E DESMET CT, SPOKANE VALLEY, WA 992163522 (Tel: 5099448910)

📍
Updated Business Mailing Address December 06, 2020

Registered at PO BOX 421, LIBERTY LAKE, WA 990190421 (Tel: 8667472455)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2020

Physician Assistant (License #PA60055084 in WA)

📍
Updated Practice Location January 02, 2019

Registered at 427 N 12TH ST., PLUMMER, ID 83851 (Tel: 2086861931)

📍
Updated Business Mailing Address January 02, 2019

Registered at PO BOX 388, PLUMMER, ID 83851 (Tel: 5094742100)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2019

Physician Assistant (License #PA-767 in ID)

NPI Profile Active October 28, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 28, 2015

Registered at 421 S DIVISION ST, SPOKANE, WA 992021331 (Tel: 5094742100)

📍
Updated Business Mailing Address October 28, 2015

Registered at PO BOX 421, LIBERTY LAKE, WA 990190421 (Tel: 5094742100)

👤
Provider Name / Credentials Updated October 28, 2015

Recorded as ROBERT DAVIS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2015

Physician Assistant (License #PA60055084 in WA)

🟢
Initial NPI Registration & Enumeration September 15, 2008

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: 1134378169
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2008
Last Update: April 16, 2021
Sole Proprietor: No

Mailing Address

Po Box 421

Liberty Lake, WA 990190421

Phone: 8667472455

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.