Dallas Jordan Davis Provence, NP

  • Germantown, TN
  • Dermatopathology physician
NPI1619556230PAC ID4688079338
Medicare services, 2024
2,011
Medicare patients, 2024
479
Part D claims, 2024
319
MIPS score, 2024
67
Industry payments
$7,991
Practice address
1920 Kirby Pkwy, Germantown, TN 38138
Practice phone
Call (901) 624-3333
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Levy Dermatology

Germantown, Tennessee

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Dallas Jordan Davis Provence is a dermatopathology physician in Germantown, Tennessee

Dallas Provence practices at Levy Dermatology in Germantown, Tennessee.

Dallas Provence's NPI, 1619556230, was assigned on April 2, 2021. Dallas Provence holds Tennessee license 28973.

NPI and contact details
Medicare PAC ID
4688079338
NPI enumeration date
April 2, 2021
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(901) 624-3333
Professional email
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Personal email
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Mobile number
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Sex
Female
Estimated age
32
Medical school graduation
2020

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dallas Jordan Davis Provence practices at Levy Dermatology in Germantown, Tennessee

Dallas Provence's primary practice is Levy Dermatology, at 1920 Kirby Pkwy, Germantown, TN 38138 in Shelby County. The practice phone is (901) 624-3333.

  • Levy Dermatology
    1920 Kirby Pkwy, Germantown, TN 38138 · Shelby CountyPhone(901) 624-3333

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dallas Jordan Davis Provence is affiliated with 2 sites of care and 1 medical group

Dallas Provence's primary practice is Levy Dermatology in Germantown, Tennessee. The medical group on file is Levy Dermatology. Dmand AI also links Dallas Provence to 1 more group practice or clinic, named with a free account.

See all 3 affiliations for Dallas Provence

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dallas Jordan Davis Provence's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dallas Provence practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Levy DermatologyAvailable with a free account
+1 more affiliated siteAvailable with a free account

Source: Dmand AI Technology Install Data

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Dallas Jordan Davis Provence is one of 16 dermatopathology physicians in Tennessee

Dermatopathology is Dallas Provence's primary specialty in the NPI Registry, under taxonomy code 207ND0900X. Dallas Provence is licensed in Tennessee.

Specialties and state licenses

  • Dermatopathology, TennesseePrimaryLicense 28973 · taxonomy 207ND0900X

Dermatopathology physicians near Dallas Provence

Counts of dermatopathology physicians with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dallas Jordan Davis Provence billed Medicare for 2,011 services in 2024

CMS data shows 2,011 Medicare services from Dallas Provence across 11 procedure codes in 2024, for 479 Medicare patients. Medicare paid $63,365 for them. Every service was in an office.

Medicare services, 20242,011
Medicare patients479
Paid by Medicare$63,365
Procedure codes11

Dallas Provence's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Surgery
2023: 1,5742024: 1,36413%
Office and hospital visits
2023: 6652024: 6473%

Dallas Provence compared with the Tennessee median for dermatopathology physicians, 2024

  • Dallas Provence
  • Tennessee median
Medicare services
2,011vs 5,23162% below
Medicare patients
479vs 1,22961% below
Part D claims
268vs 22022% above

Medians across 18 dermatopathology physicians in Tennessee with Dmand AI profiles that report each measure.

Dallas Provence's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dallas Provence

Need commercial claims for Dallas Provence?

Medicare shows one payer. Book a meeting to get commercial claims data for Dallas Provence and other dermatopathology physicians in Tennessee.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dallas Jordan Davis Provence treated 479 Medicare patients in 2024, average age 75

CMS counts 479 Medicare patients who saw Dallas Provence in 2024. The largest group is 65 to 74, with 238 patients. 75% of them have high blood pressure, and 75% have high cholesterol. Their average risk score is 0.97, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dallas Provence's median patient age at 52, with 63% women.

Medicare patients, 2024479
Average age75
Average risk score0.97

Dallas Provence's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dallas Provence's Medicare patients by sex, 2024

  • Women28760%
  • Men19240%

Chronic conditions among Dallas Provence's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis47%
  4. Ischemic heart disease29%
  5. Diabetes26%
  6. Anxiety20%
  7. Chronic kidney disease19%
  8. Mood disorders19%

Share of Medicare patients with each condition. A patient can have several.

