CHARLES DOWNEY M.D.
NPI 1720037435
Obstetrics & Gynecology in Richardson, TX

Q: What is Charles Downey's NPI number?

The NPI number for Charles Downey is 1720037435. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Q: What is Charles Downey's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Downey was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 May 09, 2006PECOS EnrolledAccepts Medicare Assignment

2821 E PRESIDENT GEORGE BUSH HWY STE 400, RICHARDSON, TX 75082(972) 231-9144(972) 231-9174 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 2, 2025, Feb 28, 2020, May 23, 2019 (3 updates tracked since 2019).

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About Charles Downey M.d. NPPES

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

CHARLES DOWNEY M.D. (NPI 1720037435) is an individual obstetrics & gynecology provider in Richardson, Texas, licensed in Texas (J8521) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Texas A & M University System, Hsc, College Of Medicine (1994).

NPPES Registry Identity

NPI1720037435

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameCHARLES DOWNEYCredential: M.D.

Location Address2821 E PRESIDENT GEORGE BUSH HWY STE 400Richardson, TX 75082-4278

Mailing Address2821 E President George Bush Hwy Ste 400Richardson, TX 75082-4278 · (972) 231-9144 · Fax (972) 231-9174

Phone(972) 231-9144

Fax(972) 231-9174

Sole ProprietorNo

Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 1994

Enumeration DateMay 9, 2006

Last NPPES UpdateJune 2, 20253 updates tracked since enumeration

NPPES CertifiedJune 2, 2025

✔ NPI 1720037435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in TX · J8521

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License J8521 (TX)

2821 E PRESIDENT GEORGE BUSH HWY STE 400, Richardson, TX 75082

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Other Identifiers 4

OtherP00187957Railroad Mcr

Other8P2050TX · Bcbs

Medicaid1661936-01TX

Medicaid166193603TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 and accepts Medicare assignment

Charles Downey 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 ID5395704431

PECOS Enrollment IDI20041006000121

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 3

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.

19 services16 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

19 services19 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75082 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

$131.01 typical visit price

range $57.18 – $172.86

Typical copayment $32.75 (range $14.29 – $43.21)

Most-billed visit code 99204

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGHAN DRAKE

Obstetrics & Gynecology