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

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: October 18, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Charles Downey reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Atlas Ob-Gyn, PLLC
Same address
Obstetrics & Gynecology
2821 E PRESIDENT GEORGE BUSH HWY STE 207
Richardson, TX 75082
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
NPI 1962962423 (972) 907-1280
Medhealth
19 mi
Family Medicine
1441 N BECKLEY AVE
Dallas, TX 75203
  • Reassigned Medicare billing, Texas enrollment
  • 562 clinicians in this Medicare group
NPI 1912957200 (214) 884-4700
Physician Associates Of Southwest Dallas
19 mi
Family Medicine
122 W COLORADO BLVD
Dallas, TX 75208
  • Reassigned Medicare billing, Texas enrollment
  • 135 clinicians in this Medicare group
NPI 1801845425 (214) 947-6700
Obhg Texas Holdings, P.A.
188 mi
Obstetrics & Gynecology
12221 N MOPAC EXPY
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Obhg Texas Holdings PA
  • 998 clinicians in this Medicare group
NPI 1083917769 (800) 967-2289

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 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
2821 E PRESIDENT GEORGE BUSH HWY STE 400
RICHARDSON, TX 75082
Dallas County (972) 231-9144
SARAH THOMAS
Physician Assistant
2821 E PRESIDENT GEORGE BUSH HWY STE 400
RICHARDSON, TX 75082
Dallas County (972) 231-9144
CHARMAINE C GIBSON M.D.
Obstetrics & Gynecology (Obstetrics)
2821 E PRESIDENT GEORGE BUSH HWY STE 400
RICHARDSON, TX 75082
Dallas County (972) 231-9144
DR. CAROL BETH NORTON M.D.
Obstetrics & Gynecology (Obstetrics)
2821 E PRESIDENT GEORGE BUSH HWY STE 400
RICHARDSON, TX 75082
Dallas County (972) 231-9144
FRANCES JACQUELINE COBB MD
Obstetrics & Gynecology
2821 E PRESIDENT GEORGE BUSH HWY STE 400
RICHARDSON, TX 75082
Dallas County (972) 231-9144

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 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.

Where is Charles Downey located?

Charles Downey practices at 2821 E President George Bush Hwy Ste 400, Richardson, TX 75082. The listed phone number is (972) 231-9144.

What is Charles Downey's specialty?

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

Is Charles Downey enrolled in Medicare?

Yes. Charles 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 Charles Downey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Downey reassigns Medicare benefits to 4 organizations: Atlas Ob-Gyn, PLLC (Richardson, TX), Medhealth (Dallas, TX), Physician Associates Of Southwest Dallas (Dallas, TX) and Obhg Texas Holdings, P.A. (Austin, TX). 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 Charles Downey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Downey accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 8 other insurers list Charles 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 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 16 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.