1. Home
  2. Directory
  3. Florida
  4. Fleming Island
  5. Pediatrics
  6. NPI Profile

DR. JAMES DOWNEY MD
NPI 1821438037
Pediatrics in Fleming Island, FL

Active since July 02, 2013PECOS Enrolled
1851 GOLDEN EAGLE WAY STE 36, FLEMING ISLAND, FL 32003(904) 375-9724(904) 644-7054 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 12, 2021, Jun 23, 2016 (2 updates tracked since 2016).

About Dr. James Downey Md NPPES

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

DR. JAMES DOWNEY MD (NPI 1821438037) is an individual pediatrics provider in Fleming Island, Florida, licensed in Florida (ME129225) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821438037
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JAMES DOWNEYCredential: MD
Location Address1851 GOLDEN EAGLE WAY STE 36Fleming Island, FL 32003-4334
Mailing Address1851 Golden Eagle Way Ste 36Fleming Island, FL 32003-4334 · (904) 568-4061
Phone(904) 375-9724
Fax(904) 644-7054
Sole ProprietorNo
Enumeration DateJuly 2, 2013
Last NPPES UpdateMarch 12, 20212 updates tracked since enumeration
NPPES CertifiedNovember 13, 2020
✔ NPI 1821438037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME129225
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1851 GOLDEN EAGLE WAY STE 36, Fleming Island, FL 32003
Open in Google Maps ↗

Other Identifiers 1

Medicaid020332400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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)

Dr. James Downey Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32003 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%1,188 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
12%319 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%536 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
90%1,075 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
56%426 patients3/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
48%112 patients3/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
90%1,075 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
22%1,075 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
51%1,075 patients
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 76% · 544 patients
Patients physicalActivity: 75% · 544 patients
92%544 patients
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

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

JAMES A. DOWNEY, MD, PA
Pediatrics
1851 GOLDEN EAGLE WAY STE 36
FLEMING ISLAND, FL 32003
Duval County (904) 375-9724

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 James Downey's NPI number?

The NPI number for James Downey is 1821438037. It was assigned to this individual provider in the NPPES registry on July 2, 2013.

Where is James Downey located?

James Downey practices at 1851 Golden Eagle Way Ste 36, Fleming Island, FL 32003. The listed phone number is (904) 375-9724.

What is James Downey's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is James Downey enrolled in Medicare?

Yes. James Downey is registered in the Medicare PECOS enrollment system.

What insurance does James Downey accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list James 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 James Downey was last updated on March 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.