CRYSTAL DOWNER DO
NPI 1124589890
Family Medicine in Blacksburg, VA

Active since March 26, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3700 S MAIN ST STE 1A, BLACKSBURG, VA 24060(540) 443-7180(540) 443-3725 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2023, Oct 21, 2022, Apr 21, 2022 (3 updates tracked since 2022).

About Crystal Downer Do NPPES

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

CRYSTAL DOWNER DO (NPI 1124589890) is an individual family medicine provider in Blacksburg, Virginia, licensed in Virginia (0102207107) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Deland, and maintains a secondary practice location in Sanford.

NPPES Registry Identity

NPI1124589890
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCRYSTAL DOWNERCredential: DO
Location Address3700 S MAIN ST STE 1ABlacksburg, VA 24060-7017
Mailing Address2000 Health Park Dr Fl Hp2Brentwood, TN 37027-4692 · (615) 373-7600
Fax(540) 443-3725
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-virginia CampusGraduated 2019
Enumeration DateMarch 26, 2019
Last NPPES UpdateMay 10, 20233 updates tracked since enumeration
NPPES CertifiedMay 10, 2023
NPI 1124589890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in VA · 0102207107 Licensed in FL · OS19498
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3700 S MAIN ST STE 1A, Blacksburg, VA 24060

Secondary Practice Location 1

Location 11401 W Seminole BlvdSanford, FL 32771-6743 · Phone (407) 321-4500

Accepted 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

Crystal Downer Do 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 ID2860722857
PECOS Enrollment IDI20230523001694
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
824 services279 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
311 services301 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
252 services245 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
226 services146 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
199 services196 patients
Critical care, first 30-74 minutes 99291
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.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Deland

Acute Care Hospitals · Deland, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100045
Location701 W Plymouth AveDeland, FL 32720 · Volusia County
Emergency services

Adventhealth Fish Memorial

Acute Care Hospitals · Orange City, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100072
Location1055 Saxon BlvdOrange City, FL 32763 · Volusia County
Emergency services Birthing friendly

Central Florida Lake Monroe Hospital

Acute Care Hospitals · Sanford, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100161
Location1401 W Seminole BlvdSanford, FL 32771 · Seminole County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24060 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost92.24

Other Providers at the Same Location NPPES 2

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

Family Medicine
3700 S MAIN ST STE 1A
BLACKSBURG, VA 24060
Family Medicine (Adult Medicine)
3700 S MAIN ST STE 1A
BLACKSBURG, VA 24060

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 Crystal Downer's NPI number?

The NPI number for Crystal Downer is 1124589890. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Crystal Downer located?

Crystal Downer practices at 3700 S Main St Ste 1A, Blacksburg, VA 24060. The listed phone number is (540) 443-7180.

What is Crystal Downer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Crystal Downer enrolled in Medicare?

Yes. Crystal Downer 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 Crystal Downer accept?

Health plans from Molina Healthcare and Oscar Insurance Company list Crystal Downer 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.

Is Crystal Downer affiliated with any hospitals?

According to CMS data, Crystal Downer is affiliated with Adventhealth Deland, Adventhealth Fish Memorial and Central Florida Lake Monroe Hospital.

When was this NPI record last updated?

The NPPES record for Crystal Downer was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.