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DAVID DOWNS MD
NPI 1023101375
Orthopaedic Surgery in Fullerton, CA

Active since October 01, 2006PECOS EnrolledAccepts Medicare Assignment
680 LANGSDORF DR, SUITE 103, FULLERTON, CA 92831(714) 879-0050(714) 879-0249 Get Directions Write a Review

NPPES record last updated: May 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Downs Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID DOWNS MD (NPI 1023101375) is an individual orthopaedic surgery provider in Fullerton, California, licensed in California (A84216) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2002).

NPPES Registry Identity

NPI1023101375
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDAVID DOWNSCredential: MD
Location Address680 LANGSDORF DR, SUITE 103Fullerton, CA 92831-3702
Mailing Address680 Langsdorf Dr, Suite 103Fullerton, CA 92831-3702 · (714) 879-0050 · Fax (714) 879-0249
Phone(714) 879-0050
Fax(714) 879-0249
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2002
Enumeration DateOctober 1, 2006
Last NPPES UpdateMay 4, 2017
✔ NPI 1023101375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CA · A84216
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
680 LANGSDORF DR, Fullerton, CA 92831
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Downs Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739258237
PECOS Enrollment IDI20080524000045
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
408 services71 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
406 services135 patients
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324
Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.
347 services77 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
257 services159 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
231 services161 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
173 services133 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92831 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,727 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%274 patients4/55-star benchmark: 99%
Functional Status Assessment for Total Knee Replacement
Percentage of patients 18 years of age and older who received an elective primary total knee arthroplasty (TKA) who completed baseline and follow-up patient-reported and completed a functional status assessment within 90 days prior to the surgery and in the…
56%27 patients3/55-star benchmark: 84%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%765 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
73%1,414 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
97%1,263 patients5/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 559 patients
Patients tobacco: 2% · 49 patients
91%559 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%1,414 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
8%1,414 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
30%1,414 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Dynamic adjustable knee extension / flexion device, includes soft interface material E1810
DME-Other DME · category DE000N
1 supplier35 claims35 services$106.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHILD GUIDANCE CENTER, INC.
Community/Behavioral Health
680 LANGSDORF DR, SUITE 200
FULLERTON, CA 92831
Orange County (714) 871-9264
ALEXANDER RICHTER M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
680 LANGSDORF DR, SUITE 103
FULLERTON, CA 92831
Orange County (714) 879-0050
KENDRA HIGGINS P.A.
Physician Assistant (Medical)
680 LANGSDORF DR, SUITE 103
FULLERTON, CA 92831
Orange County (714) 879-0050
MR. RONALD LEE CUNNINGHAM MPT
Physical Therapist
680 LANGSDORF DR, SUITE 100
FULLERTON, CA 92831
Orange County (714) 871-0460
DR. BETTY ANN HAMMOND PH.D
Psychologist (Clinical)
680 LANGSDORF DR, 219
FULLERTON, CA 92831
Orange County (714) 306-9168
STEPHANIE BAUTISTA
Student in an Organized Health Care Education/Training Program
680 LANGSDORF DR, SUITE 200
FULLERTON, CA 92831
Orange County (714) 953-4455
NANCY MARIE HYBL-BOSTWICK L.C.S.W.
Social Worker (Clinical)
680 LANGSDORF DR, SUITE 219
FULLERTON, CA 92831
Orange County (714) 578-0990
DR. JOHN DONALD SAWYER III PHD
Psychologist (Clinical)
680 LANGSDORF DR, # 219
FULLERTON, CA 92831
Orange County (714) 871-9732

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Downs's NPI number?

The NPI number for David Downs is 1023101375. It was assigned to this individual provider in the NPPES registry on October 1, 2006.

Where is David Downs located?

David Downs practices at 680 Langsdorf Dr Suite 103, Fullerton, CA 92831. The listed phone number is (714) 879-0050.

What is David Downs's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is David Downs enrolled in Medicare?

Yes. David Downs is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for David Downs was last updated on May 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.