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MAUREEN DOWNING
NPI 1174866248
Obstetrics & Gynecology in Cincinnati, OH

Active since March 27, 2013PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
3130 HIGHLAND AVE, CINCINNATI, OH 45219(513) 584-3999(513) 584-4111 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 12, 2025, Nov 17, 2017, Apr 13, 2017 (3 updates tracked since 2017).

About Maureen Downing NPPES

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

MAUREEN DOWNING (NPI 1174866248) is an individual obstetrics & gynecology provider in Cincinnati, Ohio, licensed in Ohio (34.012667) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Willowbrook Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2013).

NPPES Registry Identity

NPI1174866248
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMAUREEN DOWNING
Location Address3130 HIGHLAND AVECincinnati, OH 45219-2399
Mailing AddressPo Box 636256 Central CredentialingCincinnati, OH 45263-0001 · (513) 585-5505 · Fax (513) 585-5511
Phone(513) 584-3999
Fax(513) 584-4111
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2013
Enumeration DateMarch 27, 2013
Last NPPES UpdateMarch 12, 20253 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1174866248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in OH · 34.012667✔ Licensed in TX · V5067
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3130 HIGHLAND AVE, Cincinnati, OH 45219
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maureen Downing 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 ID9436453230
PECOS Enrollment IDI20250409002610
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Maureen Downing reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Cincinnati Physicians Company, LLC
0.1 mi
Family Medicine
3188 BELLEVUE AVE
Cincinnati, OH 45219
  • Reassigned Medicare billing, Ohio enrollment
  • 2,038 clinicians in this Medicare group
NPI 1801840434 (513) 584-1000
Tmh Physician Associates PLLC
898 mi
Ophthalmology
6550 FANNIN ST, SUITE 447
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,407 clinicians in this Medicare group
NPI 1275779225 (713) 441-7389
Houston Methodist Specialty Physicians
899 mi
Otolaryngology
7550 GREENBRIAR DR STE 600
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 1,579 clinicians in this Medicare group
NPI 1902614332 (281) 414-6055

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450844
Location18220 State Highway 249Houston, TX 77070 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

Other Providers at the Same Location NPPES 20

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

DR. LEI QU PHARMD
Pharmacist
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (135) 584-8828
MICHAEL FRITZ
Dermatology
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (513) 475-7630
MARGO WATERS MD
Student in an Organized Health Care Education/Training Program
3130 HIGHLAND AVE, GROUND FLOOR
CINCINNATI, OH 45219
Hamilton County (513) 584-4644
THOMAS LAWLER
Internal Medicine
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (513) 584-4505
JULIANE VIERECKE MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (513) 584-7217
MAX CHRISTOPHER REIF M.D.
Internal Medicine (Nephrology)
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (513) 584-4061
DR. WILLIAM MICHAEL GAYNIER D.O
Ophthalmology
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (513) 584-5461
LATOYA LABRESSKA BRATHWAITE MD
Internal Medicine (Nephrology)
3130 HIGHLAND AVE, 2ND FLOOR NEPHROLOGY HOXWORTH CLINIC
CINCINNATI, OH 45219
Hamilton County (513) 584-4061

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 Maureen Downing's NPI number?

The NPI number for Maureen Downing is 1174866248. It was assigned to this individual provider in the NPPES registry on March 27, 2013.

Where is Maureen Downing located?

Maureen Downing practices at 3130 Highland Ave, Cincinnati, OH 45219. The listed phone number is (513) 584-3999.

What is Maureen Downing's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Maureen Downing enrolled in Medicare?

Yes. Maureen 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.

Which organizations bill Medicare for Maureen Downing's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maureen Downing reassigns Medicare benefits to 3 organizations: University Of Cincinnati Physicians Company, LLC (Cincinnati, OH), Tmh Physician Associates PLLC (Houston, TX) and Houston Methodist Specialty Physicians (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maureen Downing's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maureen Downing accept?

Health plans from CareSource and MedMutual list Maureen 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.

Is Maureen Downing affiliated with any hospitals?

According to CMS data, Maureen Downing is affiliated with Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Maureen Downing was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.