TONY A DOWNS
NPI 1780188987
Emergency Medicine in Richmond, VA
About Tony A Downs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TONY A DOWNS (NPI 1780188987) is an individual emergency medicine provider in Richmond, Virginia, licensed in Virginia (0101271601) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Of Memphis, and is a graduate of Wright State University Boonshoft School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted 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
Tony A Downs 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.
Medicare Billing Reassignments
7Medicare enrollment records show Tony Downs reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maysville, KY 41056
- Reassigned Medicare billing, Tennessee enrollment
- 1,071 clinicians in this Medicare group
Brentwood, TN 37027
- Reassigned Medicare billing, Tennessee enrollment
- 208 clinicians in this Medicare group
Dyersburg, TN 38024
- Reassigned Medicare billing, Tennessee enrollment
- 256 clinicians in this Medicare group
Germantown, TN 38138
- Reassigned Medicare billing, Tennessee enrollment
- 251 clinicians in this Medicare group
Memphis, TN 38128
- Reassigned Medicare billing, Tennessee enrollment
- 250 clinicians in this Medicare group
Memphis, TN 38104
- Reassigned Medicare billing, Tennessee enrollment
- 253 clinicians in this Medicare group
Memphis, TN 38116
- Reassigned Medicare billing, Tennessee enrollment
- 252 clinicians in this Medicare group
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 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Methodist Hospitals Of Memphis
Acute Care Hospitals · Memphis, TNSt Francis Hospital
Acute Care Hospitals · Memphis, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23298 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
RICHMOND, VA 23298
RICHMOND, VA 23298
RICHMOND, VA 23298
RICHMOND, VA 23298
RICHMOND, VA 23298
RICHMOND, VA 23298
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 Tony Downs's NPI number?
The NPI number for Tony Downs is 1780188987. It was assigned to this individual provider in the NPPES registry on March 21, 2018.
Where is Tony Downs located?
Tony Downs practices at 1250 E Marshall St, Richmond, VA 23298. The listed phone number is (804) 828-0996.
What is Tony Downs's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Tony Downs enrolled in Medicare?
Yes. Tony Downs 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 Tony Downs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tony Downs reassigns Medicare benefits to 7 organizations: Southeastern Emergency Physicians LLC (Maysville, KY), Carr PLLC (Brentwood, TN), T M Carr MD PC (Dyersburg, TN), Germantown Emergency Physicians, PLLC (Germantown, TN), Methodist North Emergency Physicians, PLLC (Memphis, TN) and 2 more organizations, listed in the Medicare section above. 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 Tony Downs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tony Downs accept?
Health plans from Oscar Health, Oscar Health Plan, Inc. and Oscar Insurance Company list Tony 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.
Is Tony Downs affiliated with any hospitals?
According to CMS data, Tony Downs is affiliated with Methodist Hospitals Of Memphis and St Francis Hospital.
When was this NPI record last updated?
The NPPES record for Tony Downs was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Tony A Downs · NPI 1780188987
Emergency Medicine physician in Richmond, Virginia. Individual provider, active in the CMS NPPES registry since March 21, 2018.
## Identity
- **NPI:** 1780188987 (Entity type: Individual)
- **Enumerated:** March 21, 2018
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 0101271601 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1250 E MARSHALL ST, Richmond, VA 23298-5023
- **Phone:** (804) 828-0996 · **Fax:** (804) 628-0384
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Southeastern Emergency Physicians LLC (NPI 1356379382, Maysville, KY); Carr PLLC (NPI 1548677610, Brentwood, TN); T M Carr MD PC (NPI 1992706097, Dyersburg, TN); Germantown Emergency Physicians, PLLC (NPI 1518747526, Germantown, TN); Methodist North Emergency Physicians, PLLC (NPI 1801677083, Memphis, TN); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wright State University Boonshoft School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** July 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1780188987) · Data from the CMS NPPES public registry.