PAUL DOWNEY P.A.
NPI 1144537945
Physician Assistant in Kalispell, MT

Q: What is Paul Downey's NPI number?

The NPI number for Paul Downey is 1144537945. It was assigned to this individual provider in the NPPES registry on September 1, 2010.

Q: What is Paul Downey's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Downey was last updated on September 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 01, 2010PECOS EnrolledAccepts Medicare Assignment

1035 1ST AVE W, KALISPELL, MT 59901(406) 751-8113(406) 751-8148 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 5, 2025, Oct 27, 2022 (2 updates tracked since 2022).

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About Paul Downey P.a. NPPES

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

PAUL DOWNEY P.A. (NPI 1144537945) is an individual physician assistant in Kalispell, Montana, licensed in Montana (MED-PAC-LIC-617) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144537945

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NamePAUL DOWNEYCredential: P.A.

Location Address1035 1ST AVE WKalispell, MT 59901-5607

Mailing Address1035 1st Ave WKalispell, MT 59901-5607 · (406) 751-8113 · Fax (406) 751-8148

Phone(406) 751-8113

Fax(406) 751-8148

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateSeptember 1, 2010

Last NPPES UpdateSeptember 5, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2025

✔ NPI 1144537945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MT · MED-PAC-LIC-617

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1035 1ST AVE W, Kalispell, MT 59901

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Secondary Practice Locations 2

Location 11280 Burns WayKalispell, MT 59901-3110 · Phone (406) 755-5266 · Fax (406) 755-0228

Location 2350 Heritage Way Ste 2300Kalispell, MT 59901-3167 · Phone (406) 890-7432 · Fax (406) 890-7402

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans 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

Paul Downey P.a. 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 ID9436275542

PECOS Enrollment IDI20180725003747

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 8

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.

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.

515 services377 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

280 services141 patients

Insertion of lower leg neurostimulator electrode 64566

The insertion of a lower leg neurostimulator electrode is a procedure where a small device is placed under your skin. This device sends mild electrical signals to nerves in the lower leg, helping to manage chronic pain. It's a safe, minimally invasive procedure.

193 services29 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

143 services49 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

63 services63 patients

Simple change of bladder tube 51705

A simple change of bladder tube involves replacing your current urinary drainage tube with a new one. This is done to maintain hygiene and prevent infections. It's a straightforward process, usually causing minimal discomfort, and helps ensure your body can properly dispose of waste fluids.

52 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Logan Health Medical Center

Acute Care Hospitals · Kalispell, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270051

Location310 Sunnyview LaneKalispell, MT 59901 · Flathead County

Emergency services Birthing friendly

Logan Health - Whitefish

Critical Access Hospitals · Whitefish, MT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number271336

Location1600 Hospital WayWhitefish, MT 59937 · Flathead County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59901 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

$87.97 typical visit price

range $56.81 – $172.26

Typical copayment $21.99 (range $14.20 – $43.06)

Most-billed visit code 99203

Established Patient

$70.82 typical visit price

range $18.24 – $140.32

Typical copayment $17.70 (range $4.56 – $35.08)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers35 claims35 services$16.97 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers16 claims16 services$6.80 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers36 claims36 services$98.88 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 13

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

MRS. BETH BENJAMIN WATNE PA-C

Physician Assistant