Timothy Edward Davis
ELKHART CLINIC,LLC


Address: 2115 W Lexington Ave, Elkhart Family Physicians, Elkhart, IN 46514-1423
Phone: 5742963955

Timothy Edward Davis (NPI# 1356344204, PAC ID# 1850379587) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1356344204
PAC ID by PECOS 1850379587
Professional Enrollment ID I20040709000761
Full Name Timothy Edward Davis
Organization Legal Name ELKHART CLINIC,LLC
Address 2115 W Lexington Ave
Elkhart Family Physicians
Elkhart
IN 46514-1423
Phone Number 5742963955
Gender M
Credential MD
Medical School INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1977
Primary Specialty FAMILY MEDICINE
Secondary Specialties ADDICTION MEDICINE
Group Practice PAC ID 2365341674
Number of Group Practice Members 42
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
150018 ELKHART GENERAL HOSPITAL

Other Locations

Address Phone Organization
2115 W Lexington Ave, Elkhart Family Physicians, Elkhart, IN 46514-1423 5742963955 ELKHART CLINIC,LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 81%
ACI_EC_TRANS_HIE_1 Health Information Exchange 60%
ACI_EC_TRANS_MR_1 Medication Reconciliation 93%
ACI_EC_TRANS_PEA_1 Provide Patient Access 29%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 14%
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 36%
MIPS_EC_047_overall Care Plan 40%
MIPS_EC_051_overall Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation 4%

Organization Information

Organization Legal Name ELKHART CLINIC,LLC
Physicians 44

Physicians with the same organization

Name Specialty Organization Address
Jeffrey Eifler Podiatry Elkhart Clinic,llc 2115 W Lexington Ave, Elkhart Family Physicians, Elkhart, IN 46514-1423
Melissa A Henderson Optometry Elkhart Clinic,llc 2222 W Lexington Ave, Suite A, Elkhart, IN 46514-1420
Salvatore Joseph Borrelli Family Medicine Elkhart Clinic,llc 25651 County Rd, Suite 20, Elkhart, IN 46517-2310
Gordon M Hughes Rheumatology Elkhart Clinic,llc 303 S Nappanee St, Elkhart, IN 46514-2098
Larry Best Podiatry Elkhart Clinic,llc 1755 Fulton St B, Elkhart, IN 46514-1927
Eric M Johnson Otolaryngology Elkhart Clinic,llc 2222 W Lexington Ave B, Elkhart Clinic Bariatrics, Elkhart, IN 46514-1420
Emily A Mitchell General Surgery Elkhart Clinic,llc 303 S Nappanee St, Elkhart, IN 46514-2098
Marla M Troyer Nurse Practitioner Elkhart Clinic,llc 303 S Nappanee St, Elkhart, IN 46514-2098
Jennifer A Hartl Nurse Practitioner Elkhart Clinic,llc 2115 W Lexington Ave, Elkhart Family Physicians, Elkhart, IN 46514-1423
Abigail Anne Wolaver Johnson Qualified Audiologist Elkhart Clinic,llc 1122 Professional Dr, Goshen, IN 46526-3819

Office Location

Street Address 2115 W LEXINGTON AVE
ELKHART FAMILY PHYSICIANS
City ELKHART
State IN
Zip 46514-1423

Physicians in the same location

Name Specialty Organization Address
Jeffrey Eifler Podiatry Elkhart Clinic,llc 2115 W Lexington Ave, Elkhart Family Physicians, Elkhart, IN 46514-1423
Jennifer A Hartl Nurse Practitioner Elkhart Clinic,llc 2115 W Lexington Ave, Elkhart Family Physicians, Elkhart, IN 46514-1423
Ryan D Matherly Family Medicine Elkhart Clinic,llc 2115 W Lexington Ave, Elkhart Family Physicians, Elkhart, IN 46514-1423
Heather A Macklem Family Medicine Elkhart Clinic,llc 2115 W Lexington Ave, Elkhart Family Physicians, Elkhart, IN 46514-1423
Timothy J Porsche Family Medicine Elkhart Clinic,llc 2115 W Lexington Ave, Elkhart Family Physicians, Elkhart, IN 46514-1423

Physicians in the same zip code

Name Specialty Organization Address
Jason A Hix Sports Medicine Orthopedic and Sports Medicine Center of Northern Indiana, Inc. 2310 California Rd, Suite A, Elkhart, IN 46514-1228
Joann E Marinkovich-davidson Nurse Practitioner Ascendant Orthopedic Alliance LLC 2310 California Rd, Suite A, Elkhart, IN 46514-1228
Mark Klaassen Orthopedic Surgery Orthopedic and Sports Medicine Center of Northern Indiana, Inc. 2310 California Rd, Suite A, Elkhart, IN 46514-1228
Julia K Pagano Podiatry Orthopedic and Sports Medicine Center of Northern Indiana, Inc. 2310 California Rd, Suite A, Elkhart, IN 46514-1228
Carolyn M Barbus Physician Assistant Ascendant Orthopedic Alliance LLC 2310 California Rd, Suite A, Elkhart, IN 46514-1228
Craig Erekson Orthopedic Surgery Orthopedic and Sports Medicine Center of Northern Indiana, Inc. 2310 California Rd, Suite A, Elkhart, IN 46514-1228
Jon B Smucker Sports Medicine Orthopedic and Sports Medicine Center of Northern Indiana, Inc. 2310 California Rd, Suite A, Elkhart, IN 46514-1228
Joseph M. Caldwell Ii Orthopedic Surgery Orthopedic and Sports Medicine Center of Northern Indiana, Inc. 2310 California Rd, Suite A, Elkhart, IN 46514-1228
Scott C Mclaughlin Physician Assistant Ascendant Orthopedic Alliance LLC 2310 California Rd, Suite A, Elkhart, IN 46514-1228
John M Kelbel Orthopedic Surgery Ascendant Orthopedic Alliance LLC 2310 California Rd, Suite A, Elkhart, IN 46514-1228
Find all physicians in zip 46514

Competitor

Search similar physicians

City ELKHART
Zip Code 46514
Specialty FAMILY MEDICINE
City + Specialty ELKHART + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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