DR. SEAN GERALD DOWNING MD
NPI 1063402030
Internal Medicine in Sarasota, FL

Active since October 21, 2005Opted out of Medicare · through Oct 1, 2026
5350 UNIVERSITY PKWY, 101, SARASOTA, FL 34243(941) 917-4675(941) 917-4688 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sean Gerald Downing Md NPPES

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

DR. SEAN GERALD DOWNING MD (NPI 1063402030) is an individual internal medicine provider in Sarasota, Florida, licensed in Florida (ME91906) and active in the NPI registry since October 2005. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063402030
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SEAN GERALD DOWNINGCredential: MD
Location Address5350 UNIVERSITY PKWY, 101Sarasota, FL 34243-5812
Mailing AddressPo Box 863407Orlando, FL 32886-3407 · (941) 917-2600 · Fax (941) 917-7884
Fax(941) 917-4688
Sole ProprietorNo
Enumeration DateOctober 21, 2005
Last NPPES UpdateOctober 16, 2012
NPI 1063402030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME91906
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License ME91906 (FL)
5350 UNIVERSITY PKWY, Sarasota, FL 34243

Other Identifiers 4

Medicare UPINH52534FL
Medicaid271488400FL
Other50140FL · Bcbs
Medicare PIN50140ZFL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Sean Gerald Downing Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2016 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2016
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34243 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$169.80 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 10

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

Nurse Practitioner
5350 UNIVERSITY PKWY, SUITE 200
SARASOTA, FL 34243
Dermatology
5350 UNIVERSITY PKWY, SUITE 200
SARASOTA, FL 34243
Internal Medicine
5350 UNIVERSITY PKWY, SUITE 101
SARASOTA, FL 34243
Clinic/Center (Radiology, Mobile)
5350 UNIVERSITY PKWY
SARASOTA, FL 34243
Internal Medicine
5350 UNIVERSITY PKWY, SUITE 101
SARASOTA, FL 34243
Internal Medicine
5350 UNIVERSITY PKWY, SUITE 101
SARASOTA, FL 34243
Internal Medicine
5350 UNIVERSITY PKWY, 101
SARASOTA, FL 34243
General Practice
5350 UNIVERSITY PKWY, SUITE 101
SARASOTA, FL 34243

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 Sean Downing's NPI number?

The NPI number for Sean Downing is 1063402030. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Where is Sean Downing located?

Sean Downing practices at 5350 University Pkwy 101, Sarasota, FL 34243. The listed phone number is (941) 917-4675.

What is Sean Downing's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sean Downing enrolled in Medicare?

No. Sean Downing has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sean Downing was last updated on October 16, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.