NICOLE L DAVIS PA-C
NPI 1265864730
Physician Assistant - Surgical in Hartford, CT


Quality Rating: 95.11 out of 100 score

NPI Status: Active since August 06, 2013

Contact Information

85 SEYMOUR ST
SUITE 709
HARTFORD, CT
ZIP 06106
Phone: (860) 696-2290
Fax: (860) 696-2280

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  • Individual
  • Female
  • Years of Experience 13
  • Physician Assistant
  • Surgical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About NICOLE DAVIS

This page provides the complete NPI Profile along with additional information for Nicole Davis, a provider established in Hartford, Connecticut with a medical specialization in Physician Assistant, focusing in surgical and more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1265864730 assigned on August 2013. The practitioner's primary taxonomy code is 363AS0400X with license number 003411 (CT). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1265864730
Provider Name
NICOLE L DAVIS PA-C
Gender
Female
Entity Type
Individual
Location Address
85 SEYMOUR ST SUITE 709 HARTFORD, CT 06106
Location Phone
(860) 696-2290
Location Fax
(860) 696-2280
Mailing Address
85 SEYMOUR ST SUITE 709 HARTFORD, CT 06106
Mailing Phone
(860) 696-2290
Mailing Fax
(860) 696-2280
Medical School Name
OTHER
Graduation Year
2013
Is Sole Proprietor?
No
Enumeration Date
08-06-2013
Last Update Date
02-21-2017
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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

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
003411
License State
CT

Medicare Participation & PECOS Enrollment Status

Nicole Davis is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Nicole 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

  • PECOS PAC ID: 8628203940

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20160427002002

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 43 times for 29 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 45 times for 45 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 90 times for 73 patients

Injection, methylprednisolone acetate, 40 mg

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

This service was performed 73 times for 24 patients

Knee replacement

A knee replacement is a surgical procedure where a damaged or diseased knee joint is replaced with an artificial one. This can relieve pain and improve mobility. The procedure involves removing damaged parts of the knee and inserting a prosthetic joint. Recovery may take several weeks.

This service was performed for 1-10 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 25 times for 25 patients

X-ray of knee, 3 views

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

This service was performed 19 times for 15 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.11, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 95.11 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 77.16

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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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.
1265864730
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22125166876
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 6 + 6 + 8 + 7 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1265864730 is valid because the calculated check digit 0 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
1316943541 KAREN LIVINGSTON APRN
Individual
Orthopaedic Surgery85 SEYMOUR ST SUITE 607
HARTFORD, CT 06106
(860) 549-3210
1194721084 MARIA GLUCH BRIGGS M.D.
Individual
Obstetrics & Gynecology85 SEYMOUR ST SUITE 1019
HARTFORD, CT 06106
(860) 246-4029
1255338596 WARREN J KROMPINGER MD
Individual
Orthopaedic Surgery85 SEYMOUR ST SUITE 607
HARTFORD, CT 06106
(860) 549-3210
1285631531 HIROYOSHI TAKATA MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)85 SEYMOUR ST SUITE 325
HARTFORD, CT 06106
(860) 522-7181
1265439368 STEVEN F SCHUTZER MD
Individual
Orthopaedic Surgery85 SEYMOUR ST SUITE 607
HARTFORD, CT 06106
(860) 549-3210
1033116009DR. PETER R BARNETT MD
Individual
Orthopaedic Surgery85 SEYMOUR ST SUITE 607
HARTFORD, CT 06106
(860) 549-3210
1235136300 SUSAN B BARKSDALE PHYSICAN ASSISTANT
Individual
Physician Assistant85 SEYMOUR ST SUITE 607
HARTFORD, CT 06106
(860) 549-3210
1407853575 JAMES P ALVAREZ PHYSICIAN ASSISTANT
Individual
Physician Assistant85 SEYMOUR ST SUITE 607
HARTFORD, CT 06106
(860) 549-3210
1851398846 DIANE M BARNES PHYSICIAN ASSISTANT
Individual
Physician Assistant85 SEYMOUR ST SUITE 607
HARTFORD, CT 06106
(860) 549-3210
1982601605 DONALD R KELLY MD
Individual
Orthopaedic Surgery85 SEYMOUR ST SUITE 607
HARTFORD, CT 06106
(860) 549-3210
1801894563 SHARON S HULL APRN
Individual
Nurse Practitioner85 SEYMOUR ST SUITE 607
HARTFORD, CT 06106
(860) 549-3210
1134126915 COURTLAND G LEWIS MD
Individual
Orthopaedic Surgery85 SEYMOUR ST SUITE 607
HARTFORD, CT 06106
(860) 549-8232
1962400978DR. FRANCIS JOSEPH KIERNAN M.D.
Individual
Internal Medicine (Cardiovascular Disease)85 SEYMOUR ST STE. 821
HARTFORD, CT 06106
(860) 545-5061
1083612097DR. CHARLES ARTHUR PRIMIANO M.D.
Individual
Internal Medicine (Cardiovascular Disease)85 SEYMOUR ST STE. 821
HARTFORD, CT 06106
(860) 545-5061
1871591891DR. RAYMOND GEORGE MCKAY M.D.
Individual
Internal Medicine (Cardiovascular Disease)85 SEYMOUR ST STE. 821
HARTFORD, CT 06106
(860) 545-5061
1619975612 JON H SZYDLO PA
Individual
Physician Assistant85 SEYMOUR ST SUITE 607
HARTFORD, CT 06106
(860) 549-3210
1275531105MRS. CHRISTINE K LYNCH P.A.
Individual
Physician Assistant85 SEYMOUR ST STE. 821
HARTFORD, CT 06106
(860) 545-5061
1427056464 MICHAEL L ZANDE PHYSICIAN ASSISTANT
Individual
Physician Assistant85 SEYMOUR ST SUITE 607
HARTFORD, CT 06106
(860) 549-3210
1457350696 MATTHEW GEORGE BROWN M.D.
Individual
Surgery85 SEYMOUR ST SUITE 301
HARTFORD, CT 06106
(860) 493-2511
1477553642DR. BERT B BERLIN MD
Individual
Urology85 SEYMOUR ST SUITE 416
HARTFORD, CT 06106
(860) 947-8500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265864730, enumerated in the NPI registry as an "individual" on August 06, 2013

The provider is located at 85 Seymour St Suite 709 Hartford, Ct 06106 and the phone number is (860) 696-2290

The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical

The provider has more than 13 years of experience.

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.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from large joint, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Injection, methylprednisolone acetate, 40 mg, Knee replacement, New patient office or other outpatient visit, 30-44 minutes and X-ray of knee, 3 views.

This NPI record was last updated on August 06, 2013. 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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