DR. RANDALL B DAVIS MD
NPI 1265435697
Otolaryngology in Fayetteville, AR
NPI Status: Active since May 31, 2005
Contact Information
1100 N COLLEGE AVE
FAYETTEVILLE, AR
ZIP 72703
Phone: (615) 355-3451
- Individual
- Male
- Otolaryngology
- PECOS Enrolled
About RANDALL DAVIS
This page provides the complete NPI Profile along with additional information for Randall Davis, a provider established in Fayetteville, Arkansas with a medical specialization in Otolaryngology. The healthcare provider is registered in the NPI registry with number 1265435697 assigned on May 2005. The practitioner's primary taxonomy code is 207Y00000X with license number R-3860 (AR). The provider is registered as an individual and his NPI record was last updated July 2025.
- NPI
- 1265435697
- Provider Name
- DR. RANDALL B DAVIS MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1100 N COLLEGE AVE FAYETTEVILLE, AR 72703
- Location Phone
- (615) 355-3451
- Mailing Address
- PO BOX 2429 SMYRNA, TN 37167
- Mailing Phone
- (615) 355-3451
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-31-2005
- Last Update Date
- 07-27-2025
- Code Navigator
Location Map
Secondary Locations
- 2145 N Kantz Ln
Fayetteville, AR 72703
(479) 799-6303
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Otolaryngology
- Taxonomy Code
- 207Y00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- R-3860
- License State
- AR
- Taxonomy Description
- An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 174400000X | Other Service Providers | Specialist | R3860 (AR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 114745001 | MEDICAID (05) | AR |
Medicare Participation & PECOS Enrollment Status
Randall Davis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 72703 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $119.36
- Minimum New Patient Price $51.36
- Maximum New Patient Price $157.74
- Average New Patient Copayment $29.84
- Minimum New Patient Copayment $12.84
- Maximum New Patient Copayment $39.43
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $64.56
- Minimum Established Patient Price $16.16
- Maximum Established Patient Price $128.77
- Average Established Patient Copayment $16.14
- Minimum Established Patient Copayment $4.04
- Maximum Established Patient Copayment $32.19
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 6 | 5 | 4 | 3 | 5 | 6 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 8 | 3 | 10 | 6 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 8 + 3 + 1 + 0 + 6 + 1 + 8 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1265435697 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1154329878 | DR. DONALD C EWING M.D. Individual | Family Medicine | 1100 N COLLEGE AVE FAYETTEVILLE, AR 72703 (479) 443-4301 |
| 1346218690 | DR. MAGGIE TANG M.D. Individual | Internal Medicine | 1100 N COLLEGE AVE FAYETTEVILLE VAMC FAYETTEVILLE, AR 72703 (479) 750-7256 |
| 1467418764 | DR. HYUNSOON EDIE PARK MD Individual | Psychiatry & Neurology (Psychiatry) | 1100 N COLLEGE AVE VETERANS HEALTH CARE SYSTEM OF THE OZARKS FAYETTEVILLE, AR 72703 (479) 443-4301 |
| 1437102589 | DR. JOHNNY RAY HENLEY MD Individual | Internal Medicine | 1100 N COLLEGE AVE FAYETTEVILLE, AR 72703 (479) 444-5050 |
| 1003850579 | DR. JOHN FRANK CUCHIA MD Individual | Anesthesiology | 1100 N COLLEGE AVE FAYETTEVILLE, AR 72703 (479) 443-4301 |
| 1871518878 | DR. THOMAS RICHARD RHYNE DDS Individual | Dentist | 1100 N COLLEGE AVE DENTAL - 160 FAYETTEVILLE, AR 72703 (479) 444-5042 |
| 1639196157 | MR. JOHN CHRISTY CAMPBELL M.A. Individual | Audiologist | 1100 N COLLEGE AVE VAMC FAYETTEVILLE AUDIOLOGY/126 FAYETTEVILLE, AR 72703 (479) 443-4301 |
| 1972522910 | MRS. JEAN MARIE FINICAL APN, CNSANCC , AOCN Individual | Registered Nurse (Oncology) | 1100 N COLLEGE AVE FAYETTEVILLE, AR 72703 (479) 443-4301 |
| 1538188750 | DOLORES NANNETTE FENDLEY MS,RD,LD Individual | Dietitian, Registered | 1100 N COLLEGE AVE FAYETTEVILLE, AR 72703 (479) 443-4301 |
| 1295755742 | MS. WILMA ARLENE MCADAMS APN Individual | Nurse Practitioner (Gerontology) | 1100 N COLLEGE AVE FAYETTEVILLE, AR 72703 (479) 443-4301 |
| 1699795153 | MS. MARIANNE GERADETTE SCOPA MS, APRN, BC Individual | Registered Nurse | 1100 N COLLEGE AVE FAYETTEVILLE, AR 72703 (479) 443-4301 |
| 1598785354 | KAMLESH V BULCHANDANI MD Individual | Internal Medicine (Cardiovascular Disease) | 1100 N COLLEGE AVE FAYETTEVILLE, AR 72703 (479) 444-5016 |
| 1831110550 | MRS. BONNIE JEAN LYNCH BAKER M.D. Individual | Internal Medicine (Cardiovascular Disease) | 1100 N COLLEGE AVE FAYETTEVILLE, AR 72703 (479) 444-5016 |
| 1235150749 | DR. ROBERT MORRIS LEVY M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1100 N COLLEGE AVE P&LMS (113) FAYETTEVILLE, AR 72703 (479) 443-4301 |
| 1538180633 | DR. CHITRA ANNAMALAI MD Individual | Family Medicine | 1100 N COLLEGE AVE FAYETTEVILLE, AR 72703 (479) 443-4301 |
| 1114948056 | JUDY LYNN PETERMANN APN Individual | Nurse Practitioner (Family) | 1100 N COLLEGE AVE FAYETTEVILLE, AR 72703 (479) 443-4301 |
| 1538181078 | MR. JON SCOTT KELLER PA-C Individual | Physician Assistant (Medical) | 1100 N COLLEGE AVE FAYETTEVILLE, AR 72703 (479) 444-7376 |
| 1205859907 | MRS. LYNNE WILLIAMS SEYMOUR A.P.N. Individual | Clinical Nurse Specialist (Psychiatric/Mental Health) | 1100 N COLLEGE AVE 116A FAYETTEVILLE, AR 72703 (479) 444-5048 |
| 1124041637 | DR. REZINA SHAHID AHMED M.D Individual | Family Medicine | 1100 N COLLEGE AVE FAYETTEVILLE, AR 72703 (479) 443-4301 |
| 1588687180 | SHARON WELLS APN Individual | Nurse Practitioner (Acute Care) | 1100 N COLLEGE AVE FAYETTEVILLE, AR 72703 (147) 944-3430 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265435697, enumerated in the NPI registry as an "individual" on May 31, 2005
The provider is located at 1100 N College Ave Fayetteville, Ar 72703 and the phone number is (615) 355-3451
The provider's speciality is Otolaryngology with taxonomy code 207Y00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $119.36 with an average copayment of $29.84 for new patient appointments. Established patients should expect a typical charge of $64.56 and an average copayment of 16.14. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on May 31, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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