KIMBERLY DOWNES DO
NPI 1174943294
Pediatrics in East Stroudsburg, PA
About Kimberly Downes Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY DOWNES DO (NPI 1174943294) is an individual pediatrics provider in East Stroudsburg, Pennsylvania, licensed in Pennsylvania (OS020543) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Morristown.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Downes Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Kimberly Downes reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
East Stroudsburg, PA 18301
- Reassigned Medicare billing, Pennsylvania enrollment
- 500 clinicians in this Medicare group
East Stroudsburg, PA 18301
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,895 clinicians in this Medicare group
East Stroudsburg, PA 18301
- Reassigned Medicare billing, Pennsylvania enrollment
- 296 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
EAST STROUDSBURG, PA 18301
EAST STROUDSBURG, PA 18301
EAST STROUDSBURG, PA 18301
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 Kimberly Downes's NPI number?
The NPI number for Kimberly Downes is 1174943294. It was assigned to this individual provider in the NPPES registry on April 16, 2014.
Where is Kimberly Downes located?
Kimberly Downes practices at 175 E Brown St, East Stroudsburg, PA 18301. The listed phone number is (570) 476-3585.
What is Kimberly Downes's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kimberly Downes enrolled in Medicare?
Yes. Kimberly Downes is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kimberly Downes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Downes reassigns Medicare benefits to 3 organizations: Family Care Centers Inc (East Stroudsburg, PA), Lehigh Valley Physician Group (East Stroudsburg, PA) and Valley Health Partners Community Health Center (East Stroudsburg, PA). 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 Kimberly Downes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Downes accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kimberly Downes 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.
When was this NPI record last updated?
The NPPES record for Kimberly Downes was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kimberly Downes, DO · NPI 1174943294
Pediatrics physician in East Stroudsburg, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 16, 2014.
## Identity
- **NPI:** 1174943294 (Entity type: Individual)
- **Enumerated:** April 16, 2014
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** OS020543 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 175 E BROWN ST, East Stroudsburg, PA 18301-3098
- **Phone:** (570) 476-3585 · **Fax:** (570) 421-9014
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Family Care Centers Inc (NPI 1316409626, East Stroudsburg, PA); Lehigh Valley Physician Group (NPI 1366236937, East Stroudsburg, PA); Valley Health Partners Community Health Center (NPI 1689409419, East Stroudsburg, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 29, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1174943294) · Data from the CMS NPPES public registry.