CYNTHIA MARIE DOWNES M.D.
NPI 1336376649
Emergency Medicine in Boone, NC

Q: What is Cynthia Downes's NPI number?

The NPI number for Cynthia Downes is 1336376649. It was assigned to this individual provider in the NPPES registry on June 12, 2009.

Q: What is Cynthia Downes's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Cynthia Downes was last updated on October 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 12, 2009PECOS Enrolled

86.64/100

CMS Quality Rating

336 DEERFIELD RD, BOONE, NC 28607(828) 262-4165 Get Directions Write a Review

NPPES record last updated: October 17, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Cynthia Marie Downes M.d. NPPES

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

CYNTHIA MARIE DOWNES M.D. (NPI 1336376649) is an individual emergency medicine provider in Boone, North Carolina, licensed in North Carolina (201101962) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336376649

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameCYNTHIA MARIE DOWNESCredential: M.D.

Location Address336 DEERFIELD RDBoone, NC 28607-5008

Mailing Address336 Deerfield RdBoone, NC 28607-5008 · (828) 262-4165

Phone(828) 262-4165

Sole ProprietorNo

Enumeration DateJune 12, 2009

Last NPPES UpdateOctober 17, 2012

✔ NPI 1336376649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NC · 201101962

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

336 DEERFIELD RD, Boone, NC 28607

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cynthia Marie Downes 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

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

Emergency Medicine Physicians Of Mecklenburg County, PLLC

88 mi

Emergency Medicine

10628 PARK RD
Charlotte, NC 28210

Reassigned Medicare billing, North Carolina enrollment
230 clinicians in this Medicare group

NPI 1912232182 (330) 493-4443

Emergency Medicine Physicians Of Craven County, PLLC

269 mi

Emergency Medicine

800 HOSPITAL DR
New Bern, NC 28560

Reassigned Medicare billing, North Carolina enrollment
63 clinicians in this Medicare group

NPI 1164462586 (844) 474-4019

Emergency Medicine Physicians Of Carteret County, PLLC

294 mi

Emergency Medicine

3500 ARENDELL ST
Morehead City, NC 28557

Reassigned Medicare billing, North Carolina enrollment
55 clinicians in this Medicare group

NPI 1538108535 (844) 474-4019

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 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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

281 services273 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

257 services248 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

78 services78 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

29 services29 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

29 services27 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28607 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

86.64/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

98.58

Improvement Activities

Cost

85.55

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.

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