RICHARD DAVIS PA
NPI 1720536618
Physician Assistant - Surgical in Lafayette, LA

NPI Status: Active since September 20, 2016

Contact Information

4630 AMBASSADOR CAFFERY PKWY STE 302
LAFAYETTE, LA
ZIP 70508
Phone: (337) 470-3580
Fax: (337) 470-3586

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  • Individual
  • Male
  • Years of Experience 10
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About RICHARD DAVIS

This page provides the complete NPI Profile along with additional information for Richard Davis, a provider established in Lafayette, Louisiana with a medical specialization in Physician Assistant, focusing in surgical and more than 10 years of experience. He graduated from Louisiana State University School Of Medicine In Shreveport in 2016. The healthcare provider is registered in the NPI registry with number 1720536618 assigned on September 2016. The practitioner's primary taxonomy code is 363AS0400X with license number 303582 (LA). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1720536618
Provider Name
RICHARD DAVIS PA
Gender
Male
Entity Type
Individual
Location Address
4630 AMBASSADOR CAFFERY PKWY STE 302 LAFAYETTE, LA 70508
Location Phone
(337) 470-3580
Location Fax
(337) 470-3586
Mailing Address
5959 S SHERWOOD FOREST BLVD BATON ROUGE, LA 70816
Mailing Phone
(225) 526-0001
Mailing Fax
(337) 470-3586
Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year
2016
Is Sole Proprietor?
No
Enumeration Date
09-20-2016
Last Update Date
03-25-2021
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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.
303582
License State
LA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Max 70/50 $6700 - PPO
  • Blue Max 90/70 $1500 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3200 - PPO
  • Blue POS 60/40 $6500 - POS
  • Blue POS 70/50 $4550 - POS
  • Blue POS 80/60 $3200 - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 - POS
  • Precision Blue 80/60 $3200 (BR) - POS
  • Precision Blue 80/60 $3200 (M) - POS
  • Precision Blue Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (BR) - POS
  • Precision Blue Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (M) - POS
  • Precision Blue Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (BR) - POS
  • Precision Blue Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (M) - POS
  • Precision Blue Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (BR) - POS
  • Precision Blue Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (M) - POS
  • Signature Blue 80/60 $3200 - POS
  • Signature Blue Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
  • Signature Blue Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
  • Signature Blue Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
  • Essential Bronze 6500 - POS
  • Essential Gold 1500 - POS
  • Freedom Silver 4000 - POS
  • Savings Bronze 7700 - POS
  • Standard Bronze 7500 - POS
  • Standard Gold 1500 - POS
  • Standard Silver 5000 - POS
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Value ($5 Tier 2 Rx, No Referrals) - EPO
  • UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Advantage ($5 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Silver Standard - EPO
  • UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Richard 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.

Richard 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: 143508804

    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: I20161031002290

    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.

Coronary artery bypass graft (CABG)

Coronary artery bypass graft (CABG) is a surgery to improve blood flow to your heart. It involves taking a blood vessel from another part of your body and using it to reroute blood around a blocked or narrowed artery in your heart. This can help reduce chest pain and minimize the risk of heart attacks.

This service was performed for 1-10 patients

Coronary artery bypass using artery graft, 1 graft

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

This service was performed 22 times for 22 patients

Exclusion of appendage of left upper chamber of heart performed during other procedure on chest

This is a procedure done on the heart's left upper chamber (atrium). The small pouch-like appendage is sealed off during another chest procedure. This is done to reduce the risk of blood clots forming and causing strokes.

This service was performed 13 times for 13 patients

Harvest of vein using an endoscope

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

This service was performed 20 times for 20 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Richard Davis is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC4801 AMBASSADOR CAFFERY PARKWAY
LAFAYETTE, LA 70508
(337) 470-2000Acute Care Hospitals

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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.
1720536618
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27401031262
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 0 + 3 + 1 + 2 + 6 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1720536618 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013114164 CRAIG W MANZER NP
Individual
Nurse Practitioner4630 AMBASSADOR CAFFERY PKWY STE 302
LAFAYETTE, LA 70508
(337) 470-3580
1508845231 ALLAHYAR JAZAYERI MD
Individual
Obstetrics & Gynecology4630 AMBASSADOR CAFFERY PKWY STE 302
LAFAYETTE, LA 70508
(337) 470-4653

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720536618, enumerated in the NPI registry as an "individual" on September 20, 2016

The provider is located at 4630 Ambassador Caffery Pkwy Ste 302 Lafayette, La 70508 and the phone number is (337) 470-3580

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

The provider has more than 10 years of experience. He graduated from Louisiana State University School Of Medicine In Shreveport in 2016.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, HMO. 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.

The most common procedures or services performed by this practitioner are: Coronary artery bypass graft (CABG), Coronary artery bypass using artery graft, 1 graft, Exclusion of appendage of left upper chamber of heart performed during other procedure on chest and Harvest of vein using an endoscope.

The practitioner is affiliated to the following hospital(s): OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on September 20, 2016. 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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