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DR. PEGGY ANN DOWNING M.D.
NPI 1295751055
Obstetrics & Gynecology in Elgin, AZ

Active since July 14, 2006PECOS Enrolled
78 MUSTANG RANCH RD, ELGIN, AZ 85611(907) 232-9648 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 16, 2023, Apr 15, 2019 (2 updates tracked since 2019).

About Dr. Peggy Ann Downing M.d. NPPES

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

DR. PEGGY ANN DOWNING M.D. (NPI 1295751055) is an individual obstetrics & gynecology provider in Elgin, Arizona, licensed in Arizona (68304) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295751055
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. PEGGY ANN DOWNINGCredential: M.D.
Location Address78 MUSTANG RANCH RDElgin, AZ 85611-7509
Mailing Address78 Mustang Ranch RdElgin, AZ 85611-7509 · (907) 232-9648
Phone(907) 232-9648
Sole ProprietorYes
Enumeration DateJuly 14, 2006
Last NPPES UpdateMarch 15, 20242 updates tracked since enumeration
NPPES CertifiedMarch 15, 2024
✔ NPI 1295751055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in AZ · 68304✔ Licensed in TX · G4999✔ Licensed in AK · 2234
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.
78 MUSTANG RANCH RD, Elgin, AZ 85611
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Other Identifiers 2

Other2234AK · State Medical Board License
MedicaidMD2234AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Peggy Ann Downing M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

10

Medicare enrollment records show Peggy Downing reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tmc Medical Network
46 mi
Multi-Specialty
5301 E GRANT RD
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 471 clinicians in this Medicare group
NPI 1750832283 (520) 327-5461
Tmcone
46 mi
Multi-Specialty
5301 E GRANT RD
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 196 clinicians in this Medicare group
NPI 1467310417 (520) 324-2308
Sun Life Family Health Center, Inc.
66 mi
Federally Qualified Health Center (FQHC)
23 S MCNAB PKWY
San Manuel, AZ 85631
  • Reassigned Medicare billing, Arizona enrollment
  • 80 clinicians in this Medicare group
NPI 1467666206 (520) 385-2234
District Medical Group, Inc
110 mi
Anatomic Pathology & Clinical Pathology
1800 E FLORENCE BLVD, PATHOLOGY
Casa Grande, AZ 85222
  • Reassigned Medicare billing, Arizona enrollment
  • 1,490 clinicians in this Medicare group
NPI 1467685362 (520) 426-6320
Banner Hospital Based Physicians Arizona LLC
124 mi
Multi-Specialty
37000 N GANTZEL RD
San Tan Valley, AZ 85140
  • Reassigned Medicare billing, Arizona enrollment
  • 1,081 clinicians in this Medicare group
NPI 1275889891 (480) 543-2034
Obhg Arizona, P.C.
138 mi
Obstetrics & Gynecology
1955 W FRYE RD
Chandler, AZ 85224
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Obhg Arizona PC
  • 98 clinicians in this Medicare group
NPI 1902188642 (864) 908-3530
Banner Hospital Based Physicians West LLC
805 mi
Multi-Specialty
1233 E 2ND ST
Casper, WY 82601
  • Reassigned Medicare billing, Wyoming enrollment
  • 54 clinicians in this Medicare group
NPI 1619464120 (307) 577-2171
Pediatrix Medical Group Of Texas Billing, Inc.
898 mi
Neonatal-Perinatal Medicine
2929 WOODLAND PARK DR
Houston, TX 77082
  • Reassigned Medicare billing, Texas enrollment
  • 508 clinicians in this Medicare group
NPI 1649377359 (281) 293-7774
Texas Children's Physician Group
909 mi
Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group
NPI 1861675506 (832) 824-1000
Gabert Medical Services, Inc
1,110 mi
Multi-Specialty
107 DILWORTH ST
Glendive, MT 59330
  • Reassigned Medicare billing, Montana enrollment
  • 53 clinicians in this Medicare group
NPI 1336158930 (406) 345-8901

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 85611 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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 Peggy Downing's NPI number?

The NPI number for Peggy Downing is 1295751055. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Peggy Downing located?

Peggy Downing practices at 78 Mustang Ranch Rd, Elgin, AZ 85611. The listed phone number is (907) 232-9648.

What is Peggy Downing's specialty?

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

Is Peggy Downing enrolled in Medicare?

Yes. Peggy Downing is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Peggy Downing's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peggy Downing reassigns Medicare benefits to 10 organizations: Tmc Medical Network (Tucson, AZ), Tmcone (Tucson, AZ), Sun Life Family Health Center, Inc. (San Manuel, AZ), District Medical Group, Inc (Casa Grande, AZ), Banner Hospital Based Physicians Arizona LLC (San Tan Valley, AZ) and 5 more organizations, listed in the Medicare section above. 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 Peggy Downing's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peggy Downing accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Montana and 4 other insurers list Peggy 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.

When was this NPI record last updated?

The NPPES record for Peggy Downing was last updated on March 15, 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.