CYNTHIA MARIE DOWNES M.D.
NPI 1336376649
Emergency Medicine in Boone, NC
NPI Status: Active since June 12, 2009
- Individual
- Female
- Emergency Medicine
- Accepts Insurance
- PECOS Enrolled
About CYNTHIA DOWNES
This page provides the complete NPI Profile along with additional information for Cynthia Downes, a provider established in Boone, North Carolina with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1336376649 assigned on June 2009. The practitioner's primary taxonomy code is 207P00000X with license number 201101962 (NC). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1336376649
- Provider Name
- CYNTHIA MARIE DOWNES M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 336 DEERFIELD RD BOONE, NC 28607
- Location Phone
- (828) 262-4165
- Mailing Address
- 336 DEERFIELD RD BOONE, NC 28607
- Mailing Phone
- (828) 262-4165
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-12-2009
- Last Update Date
- 10-17-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 201101962
- License State
- NC
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Silver 9 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Cynthia Downes is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Critical care, first 30-74 minutes
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Emergency department visit for problem of moderate severity
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 224 times for 221 patientsAn emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 434 times for 421 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 123 times for 121 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 27 times for 27 patientsA routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
This service was performed 59 times for 57 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 28607 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.9
- Minimum New Patient Price $54.12
- Maximum New Patient Price $165.09
- Average New Patient Copayment $20.97
- Minimum New Patient Copayment $13.53
- Maximum New Patient Copayment $41.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.94
- Minimum Established Patient Price $17.21
- Maximum Established Patient Price $134.61
- Average Established Patient Copayment $23.98
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.65
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for CYNTHIA MARIE DOWNES M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 3 | 7 | 6 | 6 | 4 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 6 | 7 | 12 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 6 + 7 + 1 + 2 + 6 + 8 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1336376649 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1164421269 | MR. JEFFREY LAWRENCE MILHAUPT CRNA Individual | Nurse Anesthetist, Certified Registered | 336 DEERFIELD RD BOONE, NC 28607 (828) 262-4256 |
| 1609869601 | MR. ROBERT RUSSELL JOHNSON CRNA Individual | Nurse Anesthetist, Certified Registered | 336 DEERFIELD RD BOONE, NC 28607 (828) 262-4241 |
| 1609914068 | DR. MARYE ELIZABETH HACKER M.D. Individual | Emergency Medicine | 336 DEERFIELD RD BOONE, NC 28607 (828) 262-4399 |
| 1588706659 | MS. ANGELA MARGARET GONDER RN, MSN, FNP-C Individual | Nurse Practitioner (Family) | 336 DEERFIELD RD BOONE, NC 28607 (828) 262-4399 |
| 1275659658 | DR. JAMES MURPHY BELL JR. M.D. Individual | Emergency Medicine | 336 DEERFIELD RD WATAUGA MEDICAL CENTER BOONE, NC 28607 (828) 262-4100 |
| 1669694402 | JENNIFER L STOEBER M.D. Individual | Emergency Medicine | 336 DEERFIELD RD BOONE, NC 28607 (828) 262-4100 |
| 1700075983 | MRS. THERESA LOUISE WHITTINGTON Individual | Dietitian, Registered | 336 DEERFIELD RD BOONE, NC 28607 (828) 266-2486 |
| 1669737292 | MRS. APRIL JOHNSON GREENE CNM Individual | Advanced Practice Midwife | 336 DEERFIELD RD BOONE, NC 28607 (828) 262-4210 |
| 1386627677 | DR. ANNA LUCY SOBOL M.D. Individual | Internal Medicine (Hematology & Oncology) | 336 DEERFIELD RD BOONE, NC 28607 (828) 262-4100 |
| 1184927584 | DR. HARJOT SINGH DHINGRA D.O Individual | Emergency Medicine | 336 DEERFIELD RD BOONE, NC 28607 (828) 262-4100 |
| 1023059987 | LISA KAUFMANN MD Individual | Internal Medicine | 336 DEERFIELD RD BOONE, NC 28607 (828) 263-1211 |
| 1477556116 | MICHAEL FRANCIS MINOGUE MD Individual | Emergency Medicine | 336 DEERFIELD RD BOONE, NC 28607 (828) 262-4100 |
| 1447244074 | DR. ROBERT JOHN FELIX MD Individual | Emergency Medicine | 336 DEERFIELD RD BOONE, NC 28607 (828) 263-1211 |
| 1982626214 | DR. HELENE HARPER MD Individual | Emergency Medicine | 336 DEERFIELD RD BOONE, NC 28607 (813) 312-4698 |
| 1700903507 | ALICIA ANGELINE DEBORD PT Individual | Physical Therapist | 336 DEERFIELD RD BOONE, NC 28607 (828) 268-9043 |
| 1619028016 | DR. TRACY D ANDREWS DNP, ACNP Individual | Nurse Practitioner (Acute Care) | 336 DEERFIELD RD BOONE, NC 28607 (828) 262-4100 |
| 1528325354 | MICHAEL CHRISTOPHER MEADOWS M.D. Individual | Internal Medicine | 336 DEERFIELD RD BOONE, NC 28607 (540) 850-6349 |
| 1972772317 | TERESA W BLANC FNP Individual | Nurse Practitioner (Family) | 336 DEERFIELD RD WATAUGA MEDICAL CENTER BOONE, NC 28607 (828) 262-4100 |
| 1073801676 | DR. JENNIFER RAE NELSON M.D. Individual | Emergency Medicine | 336 DEERFIELD RD BOONE, NC 28607 (828) 262-4133 |
| 1235595489 | DR. ROBERT SPENCER BROCE PH.D., L.C.S.W. Individual | Social Worker (Clinical) | 336 DEERFIELD RD BOONE, NC 28607 (828) 262-4201 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336376649, enumerated in the NPI registry as an "individual" on June 12, 2009
The provider is located at 336 Deerfield Rd Boone, Nc 28607 and the phone number is (828) 262-4165
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $83.9 with an average copayment of $20.97 for new patient appointments. Established patients should expect a typical charge of $95.94 and an average copayment of 23.98. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Critical care, first 30-74 minutes, Emergency department visit for life threatening or functioning severity, Emergency department visit for problem of high severity, Emergency department visit for problem of moderate severity and Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only.
This NPI record was last updated on June 12, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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