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STEPHEN DYER DOWNS M.D.
NPI 1750389516
Family Medicine in Pineville, LA

Active since July 14, 2005PECOS Enrolled
30.8/100
CMS Quality Rating
2495 SHREVEPORT HWY, PINEVILLE, LA 71360(318) 473-0010 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Stephen Dyer Downs M.d. NPPES

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

STEPHEN DYER DOWNS M.D. (NPI 1750389516) is an individual family medicine provider in Pineville, Louisiana, licensed in Louisiana (12683R) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (1995).

NPPES Registry Identity

NPI1750389516
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHEN DYER DOWNSCredential: M.D.
Location Address2495 SHREVEPORT HWYPineville, LA 71360-4044
Mailing Address2495 Shreveport HwyPineville, LA 71360-4044 · (318) 473-0010
Phone(318) 473-0010
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1995
Enumeration DateJuly 14, 2005
Last NPPES UpdateAugust 18, 2025
NPPES CertifiedAugust 18, 2025
✔ NPI 1750389516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · 12683R
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2495 SHREVEPORT HWY, Pineville, LA 71360
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Other Identifiers 1

Medicaid1542857LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen Dyer Downs M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163469693
PECOS Enrollment IDI20050415000072
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 6

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 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.
424 services221 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.
95 services82 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.
88 services88 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
59 services52 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services23 patients
Injection, methylprednisolone acetate, 80 mg J1040
Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71360 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

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.

30.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability86
Improvement Activities0

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%468 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,346 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
93%998 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
78%94 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
97%633 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MRS. HEATHER JOANE OATES LCSW
Social Worker
2495 SHREVEPORT HWY
PINEVILLE, LA 71360
Rapides Parish (318) 466-4105
MS. CAROLYN H. FORCH
Rehabilitation Counselor
2495 SHREVEPORT HWY
PINEVILLE, LA 71360
Rapides Parish (318) 473-0010
DR. RANDY SCOTT FAECHER D.M.D.
Dentist
2495 SHREVEPORT HWY, DENTAL SERVICE, ALEXANDRIA VA HEALTHCARE SYSTEM
PINEVILLE, LA 71360
Rapides Parish (318) 466-2567
MR. MICHAEL ROACH LCSW
Social Worker (Clinical)
2495 SHREVEPORT HWY
PINEVILLE, LA 71360
Rapides Parish (318) 473-0010
MR. JOHNNY KEITH EUBANKS
Pharmacist
2495 SHREVEPORT HWY
PINEVILLE, LA 71360
Rapides Parish (318) 473-0010
MRS. MONICA P NOBLES P.T.
Physical Therapist
2495 SHREVEPORT HWY
PINEVILLE, LA 71360
Rapides Parish (318) 473-0010
GILDA MARIE JEFFERSON PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2495 SHREVEPORT HWY
PINEVILLE, LA 71360
Rapides Parish (318) 466-2575
DR. LALITHA ALLA MD
Psychiatry & Neurology (Psychiatry)
2495 SHREVEPORT HWY
PINEVILLE, LA 71360
Rapides Parish (318) 473-0010

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 Stephen Downs's NPI number?

The NPI number for Stephen Downs is 1750389516. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Stephen Downs located?

Stephen Downs practices at 2495 Shreveport Hwy, Pineville, LA 71360. The listed phone number is (318) 473-0010.

What is Stephen Downs's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stephen Downs enrolled in Medicare?

Yes. Stephen Downs is registered in the Medicare PECOS enrollment system.

What insurance does Stephen Downs accept?

Health plans from Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan and HMO Louisiana list Stephen 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.

When was this NPI record last updated?

The NPPES record for Stephen Downs was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.