Matthew Dewitt Davis, PA
NPI 1477238533ActiveIndividual· Physician Assistant· Fargo, ND
Physician Assistant (PA) in Fargo, North Dakota, trained at University of North Dakota School of Medicine (class of 2023). 106 Medicare patients in 2024, $8,492 paid; nearly all of their 222 Part D prescriptions were generic (99%). Smith+nephew, Inc. was the largest of 2 companies reporting payments in 2024, $208.44 in all, mostly food and beverage.
Overview
| NPI | 1477238533 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | Yes |
| NPI issued | Jun 16, 2023 |
| Last updated in NPPES | Jul 20, 2023 |
| Certified by provider | Jul 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PAC1010 | ND |
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 (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 106 |
|---|---|
| Services billed | 213 across 26 procedure codes |
| Paid by Medicare | $8,492 |
Part D prescriptions in 2024
| Prescriptions (claims) | 222 · 339 30-day fills |
|---|---|
| Patients | 125 |
| Total drug cost | $4,164 |
| Generic share | 99% of claims |
Education and affiliations
| Medical school | University of North Dakota School of Medicine |
|---|---|
| Graduation year | 2023 |
| Medicare specialty | Physician Assistant |
Medical group
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
Hospital affiliation
- Park Nicollet Methodist HospitalSaint Louis Park, MN
Industry payments (Open Payments)
- 2024$208.44 · 5 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Smith+nephew, Inc. | $145.18 | 3 |
| Kls-Martin L.P. | $63.26 | 2 |
What the 2024 payments were for
- Food and Beverage$208.44 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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