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ERIC C DOWNEY
NPI 1699546408
Nurse Practitioner - Psychiatric/Mental Health in Coal Grove, OH

Active since January 10, 2024PECOS EnrolledAccepts Medicare Assignment
225 CARLTON DAVIDSON LN, COAL GROVE, OH 45638(740) 533-0648(740) 353-1662 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eric C Downey NPPES

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

ERIC C DOWNEY (NPI 1699546408) is an individual psychiatric/mental health provider in Coal Grove, Ohio, licensed in Ohio (APRN.CNP.0035376) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2023).

NPPES Registry Identity

NPI1699546408
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameERIC C DOWNEY
Location Address225 CARLTON DAVIDSON LNCoal Grove, OH 45638-2924
Mailing Address901 Washington StPortsmouth, OH 45662-3944 · (740) 354-7702 · Fax (740) 353-1662
Phone(740) 533-0648
Fax(740) 353-1662
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2023
Enumeration DateJanuary 10, 2024
Last NPPES UpdateOctober 22, 2024
NPPES CertifiedOctober 22, 2024
✔ NPI 1699546408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in OH · APRN.CNP.0035376✔ Licensed in WV · 110364
225 CARLTON DAVIDSON LN, Coal Grove, OH 45638
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Eric C Downey 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 ID4385081926
PECOS Enrollment IDI20251120002531
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

2

Medicare enrollment records show Eric Downey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Action Committee Of Pike County
24 mi
Primary Care
621 BROADWAY ST
Portsmouth, OH 45662
  • Reassigned Medicare billing, Ohio enrollment
  • 19 clinicians in this Medicare group
NPI 1578974929 (740) 961-4011
Gr & w, Inc
167 mi
Clinical Neuropsychologist
1005 WHITE WILLOW WAY
Morgantown, WV 26505
  • Reassigned Medicare billing, West Virginia enrollment
  • 134 clinicians in this Medicare group
NPI 1407192024 (304) 460-5123

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 45638 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

JUSTIN TRIPLETT LPN
Registered Nurse
225 CARLTON DAVIDSON LN
COAL GROVE, OH 45638
Lawrence County (740) 533-0648
MRS. KAYLA JEAN KELLEY PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
225 CARLTON DAVIDSON LN
COAL GROVE, OH 45638
Lawrence County (740) 533-6280
COURTNEY HAYDEN
Case Manager/Care Coordinator
225 CARLTON DAVIDSON LN
COAL GROVE, OH 45638
Lawrence County (740) 533-0648
SHAWNEE MENTAL HEALTH CENTER, INC.
Pharmacy (Community/Retail Pharmacy)
225 CARLTON DAVIDSON LN
COAL GROVE, OH 45638
Lawrence County (740) 533-0648
DANIEL J CARDONA M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
225 CARLTON DAVIDSON LN
COAL GROVE, OH 45638
Lawrence County (740) 533-0648
TRACY DAWN SCHUH LCDCIII
Social Worker
225 CARLTON DAVIDSON LN
COAL GROVE, OH 45638
Lawrence County (740) 442-7637
ERIC DEPRIEST
Social Worker (School)
225 CARLTON DAVIDSON LN
COAL GROVE, OH 45638
Lawrence County (740) 533-0648
SHAWNEE MENTAL HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
225 CARLTON DAVIDSON LN
COAL GROVE, OH 45638
Lawrence County (740) 533-6280

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 Eric Downey's NPI number?

The NPI number for Eric Downey is 1699546408. It was assigned to this individual provider in the NPPES registry on January 10, 2024.

Where is Eric Downey located?

Eric Downey practices at 225 Carlton Davidson Ln, Coal Grove, OH 45638. The listed phone number is (740) 533-0648.

What is Eric Downey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Eric Downey enrolled in Medicare?

Yes. Eric Downey 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 Eric Downey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Downey reassigns Medicare benefits to 2 organizations: Community Action Committee Of Pike County (Portsmouth, OH) and Gr & w, Inc (Morgantown, WV). 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 Eric Downey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eric Downey accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Eric Downey 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 Eric Downey was last updated on October 22, 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.