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DR. DONN BARRY DOWNING OD
NPI 1043294051
Optometrist in Seymour, IN

Active since December 02, 2005PECOS EnrolledAccepts Medicare Assignment
631 E TIPTON ST STE 2, SUITE 2, SEYMOUR, IN 47274(812) 522-4444(812) 522-2634 Get Directions Write a Review

NPPES record last updated: February 19, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Donn Barry Downing Od NPPES

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

DR. DONN BARRY DOWNING OD (NPI 1043294051) is an individual optometrist in Seymour, Indiana, licensed in Indiana (18001976A) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (1981).

NPPES Registry Identity

NPI1043294051
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DONN BARRY DOWNINGCredential: OD
Location Address631 E TIPTON ST STE 2, SUITE 2Seymour, IN 47274-3519
Mailing Address631 E Tipton St, Suite 2Seymour, IN 47274-3519 · (812) 522-4444 · Fax (812) 522-2634
Phone(812) 522-4444
Fax(812) 522-2634
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 1981
Enumeration DateDecember 2, 2005
Last NPPES UpdateFebruary 19, 2014
✔ NPI 1043294051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IN · 18001976A
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
631 E TIPTON ST STE 2, Seymour, IN 47274
Open in Google Maps ↗

Other Identifiers 7

Medicare PINM400038693IN
Other000000701811IN · Anthem Bcbs
Medicare NSC5419240014IN
Other005107Siho
Medicare UPINT34725
Medicaid100140510IN
OtherP00927161IN · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Dr. Donn Barry Downing Od 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 ID3577630169
PECOS Enrollment IDI20081103000239
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 7

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
186 services169 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.
151 services112 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.
110 services83 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
86 services82 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
84 services84 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
67 services64 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47274 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
97%73 patients4/55-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.
100%508 patients5/55-star benchmark: 100%
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…
0%2,843 patients1/55-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…
12%2,843 patients1/55-star benchmark: 59%
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.

Other Providers at the Same Location NPPES 3

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

LOUISVILLE OPTOMETRIC CENTERS, III PSC
Eyewear Supplier
631 E TIPTON ST STE 2
SEYMOUR, IN 47274
Jackson County (812) 522-4444
DR. LINDSEY NICOLE HARDY O.D.
Optometrist
631 E TIPTON ST STE 2
SEYMOUR, IN 47274
Jackson County (812) 522-4444
LINDSEY HATTON OD
Optometrist
631 E TIPTON ST STE 2
SEYMOUR, IN 47274
Jackson County (812) 522-4444

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 Donn Downing's NPI number?

The NPI number for Donn Downing is 1043294051. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Donn Downing located?

Donn Downing practices at 631 E Tipton St Ste 2 Suite 2, Seymour, IN 47274. The listed phone number is (812) 522-4444.

What is Donn Downing's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Donn Downing enrolled in Medicare?

Yes. Donn Downing 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.

What insurance does Donn Downing accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 5 other insurers list Donn Downing as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donn Downing was last updated on February 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.