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

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  • 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
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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)
1208600000XAllopathic & 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
200061155MEDICAID (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 HOSPITALONE BARNES-JEWISH HOSPITAL PLAZA
SAINT LOUIS, MO 63110
(314) 747-3000Acute Care Hospitals

Reviews for DR. JESSE T DAVIDSON IV MD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1881009835
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28161001886
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 = 55

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
1942291059DR. CYNTHIA M MONSEY MD
Individual
Anesthesiology1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1891776860MR. WILLIAM T ADAMS CRNA
Individual
Nurse Anesthetist, Certified Registered1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1467434902MR. JAMES MURRAY CRNA
Individual
Nurse Anesthetist, Certified Registered1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6963
1174502025MR. JAMES R HALLIBURTON CRNA
Individual
Nurse Anesthetist, Certified Registered1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1528021110MR. WILLIAM R VARDARO CRNA
Individual
Nurse Anesthetist, Certified Registered1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1851336630MR. MICHAEL L MITTERMEYER CRNA
Individual
Nurse Anesthetist, Certified Registered1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1477599512DR. 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
1033141742DR. CHRISTOPHER W HAMLIN MD
Individual
Anesthesiology1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1730111394DR. SZILVIA SZARVAS MD
Individual
Anesthesiology1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1215960596DR. PETRA JAROSLAVA LIPSMEYER M.D.
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 286-2217
1285650598DR. GITRY HEYDEBRAND PHD
Individual
Psychologist1 BARNES JEWISH HOSPITAL PLZ STE 17301
SAINT LOUIS, MO 63110
(314) 362-3072
1992721203DR. ERIC JACOBSOHN MD
Individual
Anesthesiology (Critical Care Medicine)1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1417973728DR. MONICA A SCUTARIU MD
Individual
Anesthesiology1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1144246455DR. JAMUNA CHALASANI MD
Individual
Anesthesiology1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 747-3000
1598781809DR. IGOR OTAHAL MD
Individual
Anesthesiology1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1922024231DR. JIRI SOUPAL MD
Individual
Anesthesiology1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1295751519DR. VLADIMIR KREJCI MD
Individual
Anesthesiology1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1194741413DR. DUSICA STAMENKOVIC MD
Individual
Anesthesiology1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1942226261DR. CHINNIAMPALAYAM RAJAMOHAN MD
Individual
Anesthesiology1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1760408082 ARLEZIANA C FLORESCU MD
Individual
Anesthesiology1 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.