Robert Samuel Davis, PA-C
NPI 1134378169ActiveIndividual· Physician Assistant· Spokane Valley, WA
Physician Assistant (PA-C) with Providence Health and Services Washington, practicing in Spokane Valley, Washington. In 2024 Medicare paid $20,547 for 281 patients, and Part D covered 356 of their prescriptions, 88% of them generic. Lists Prov Sacred Hrt Med Ctr & Childs Hosp. as a hospital affiliation.
Overview
| NPI | 1134378169 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 15, 2008 |
| Last updated in NPPES | Apr 16, 2021 |
| Certified by provider | Apr 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA60055084 | WA |
| Physician Assistant, Medical | 363AM0700X | PA-767 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 281 |
|---|---|
| Services billed | 360 across 19 procedure codes |
| Paid by Medicare | $20,547 |
Part D prescriptions in 2024
| Prescriptions (claims) | 356 · 365 30-day fills |
|---|---|
| Patients | 260 |
| Total drug cost | $5,312 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Providence Health and Services WashingtonSpokane, WA · 784 clinicians
Hospital affiliation
- Prov Sacred Hrt Med Ctr & Childs Hosp.Spokane, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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