DR. PHILIP R. DOWNER M.D.
NPI 1700855343
Orthopaedic Surgery in Seattle, WA

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
2409 N 45TH ST, SEATTLE, WA 98103(206) 633-8100(206) 633-6107 Get Directions Write a Review

NPPES record last updated: October 10, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Philip R. Downer M.d. NPPES

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

DR. PHILIP R. DOWNER M.D. (NPI 1700855343) is an individual orthopaedic surgery provider in Seattle, Washington, licensed in Washington (MD00041479) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Island Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1700855343
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. PHILIP R. DOWNERCredential: M.D.
Location Address2409 N 45TH STSeattle, WA 98103-6907
Mailing Address805 Madison St, Suite 901Seattle, WA 98104-1172 · (206) 264-8100 · Fax (206) 264-8689
Fax(206) 633-6107
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMarch 16, 2006
Last NPPES UpdateOctober 10, 2011
NPI 1700855343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in WA · MD00041479
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2409 N 45TH ST, Seattle, WA 98103

Other Identifiers 2

Medicare ID-Type Unspecified217124100WA
Medicare UPINH67787WA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Philip R. Downer 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 ID446209605
PECOS Enrollment IDI20050114000614
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.

Areas of Expertise CMS Part B claims 9

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.
174 services149 patients
X-ray of pelvis, 1-2 views 72170
An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
118 services111 patients
X-ray of hip, 1 view 73501
An X-ray of the hip, 1 view, is a quick, painless test where a small amount of radiation is used to produce images of the hip joint. This helps in diagnosing conditions like arthritis or fractures. You'll be positioned so that the X-ray machine can capture the best image of your hip.
112 services87 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
92 services90 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
88 services88 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
59 services54 patients

Hospital Affiliations CMS Care Compare 4

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

Island Hospital

Acute Care Hospitals · Anacortes, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500007
Location1211 24th StreetAnacortes, WA 98221 · Skagit County
Emergency services Birthing friendly

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Olympic Medical Center

Acute Care Hospitals · Port Angeles, WA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500072
Location939 Caroline StPort Angeles, WA 98362 · Clallam County
Emergency services Birthing friendly

Jefferson Healthcare

Critical Access Hospitals · Port Townsend, WA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501323
Location834 Sheridan StreetPort Townsend, WA 98368 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98103 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier38 claims38 services$49.31 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.

Clinic/Center (Magnetic Resonance Imaging (MRI))
2409 N 45TH ST
SEATTLE, WA 98103
Orthopaedic Surgery
2409 N 45TH ST
SEATTLE, WA 98103
Orthopaedic Surgery
2409 N 45TH ST
SEATTLE, WA 98103
Orthopaedic Surgery
2409 N 45TH ST
SEATTLE, WA 98103
Physician Assistant (Surgical)
2409 N 45TH ST
SEATTLE, WA 98103
Physical Therapist
2409 N 45TH ST
SEATTLE, WA 98103
Radiology (Diagnostic Radiology)
2409 N 45TH ST
SEATTLE, WA 98103
Orthopaedic Surgery
2409 N 45TH ST
SEATTLE, WA 98103

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 Philip Downer's NPI number?

The NPI number for Philip Downer is 1700855343. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Philip Downer located?

Philip Downer practices at 2409 N 45th St, Seattle, WA 98103. The listed phone number is (206) 633-8100.

What is Philip Downer's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Philip Downer enrolled in Medicare?

Yes. Philip Downer 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.

What insurance does Philip Downer accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Philip Downer 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 Philip Downer affiliated with any hospitals?

According to CMS data, Philip Downer is affiliated with Island Hospital, Swedish Medical Center, Olympic Medical Center and Jefferson Healthcare.

When was this NPI record last updated?

The NPPES record for Philip Downer was last updated on October 10, 2011. 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.