Doctor profile · Federal record
Dr. James Downing, MD
Pain Medicine (Anesthesiology) Physician (CMS: Interventional Pain Management) · Newark, DE
- NPI 1477579498
- Accepts Medicare
- MIPS 97.6 / 100 · 2023
- 40 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
774 Christiana RD Ste 111
Newark, DE 197134248
(302) 478-7001
fax (302) 478-7002 - Additional location
-
3411 Silverside Road, Suite 103 Rodney Building
Wilmington, DE 19810 - Mailing address
-
Po Box 3012
Wilmington, DE 19804
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- October 7, 2019
- Year of graduation
- 1986 — 40 yrs since
- Specialty taxonomy
- 207LP2900X — NUCC code
- State license (1)
- Delaware #J1005938
- Medicaid
- DE #0001084301
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1477579498. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,805
Distinct HCPCS
10
Medicare allowed
$327,507
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 516 | 208 | $91 | |
64483 |
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 195 | 126 | $300 | |
64493 |
Injection of lower or sacral spine facet joint using imaging guidance, single level | 149 | 90 | $229 | |
64494 |
Injection of lower or sacral spine facet joint using imaging guidance, second level | 122 | 73 | $116 | |
64635 |
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 105 | 68 | $464 | |
64636 |
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | 97 | 61 | $250 | |
64484 |
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 96 | 69 | $114 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 65 | 65 | $164 | |
27096 |
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 61 | 36 | $195 | |
64490 |
Injection of upper or middle spine facet joint using imaging guidance, single level | 48 | 32 | $233 |
In context: peer comparison
Among 1 peers in Newark Pain Medicine (Anesthesiology) Physician, average services per provider: 78. This provider delivers 23× the peer median.Open Payments
Industry payments received
All-time total
$250
Transactions
12
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 12 | $249.70 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
38
Patients
26
Total drug cost
$645
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 23 | 15 | $395 |
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 15 | 11 | $251 |
Frequently asked questions
What is Dr. James Downing's medical specialty?
Dr. James Downing practices Pain Medicine (Anesthesiology) Physician in Newark, DE.
Where does Dr. James Downing practice?
Dr. James Downing practices at 774 Christiana RD Ste 111, Newark, DE 197134248. Office phone: 3024787001.
What is Dr. James Downing's NPI?
Dr. James Downing's National Provider Identifier (NPI) is 1477579498, issued by NPPES.
Does Dr. James Downing accept Medicare assignment?
Yes. Dr. James Downing accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. James Downing commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS 64483); Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS 64493). Source: CMS Medicare Physician & Other Practitioners file.