DR. JESSE T DAVIDSON IV MD
NPI 1881009835
Transplant Surgery in Saint Louis, MO
NPI Status: Active since June 29, 2014
Contact Information
1 BARNES JEWISH HOSPITAL PLZ
DIV SURG TRANSPLANT
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 747-9889
Fax: (314) 361-4197
- Individual
- Male
- Years of Experience 12
- Transplant Surgery
- Accepts Insurance
- Accepts Medicare Approved Payment
About JESSE DAVIDSON
This page provides the complete NPI Profile along with additional information for Jesse Davidson, a provider established in Saint Louis, Missouri with a medical specialization in Transplant Surgery and more than 12 years of experience. He graduated from University Of Tennessee Hsc College Of Dentistry in 2014. The healthcare provider is registered in the NPI registry with number 1881009835 assigned on June 2014. The practitioner's primary taxonomy code is 204F00000X with license number 036169278 (IL). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1881009835
- Provider Name
- DR. JESSE T DAVIDSON IV MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1 BARNES JEWISH HOSPITAL PLZ DIV SURG TRANSPLANT SAINT LOUIS, MO 63110
- Location Phone
- (314) 747-9889
- Location Fax
- (314) 361-4197
- Mailing Address
- PO BOX 60352 SAINT LOUIS, MO 63160
- Mailing Phone
- (314) 747-9889
- Mailing Fax
- (314) 361-4197
- Medical School Name
- UNIVERSITY OF TENNESSEE HSC COLLEGE OF DENTISTRY
- Graduation Year
- 2014
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-29-2014
- Last Update Date
- 09-09-2024
- Code Navigator
Location Map
Secondary Locations
- 676 N Saint Clair St Fl 19
Chicago, IL 60611
(312) 695-8900
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
Transplant Surgery
- Taxonomy Code
- 204F00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036169278
- License State
- IL
- Taxonomy Description
- A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee
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 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | 2016008739 (MO) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
- Cox HealthPlans Bronze Expanded Standard $7,500 Deductible - EPO
- Cox HealthPlans Bronze Preferred $9,200 Deductible - EPO
- Cox HealthPlans Gold Preferred $500 Deductible - EPO
- Cox HealthPlans Gold Standard $1,500 Deductible - EPO
- Cox HealthPlans Silver Connect 9 $6,000 Deductible - EPO
- Cox HealthPlans Silver Preferred $3,500 Deductible - EPO
- Cox HealthPlans Silver Standard $5,000 Deductible - EPO
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 |
---|---|---|---|
200061155 | MEDICAID (05) | MO |
Medicare Participation & PECOS Enrollment Status
Jesse Davidson 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.
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.
PECOS PAC ID: 1658751987
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: I20220705002007, I20240820002441
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.
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. Jesse Davidson is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
BARNES JEWISH HOSPITAL | ONE BARNES-JEWISH HOSPITAL PLAZA SAINT LOUIS, MO 63110 | (314) 747-3000 | Acute Care Hospitals |
Reviews for DR. JESSE T DAVIDSON IV MD
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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 | 8 | 8 | 1 | 0 | 0 | 9 | 8 | 3 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 16 | 1 | 0 | 0 | 18 | 8 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 8 + 1 + 6 + 1 + 0 + 0 + 1 + 8 + 8 + 6 + 24 = 65 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 65 = 5 | 5 |
The NPI number 1881009835 is valid because the calculated check digit 5 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 |
