DR. MATTHEW PAIGE DOWNS M.D.
NPI 1376651596
Pediatrics in Oshkosh, WI

Q: What is Matthew Downs's NPI number?

The NPI number for Matthew Downs is 1376651596. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Q: What is Matthew Downs's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Downs was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 28, 2006PECOS Enrolled

855 N WESTHAVEN DR, OSHKOSH, WI 54904(920) 303-8700(920) 456-5831 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2021, Nov 12, 2019 (2 updates tracked since 2019).

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About Dr. Matthew Paige Downs M.d. NPPES

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

DR. MATTHEW PAIGE DOWNS M.D. (NPI 1376651596) is an individual pediatrics provider in Oshkosh, Wisconsin, licensed in West Virginia (WV21602) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Elkins.

NPPES Registry Identity

NPI1376651596

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. MATTHEW PAIGE DOWNSCredential: M.D.

Location Address855 N WESTHAVEN DROshkosh, WI 54904

Mailing Address855 N Westhaven DrOshkosh, WI 54904-7668 · (920) 303-8700 · Fax (920) 456-5831

Phone(920) 303-8700

Fax(920) 456-5831

Sole ProprietorNo

Enumeration DateAugust 28, 2006

Last NPPES UpdateDecember 1, 20212 updates tracked since enumeration

NPPES CertifiedDecember 1, 2021

✔ NPI 1376651596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WV · WV21602

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

855 N WESTHAVEN DR, Oshkosh, WI 54904

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Secondary Practice Location 1

Location 1911 Gorman Ave Ste 304Elkins, WV 26241-3154 · Phone (304) 636-7644 · Fax (304) 637-3568

Other Identifiers 3

Medicaid3810000480WV

Medicaid3810001015WV

Medicaid100033242WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew Paige Downs 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54904 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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.

JACQUELINE ANN OTS PENDING

Nurse Practitioner