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DR. RONALD K DOWNS M.D., F.A.C.S.
NPI 1154328516
Plastic Surgery in Mishawaka, IN

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment
611 E DOUGLAS RD STE 108, MISHAWAKA, IN 46545(574) 968-9100(574) 968-2614 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2023, Aug 26, 2021, May 14, 2021 (3 updates tracked since 2021).

About Dr. Ronald K Downs M.d., F.a.c.s. NPPES

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

DR. RONALD K DOWNS M.D., F.A.C.S. (NPI 1154328516) is an individual plastic surgery provider in Mishawaka, Indiana, licensed in Indiana (01040192A) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and maintains a secondary practice location in Goshen.

NPPES Registry Identity

NPI1154328516
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. RONALD K DOWNSCredential: M.D., F.A.C.S.
Location Address611 E DOUGLAS RD STE 108Mishawaka, IN 46545-1464
Mailing Address611 E Douglas Rd Ste 108Mishawaka, IN 46545-1464 · (574) 968-9100 · Fax (574) 968-2614
Phone(574) 968-9100
Fax(574) 968-2614
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJune 30, 2005
Last NPPES UpdateAugust 8, 20233 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
✔ NPI 1154328516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in IN · 01040192A
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedPlastic Surgery · Plastic Surgery Within the Head and NeckTaxonomy 2082S0099X · License 01040192A (IN)
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License 01040192A (IN)
611 E DOUGLAS RD STE 108, Mishawaka, IN 46545
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Secondary Practice Location 1

Location 1200 High Park AveGoshen, IN 46526-4810 · Phone (574) 364-2888

Other Identifiers 1

Medicaid100338780IN

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. Ronald K Downs M.d., F.a.c.s. 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 ID6507840980
PECOS Enrollment IDI20040614001655
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

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 5

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

THE CENTRE PC
Plastic Surgery
611 E DOUGLAS RD STE 108
MISHAWAKA, IN 46545
St. Joseph County (574) 968-3515
LAWRENCE C BOYNTON CFA
Licensed Practical Nurse
611 E DOUGLAS RD STE 108
MISHAWAKA, IN 46545
St. Joseph County (574) 968-9100
DR. PATRICK J VISCARDI M.D.
Plastic Surgery
611 E DOUGLAS RD STE 108
MISHAWAKA, IN 46545
St. Joseph County (574) 968-9100
DR. RACHEL JO MACIAS M.D.
Plastic Surgery
611 E DOUGLAS RD STE 108
MISHAWAKA, IN 46545
St. Joseph County (616) 391-6243
DEBRA LYNN MILLER RNFA
Registered Nurse (Registered Nurse First Assistant)
611 E DOUGLAS RD STE 108
MISHAWAKA, IN 46545
St. Joseph County (574) 968-9100

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 Ronald Downs's NPI number?

The NPI number for Ronald Downs is 1154328516. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Ronald Downs located?

Ronald Downs practices at 611 E Douglas Rd Ste 108, Mishawaka, IN 46545. The listed phone number is (574) 968-9100.

What is Ronald Downs's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Ronald Downs enrolled in Medicare?

Yes. Ronald 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.

What insurance does Ronald Downs accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Ronald Downs 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 Ronald Downs affiliated with any hospitals?

According to CMS data, Ronald Downs is affiliated with Saint Joseph Regional Medical Center and Memorial Hospital Of South Bend.

When was this NPI record last updated?

The NPPES record for Ronald Downs was last updated on August 8, 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.