Boris Davydov, PA-C
NPI 1588177109 · Physician Assistant · Minneapolis, MN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Boris Davydov, PA-C is a Physician Assistant provider in Minneapolis, MN (NPI 1588177109).
Provider details
- NPI number
- 1588177109
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 12513 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
67 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Fine Needle Aspiration Biopsy Using Ultrasound Guidance, First Growth10005 | 22 | $56 |
| Drainage of Fluid From Abdominal Cavity Using Imaging Guidance49083 | 21 | $82 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 12 | $105 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 12 | $64 |
Typical Medicare-allowed amounts for these services range $56–$105 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$182 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 7595 Anagram DrEden Prairie, MN 55344-7399Phone: (612) 573-2200Fax: (612) 573-2274
Registry dates
- Enumerated
- 2017-11-06
- Last updated
- 2025-11-17
- Certified
- 2025-11-17
Frequently asked questions
- What is Boris Davydov's NPI number?
- Boris Davydov's National Provider Identifier (NPI) is 1588177109, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Boris Davydov's specialty?
- Boris Davydov is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Boris Davydov located?
- Boris Davydov's practice location on file with NPPES is 701 Park Ave, Minneapolis, MN 55415-1623.
- What is Boris Davydov's phone number?
- The practice phone number listed in the NPPES registry for Boris Davydov is (612) 873-3000.
- Does Boris Davydov accept Medicare?
- Boris Davydov is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Boris Davydov's NPI active?
- Yes — Boris Davydov's NPI (1588177109) is active in the NPPES registry as of the last update on 2025-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.