Clifford Wayne Davis, PAC
NPI 1427000751ActiveIndividual· Physician Assistant· Conrad, MT
Physician Assistant (PAC) with Poudre Valley Medical Group LLC, practicing in Conrad, Montana. In 2024 Medicare paid $11,080 for 189 patients, and Part D covered 223 of their prescriptions, 69% of them generic. Okami Medical, Inc. reported $38.06 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1427000751 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | May 16, 2006 |
| Last updated in NPPES | Feb 19, 2021 |
| Certified by provider | Feb 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 301 | MT |
| Physician Assistant | 363A00000X | PA0004597 | CO |
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 (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 189 |
|---|---|
| Services billed | 195 across 8 procedure codes |
| Paid by Medicare | $11,080 |
Part D prescriptions in 2024
| Prescriptions (claims) | 223 · 225 30-day fills |
|---|---|
| Patients | 187 |
| Total drug cost | $1,704 |
| Generic share | 69% of claims |
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Poudre Valley Medical Group LLCDenver, CO · 2,440 clinicians
Industry payments (Open Payments)
- 2024$38.06 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Okami Medical, Inc. | $38.06 | 1 |
What the 2024 payments were for
- Food and Beverage$38.06 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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