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Matthew Dewitt Davis , PA

Physician Assistant โ€ข Fargo, ND

Active NPI 1477238533 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

801 Broadway N
Fargo, ND 581023641

Call 7012342000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

801 Broadway N

Fargo, ND 581023641

Telephone 7012342000
Organization at the Same NPPES Address or Phone
Sanford Medical Center Fargo Facility NPI 1528009412

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Park Nicollet Clinic. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of North Dakota School Of Medicine

Graduation Year

2023

Medicare patients

106 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $7,563 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $5,838 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

208 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$2,569 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2024

All general payments: $208.44 across 5 records.

By nature of payment

  • Food and Beverage: $208.44 across 5 records.

Reporting-company totals

  • Smith+Nephew, Inc.: $145.18 across 3 records.
  • KLS-Martin L.P.: $63.26 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

3 years (graduated 2023)

CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Matthew Davis has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Matthew Davis as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Fargo and North Dakota

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Physician Assistant in Fargo, ND (2024, 108 clinicians with data). Median for this group: 264. Middle half: 98 to 513.

Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in North Dakota (2024, 246 clinicians with data). Median for this group: 257. Middle half: 105 to 573.

Medicare-allowed amount

A lower Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Fargo, ND (2024, 108 clinicians with data). Median for this group: $17,112. Middle half: $7,701 to $29,513.

A lower Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in North Dakota (2024, 246 clinicians with data). Median for this group: $16,918. Middle half: $7,609 to $39,186.

Paid by Medicare

A lower Medicare payment amount than 70% of clinicians listed under Physician Assistant in Fargo, ND (2024, 108 clinicians with data). Median for this group: $11,728. Middle half: $5,488 to $21,573.

A lower Medicare payment amount than 70% of clinicians listed under Physician Assistant in North Dakota (2024, 246 clinicians with data). Median for this group: $11,739. Middle half: $5,593 to $28,109.

Medicare Part D prescriptions

Fewer Part D prescriptions than 65% of clinicians listed under Physician Assistant in Fargo, ND (2024, 107 clinicians with data). Median for this group: 378. Middle half: 91 to 929.

Fewer Part D prescriptions than 70% of clinicians listed under Physician Assistant in North Dakota (2024, 281 clinicians with data). Median for this group: 435. Middle half: 110 to 1,476.

Part D drug cost

A lower Part D drug cost than 60% of clinicians listed under Physician Assistant in Fargo, ND (2024, 107 clinicians with data). Median for this group: $9,687. Middle half: $776 to $75,577.

A lower Part D drug cost than 65% of clinicians listed under Physician Assistant in North Dakota (2024, 281 clinicians with data). Median for this group: $18,838. Middle half: $1,270 to $122,550.

171 active clinicians are listed under Physician Assistant with a practice address in Fargo, ND (464 in North Dakota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fargo

18.7% of these 171 clinicians have the CMS telehealth indicator.

74.9% of these 171 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2024

Program year 2024 (payments made January 1 โ€“ December 31, 2024): fewer than 11 records totaling $208.44.

Manufacturer Payment Nature Product Type Amount ($)
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
GRAFIX General $69.12
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
GRAFIX General $54.22
KLS-Martin L.P.
Food and Beverage
Cash or cash equivalent
โ€” General $37.06
KLS-Martin L.P.
Food and Beverage
Cash or cash equivalent
โ€” General $26.20
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
GRAFIX PL General $21.84

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
37 37 $101.00 $65.78
31575 Diagnostic exam of voice box using a flexible endoscope
35 32 $84.00 $54.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
35 29 $44.00 $28.43
69210 Removal of impacted ear wax
29 22 $41.00 $24.13
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
29 22 $87.79 $53.13

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Tramadol Hcl Tramadol Hcl 29 74 $19.71 28
Ipratropium Bromide Ipratropium Bromide 28 1,709 $1,068.45 22
Omeprazole Omeprazole 20 1,500 $272.18 โ€”
Fluticasone Propionate Fluticasone Propionate 17 810 $377.35 โ€”
Azelastine Hcl Azelastine Hcl 17 965 $787.11 12
Prednisone Prednisone 12 171 $43.92 12

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-07-20
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES ND PAC1010

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: North Dakota State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250421000778

Enrollment State Jurisdiction

MN

PECOS Control ID

6800257197

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Park Nicollet Clinic

5320 Hyland Greens Dr, Bloomington, MN 554373934

Phone: 9529932400

Park Nicollet Clinic

14000 Fairview Dr, Burnsville, MN 553375713

Phone: 9529938700

Park Nicollet Clinic

6500 Excelsior Blvd, St Louis Park, MN 554264702

Phone: 9529933123

Park Nicollet Clinic

3800 Park Nicollet Blvd, St Louis Park, MN 554162527

Phone: 9529933123

Park Nicollet Clinic

3850 Park Nicollet Blvd, St Louis Park, MN 554162527

Phone: 9529933123

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

30 listed
Ahmed Abuzaanona

Internal Medicine - Cardiovascular Disease

NPI 1104209378
Dr. Samuel Anim , MD

Pediatrics - Pediatric Hematology-Oncology

NPI 1053514844

Doctor of Medicine (M.D.)

Dr. Hassan Attique , MD

Internal Medicine - Nephrology

NPI 1033562525

Doctor of Medicine (M.D.)

Hailey Bauer , FNP-C

Nurse Practitioner

NPI 1093551400

Family Nurse Practitioner (Certified)

Dr. Zhanyong Bing , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1023051810

Doctor of Medicine (M.D.)

NPI 1114288933

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
๐Ÿ“
Updated Business Mailing Address July 20, 2023

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074 (Tel: 6053289419)

โœ…
NPI Profile Active June 16, 2023

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) June 16, 2023

Registered at 801 BROADWAY N, FARGO, ND 581023641 (Tel: 7012342000)

๐Ÿ“
Business Mailing Address (Initial Record) June 16, 2023

Registered at 801 BROADWAY N, FARGO, ND 581023641 (Tel: 7012342000)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) June 16, 2023

Recorded as MATTHEW DAVIS, PA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2023

Physician Assistant (license number reported to NPPES: ND PAC1010)

๐ŸŸข
Initial NPI Registration & Enumeration June 16, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1477238533
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2023
Last Update: July 20, 2023
Sole Proprietor: Yes

Other Physician Assistants in Fargo

All Physician Assistants in Fargo

Mailing Address

Po Box 5074

Sioux Falls, SD 571175074

Phone: 6053289419

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.