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EMILY DOWD FNP
NPI 1225643604
Nurse Practitioner - Family in Centerville, OH

Active since September 11, 2020PECOS EnrolledAccepts Medicare Assignment
79.88/100
CMS Quality Rating
1975 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 45459(937) 439-6186 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2024, Aug 2, 2022, Oct 22, 2020 and 1 more (4 updates tracked since 2020).

About Emily Dowd Fnp NPPES

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

EMILY DOWD FNP (NPI 1225643604) is an individual family provider in Centerville, Ohio, licensed in Ohio (APRN.CNP.0027553) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Highland District Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1225643604
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEMILY DOWDCredential: FNP
Location Address1975 MIAMISBURG CENTERVILLE RDCenterville, OH 45459-3811
Mailing Address1975 Miamisburg Centerville RdWashington Township, OH 45459-3811
Phone(937) 439-6186
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 11, 2020
Last NPPES UpdateApril 3, 20244 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1225643604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in OH · APRN.CNP.0027553✔ Licensed in OH · LE-00033424
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.428695 (OH)
1975 MIAMISBURG CENTERVILLE RD, Centerville, OH 45459
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare, UnitedHealthcare.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

Emily Dowd Fnp 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 ID840610093
PECOS Enrollment IDI20201009000423
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
177 services125 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
41 services34 patients
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.
36 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services20 patients
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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Highland District Hospital

Critical Access Hospitals · Hillsboro, OH
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number361332
Location1275 North High StreetHillsboro, OH 45133 · Highland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45459 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

79.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.09
Promoting Interoperability98
Improvement Activities40
Cost62.52

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. TIMOTHY LEE SCHOONOVER D.O.
Psychiatry & Neurology (Neurology)
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459
Montgomery County (937) 439-6186
RACHEL HURTUBISE PA-C
Physician Assistant
1975 MIAMISBURG CENTERVILLE RD
WASHINGTON TOWNSHIP, OH 45459
Montgomery County (937) 439-6186
CAMILLE ELIZABETH HUGHES PA-C
Physician Assistant (Medical)
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459
Montgomery County (937) 439-6186
KIRSTEN M UPTON PA-C
Physician Assistant
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459
Montgomery County (937) 439-6186
MARTHA ELIZABETH BAUMANN
Nurse Practitioner
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459
Montgomery County (937) 439-6186
MEGAN MILLER FNP-C
Nurse Practitioner (Family)
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459
Montgomery County (937) 439-6186
ANGELA SUE WRIGHT NP
Nurse Practitioner (Family)
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459
Montgomery County (937) 439-6186
MS. KRISTI R KAEFF PA
Physician Assistant (Medical)
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459
Montgomery County (937) 439-6186

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 Emily Dowd's NPI number?

The NPI number for Emily Dowd is 1225643604. It was assigned to this individual provider in the NPPES registry on September 11, 2020.

Where is Emily Dowd located?

Emily Dowd practices at 1975 Miamisburg Centerville Rd, Centerville, OH 45459. The listed phone number is (937) 439-6186.

What is Emily Dowd's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Emily Dowd enrolled in Medicare?

Yes. Emily Dowd 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 Emily Dowd accept?

Health plans from CareSource, Molina Healthcare and UnitedHealthcare list Emily Dowd 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 Emily Dowd affiliated with any hospitals?

According to CMS data, Emily Dowd is affiliated with Highland District Hospital.

When was this NPI record last updated?

The NPPES record for Emily Dowd was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.