Dallas Provence's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 52

Patient panel by sex, all payers

  • Women63%
  • Men36%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dallas Jordan Davis Provence wrote 319 Medicare Part D claims in 2024

In 2024, Dallas Provence wrote 319 Medicare Part D claims for 160 patients. 91% of them were for generic drugs. CMS names the drug for 268 of them, across 11 drugs with 11 or more claims each, at $86,342 in total drug cost. In 2023, CMS named 229 claims across 8 drugs.

Part D claims, 2024319
Drugs named by CMS11
Total drug cost$86,342
Part D patients160

Dallas Provence's Part D claims by kind of drug, 2024

  • Generic290 claims91%
  • Brand-name29 claims9%

Dallas Provence's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dallas Provence's Part D claims, 2024

  • Antibiotics9%30 of 319 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 2292024: 26817%

Drugs named by CMS: 11 in 2024, 8 in 2023.

See all prescribing by Dallas Provence

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dallas Jordan Davis Provence scored 67 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 67 out of 100 for Dallas Provence for performance year 2024, reported individually. Dallas Provence accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dallas Provence's MIPS scores, performance year 2024

  • 67of 100Final score
  • 43.3of 100Quality
  • 95of 100Promoting Interoperability
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dallas Jordan Davis Provence received $7,991 in industry payments from 2021 to 2025

CMS Open Payments shows 354 general payments to Dallas Provence from 23 drug and device companies from 2021 to 2025. Food and beverage make up the largest share, 95% of the total. Abbvie Inc. paid the most, $1,454.

General payments to Dallas Provence by program year, 2021 to 2025

General payments to Dallas Provence by kind, 2021 to 2025

$8Kin total
  • Food and beverage$7,61295%
  • Education$3785%

Companies that paid Dallas Provence the most, 2021 to 2025

Share is of all general payments to this clinician.

See all payments to Dallas Provence

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Sources for Dallas Jordan Davis Provence's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dallas Jordan Davis Provence

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dallas Jordan Davis Provence's NPI number?

Dallas Jordan Davis Provence's NPI number is 1619556230. It was assigned on April 2, 2021, and it is active in the NPI Registry.

What does Dallas Jordan Davis Provence specialize in?

Dallas Jordan Davis Provence is a dermatopathology physician in Germantown, Tennessee. The primary specialty in the NPI Registry is Dermatopathology Physician (taxonomy code 207ND0900X).

Where does Dallas Jordan Davis Provence practice?

Dallas Provence practices at 1920 Kirby Pkwy, Germantown, TN 38138. Dallas Provence's primary practice is Levy Dermatology in Germantown, Tennessee. Dmand AI also links Dallas Provence to 1 group practice or clinic.

What is Dallas Jordan Davis Provence's office phone number?

The practice phone on file for Dallas Provence is (901) 624-3333.

What is Dallas Jordan Davis Provence's medical license number?

Dallas Provence holds Tennessee license 28973.

What medical group is Dallas Jordan Davis Provence part of?

Dallas Provence is linked to Levy Dermatology.

Does Dallas Jordan Davis Provence accept Medicare?

Yes. CMS data shows Dallas Provence billed Medicare for 2,011 services in 2024, and Dallas Provence accepts Medicare assignment.

What is Dallas Jordan Davis Provence's MIPS score?

Dallas Provence's MIPS final score for performance year 2024 is 67 out of 100, reported individually.

How many Medicare patients does Dallas Jordan Davis Provence see?

CMS counts 479 Medicare patients who saw Dallas Provence in 2024, with an average age of 75.

What services does Dallas Jordan Davis Provence bill to Medicare?

In 2024, Dallas Provence's most billed Medicare services were surgery: skin and soft tissue (17003), office visit, established patient (99213) and surgery: skin and soft tissue (17000).

Show 3 more questionsShow fewer questions

What drugs does Dallas Jordan Davis Provence prescribe most?

In 2024 Medicare Part D data, Dallas Provence's most prescribed drugs by claims were Triamcinolone Acetonide, Doxycycline Hyclate and Clobetasol Propionate.

Has Dallas Jordan Davis Provence received payments from drug or device companies?

CMS Open Payments shows $7,991 in general payments to Dallas Provence from 23 companies from 2021 to 2025. The largest total came from Abbvie Inc.

How long has Dallas Jordan Davis Provence been practicing?

Dallas Provence graduated from medical school in 2020, 6 years ago.

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