Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TRACY M DOWNS M.D.
NPI 1619080553
Urology in Charlottesville, VA

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
500 RAY C HUNT DR, CHARLOTTESVILLE, VA 22903(434) 924-2224(434) 244-9481 Get Directions Write a Review

NPPES record last updated: September 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 19, 2026, Aug 9, 2023, Jul 29, 2021 and 2 more (5 updates tracked since 2021).

About Dr. Tracy M Downs M.d. NPPES

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

DR. TRACY M DOWNS M.D. (NPI 1619080553) is an individual urology provider in Charlottesville, Virginia, licensed in Virginia (0101272438) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1619080553
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. TRACY M DOWNSCredential: M.D.
Location Address500 RAY C HUNT DRCharlottesville, VA 22903-2981
Mailing AddressPo Box 749112Atlanta, GA 30374-9112
Fax(434) 244-9481
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1993
Enumeration DateAugust 16, 2006
Last NPPES UpdateSeptember 19, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2026
✔ NPI 1619080553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in VA · 0101272438
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
500 RAY C HUNT DR, Charlottesville, VA 22903

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-2981 · Phone (434) 924-0211

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

Dr. Tracy M Downs M.d. 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 ID6305981952
PECOS Enrollment IDI20210723002108
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

7

Medicare enrollment records show Tracy Downs reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
Family Medicine
230 COSTELLO DR STE B
Winchester, VA 22602
  • Reassigned Medicare billing, Virginia enrollment
  • 756 clinicians in this Medicare group
Internal Medicine
1802 BRAEBURN DR
Salem, VA 24153
  • Reassigned Medicare billing, Virginia enrollment
  • 188 clinicians in this Medicare group
Rural Health
111 FASHION RD STE D
Pounding Mill, VA 24637
  • Reassigned Medicare billing, Virginia enrollment
  • 83 clinicians in this Medicare group
Clinic/Center
205 S MAIN ST
Iola, WI 54945
  • Reassigned Medicare billing, Wisconsin enrollment
  • 935 clinicians in this Medicare group
Family Medicine
5409 VERN HOLMES DR
Stevens Point, WI 54482
  • Reassigned Medicare billing, Wisconsin enrollment
  • 633 clinicians in this Medicare group
General Practice
3500 HOOVER RD
Stevens Point, WI 54481
  • Reassigned Medicare billing, Wisconsin enrollment
  • 619 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 8

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 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.
60 services43 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
45 services39 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.
28 services23 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.
19 services19 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.
18 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Lewisgale Medical Center

Acute Care Hospitals · Salem, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490048
Location1900 Electric RoadSalem, VA 24153 · Salem City County
Emergency services

Clinch Valley Medical Center

Acute Care Hospitals · Richlands, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490060
Location6801 Governor Gc Perry HighwayRichlands, VA 24641 · Tazewell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
6 suppliers34 claims106 services$7.99 avg. paid by Medicare
Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each A4391
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$6.14 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
4 suppliers20 claims480 services$3.26 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
5 suppliers33 claims1,560 services$0.20 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
3 suppliers12 claims800 services$0.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Cardiovascular Disease)
500 RAY C HUNT DR
CHARLOTTESVILLE, VA 22903
Urology
500 RAY C HUNT DR
CHARLOTTESVILLE, VA 22903
Internal Medicine (Cardiovascular Disease)
500 RAY C HUNT DR
CHARLOTTESVILLE, VA 22903
Nurse Practitioner (Acute Care)
500 RAY C HUNT DR
CHARLOTTESVILLE, VA 22903
Nurse Practitioner
500 RAY C HUNT DR
CHARLOTTESVILLE, VA 22903
Internal Medicine (Cardiovascular Disease)
500 RAY C HUNT DR
CHARLOTTESVILLE, VA 22903
Internal Medicine (Cardiovascular Disease)
500 RAY C HUNT DR
CHARLOTTESVILLE, VA 22903
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
500 RAY C HUNT DR
CHARLOTTESVILLE, VA 22903

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 Tracy Downs's NPI number?

The NPI number for Tracy Downs is 1619080553. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Tracy Downs located?

Tracy Downs practices at 500 Ray C Hunt Dr, Charlottesville, VA 22903. The listed phone number is (434) 924-2224.

What is Tracy Downs's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Tracy Downs enrolled in Medicare?

Yes. Tracy Downs 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 Tracy Downs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Downs reassigns Medicare benefits to 7 organizations: University Of Virginia Physicians Group (Charlottesville, VA), Winchester Medical Center (Winchester, VA), Lewis Gale Physicians LLC (Salem, VA), Clinch Professional Physician Services LLC (Pounding Mill, VA), Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Iola, WI) and 2 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 Tracy Downs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tracy Downs accept?

Health plans from CareSource list Tracy Downs 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 Tracy Downs affiliated with any hospitals?

According to CMS data, Tracy Downs is affiliated with Winchester Medical Center, University Of Virginia Medical Center, Lewisgale Medical Center and Clinch Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Tracy Downs was last updated on September 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.