William Wilder Davis III, M.D.
NPI 1356769004ActiveIndividual· Radiology, Diagnostic Radiology· Grand Rapids, MI
Radiology, Diagnostic Radiology (M.D.) in Grand Rapids, Michigan, trained at Wayne State University School of Medicine (class of 2014). Medicare paid $164,408 for services to 3,720 patients in 2024.
Overview
| NPI | 1356769004 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Mar 31, 2014 |
| Last updated in NPPES | Jul 29, 2020 |
| Certified by provider | Jul 29, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 4301105368 | MI |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (ID); Practitioner - Diagnostic Radiology (MI); Practitioner - Diagnostic Radiology (TX); Practitioner - Diagnostic Radiology (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 3,720 |
|---|---|
| Services billed | 8,811 across 163 procedure codes |
| Paid by Medicare | $164,408 |
Education and affiliations
| Medical school | Wayne State University School of Medicine |
|---|---|
| Graduation year | 2014 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Tri-State Memorial HospitalClarkston, WA · 35 clinicians
- High Plains Radiological Association LLPAmarillo, TX · 35 clinicians
- Open Air Imaging Center LLPAmarillo, TX · 25 clinicians
- Vannvei LLCLewiston, ID · 19 clinicians
- Phoenix Radiology, PLLCLewiston, ID · 8 clinicians
Hospital affiliations
- Glen Rose Medical CenterGlen Rose, TX
- Ochiltree General HospitalPerryton, TX
- St Joseph Regional Medical CenterLewiston, ID
- Syringa General HospitalGrangeville, ID
- Tri-State Memorial HospitalClarkston, 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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