BRIAN EDWARD DOWNEN MD
NPI 1336122647
Family Medicine in Greencastle, IN
About Brian Edward Downen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIAN EDWARD DOWNEN MD (NPI 1336122647) is an individual family medicine provider in Greencastle, Indiana, licensed in Indiana (01060431A) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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
Brian Edward Downen Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Brian Downen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 166 clinicians in this Medicare group
Hot Springs, AR 71901
- Reassigned Medicare billing, Arkansas enrollment
- 69 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.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46135 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Brian Downen's NPI number?
The NPI number for Brian Downen is 1336122647. It was assigned to this individual provider in the NPPES registry on November 22, 2005.
Where is Brian Downen located?
Brian Downen practices at 309 Medic Way, Greencastle, IN 46135. The listed phone number is (765) 653-2626.
What is Brian Downen's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Brian Downen enrolled in Medicare?
Yes. Brian Downen 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 Brian Downen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brian Downen reassigns Medicare benefits to 2 organizations: Baptist Medcare, Inc (Little Rock, AR) and Arkansas Healthcare Services LLC (Hot Springs, AR). 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 Brian Downen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brian Downen accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Brian Downen 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 Brian Downen was last updated on October 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.