---|---|---|---|
1942291059 | DR. CYNTHIA M MONSEY MD Individual | Anesthesiology | 1 BARNES JEWISH HOSPITAL PLZ SAINT LOUIS, MO 63110 (314) 362-6973 |
1891776860 | MR. WILLIAM T ADAMS CRNA Individual | Nurse Anesthetist, Certified Registered | 1 BARNES JEWISH HOSPITAL PLZ SAINT LOUIS, MO 63110 (314) 362-6973 |
1467434902 | MR. JAMES MURRAY CRNA Individual | Nurse Anesthetist, Certified Registered | 1 BARNES JEWISH HOSPITAL PLZ SAINT LOUIS, MO 63110 (314) 362-6963 |
1174502025 | MR. JAMES R HALLIBURTON CRNA Individual | Nurse Anesthetist, Certified Registered | 1 BARNES JEWISH HOSPITAL PLZ SAINT LOUIS, MO 63110 (314) 362-6973 |
1528021110 | MR. WILLIAM R VARDARO CRNA Individual | Nurse Anesthetist, Certified Registered | 1 BARNES JEWISH HOSPITAL PLZ SAINT LOUIS, MO 63110 (314) 362-6973 |
1851336630 | MR. MICHAEL L MITTERMEYER CRNA Individual | Nurse Anesthetist, Certified Registered | 1 BARNES JEWISH HOSPITAL PLZ SAINT LOUIS, MO 63110 (314) 362-6973 |
1477599512 | DR. DANIEL P KELLY MD Individual | Internal Medicine (Cardiovascular Disease) | 1 BARNES JEWISH HOSPITAL PLZ EAST PAVILLION SUITE 16419 SAINT LOUIS, MO 63110 (314) 362-3790 |
1033141742 | DR. CHRISTOPHER W HAMLIN MD Individual | Anesthesiology | 1 BARNES JEWISH HOSPITAL PLZ SAINT LOUIS, MO 63110 (314) 362-6973 |
1730111394 | DR. SZILVIA SZARVAS MD Individual | Anesthesiology | 1 BARNES JEWISH HOSPITAL PLZ SAINT LOUIS, MO 63110 (314) 362-6973 |
1215960596 | DR. PETRA JAROSLAVA LIPSMEYER M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 1 BARNES JEWISH HOSPITAL PLZ SAINT LOUIS, MO 63110 (314) 286-2217 |
1285650598 | DR. GITRY HEYDEBRAND PHD Individual | Psychologist | 1 BARNES JEWISH HOSPITAL PLZ STE 17301 SAINT LOUIS, MO 63110 (314) 362-3072 |
1992721203 | DR. ERIC JACOBSOHN MD Individual | Anesthesiology (Critical Care Medicine) | 1 BARNES JEWISH HOSPITAL PLZ SAINT LOUIS, MO 63110 (314) 362-6973 |
1417973728 | DR. MONICA A SCUTARIU MD Individual | Anesthesiology | 1 BARNES JEWISH HOSPITAL PLZ SAINT LOUIS, MO 63110 (314) 362-6973 |
1144246455 | DR. JAMUNA CHALASANI MD Individual | Anesthesiology | 1 BARNES JEWISH HOSPITAL PLZ SAINT LOUIS, MO 63110 (314) 747-3000 |
1598781809 | DR. IGOR OTAHAL MD Individual | Anesthesiology | 1 BARNES JEWISH HOSPITAL PLZ SAINT LOUIS, MO 63110 (314) 362-6973 |
1922024231 | DR. JIRI SOUPAL MD Individual | Anesthesiology | 1 BARNES JEWISH HOSPITAL PLZ SAINT LOUIS, MO 63110 (314) 362-6973 |
1295751519 | DR. VLADIMIR KREJCI MD Individual | Anesthesiology | 1 BARNES JEWISH HOSPITAL PLZ SAINT LOUIS, MO 63110 (314) 362-6973 |
1194741413 | DR. DUSICA STAMENKOVIC MD Individual | Anesthesiology | 1 BARNES JEWISH HOSPITAL PLZ SAINT LOUIS, MO 63110 (314) 362-6973 |
1942226261 | DR. CHINNIAMPALAYAM RAJAMOHAN MD Individual | Anesthesiology | 1 BARNES JEWISH HOSPITAL PLZ SAINT LOUIS, MO 63110 (314) 362-6973 |
1760408082 | ARLEZIANA C FLORESCU MD Individual | Anesthesiology | 1 BARNES JEWISH HOSPITAL PLZ SAINT LOUIS, MO 63110 (314) 362-6973 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881009835, enumerated in the NPI registry as an "individual" on June 29, 2014
The provider is located at 1 Barnes Jewish Hospital Plz Div Surg Transplant Saint Louis, Mo 63110 and the phone number is (314) 747-9889
The provider's speciality is Transplant Surgery with taxonomy code 204F00000X
The provider has more than 12 years of experience. He graduated from University Of Tennessee Hsc College Of Dentistry in 2014.
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The practitioner is affiliated to the following hospital(s): BARNES JEWISH HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on June 29, 2014. 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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