DR. KRISTOPHER LEE DOWNING MD
NPI 1851451439
Orthopaedic Surgery in La Jolla, CA

Q: What is Kristopher Downing's NPI number?

The NPI number for Kristopher Downing is 1851451439. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Q: What is Kristopher Downing's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment

0/100

CMS Quality Rating

9834 GENESEE AVE, STE 228, LA JOLLA, CA 92037(858) 824-1703(858) 455-6473 Get Directions Write a Review

NPPES record last updated: June 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Kristopher Lee Downing Md NPPES

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

DR. KRISTOPHER LEE DOWNING MD (NPI 1851451439) is an individual orthopaedic surgery provider in La Jolla, California, licensed in California (A106278) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2004).

NPPES Registry Identity

NPI1851451439

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. KRISTOPHER LEE DOWNINGCredential: MD

Location Address9834 GENESEE AVE, STE 228La Jolla, CA 92037-1215

Mailing Address4445 Eastgate Mall, Ste 105San Diego, CA 92121-1979 · (858) 412-6080 · Fax (619) 421-3557

Phone(858) 824-1703

Fax(858) 455-6473

Sole ProprietorNo

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2004

Enumeration DateDecember 12, 2006

Last NPPES UpdateJune 25, 2019

✔ NPI 1851451439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in CA · A106278

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License A106278 (CA)

9834 GENESEE AVE, La Jolla, CA 92037

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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

Dr. Kristopher Lee Downing Md 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 ID9739205030

PECOS Enrollment IDI20100923001091

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 16

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

151 services54 patients

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.

101 services61 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.

90 services68 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.

58 services58 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

52 services37 patients

Measurement of range of motion in arm, leg or each spine section 95851

The Range of Motion (ROM) measurement is a technique to assess the movement capacity of a joint or body part. It involves moving your arm, leg, or spine section in different directions to gauge flexibility and identify any limitations or discomfort. This helps in planning your treatment and monitoring progress.

49 services30 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.

44 services35 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

42 services19 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

37 services24 patients

Measurement of range of motion of hand 95852

The measurement of range of motion of the hand is a test to assess the flexibility and movement of your hand joints. It involves bending, stretching and rotating your hand to check for any limitations or discomfort. This helps in diagnosing conditions like arthritis or injuries.

30 services19 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

28 services17 patients

Aspiration and/or injection of fluid from medium joint using ultrasound guidance 20606

This is a procedure where a needle is guided by ultrasound into a medium-sized joint, like a knee or shoulder. The needle can be used to remove fluid, which can relieve pressure and pain, or to inject medication to help with inflammation and discomfort.

24 services17 patients

Limited ultrasound scan of joint or other extremity structure except blood vessels 76882

A limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.

22 services18 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

20 services20 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

18 services18 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

17 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92037 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

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.

0/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

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.

DAVID SCOTT MICHELSON MD

Ophthalmology

9834 GENESEE AVE, SUITE 200
LA JOLLA, CA 92037

San Diego County (858) 457-3050

DR. ERIC HONG M.D.

Internal Medicine (Cardiovascular Disease)

9834 GENESEE AVE, SUITE 300
LA JOLLA, CA 92037

San Diego County (858) 824-2900

HAILEY ENGLERT SLP

Speech-Language Pathologist

9834 GENESEE AVE
LA JOLLA, CA 92037

San Diego County (858) 626-4444

SCOTT R MILLER MD FACS APC

Plastic Surgery

9834 GENESEE AVE, SUITE 210
LA JOLLA,, CA 92037

San Diego County (858) 453-3133

PAUL E MICHELSON MD, INC

Ophthalmology

9834 GENESEE AVE, SUITE 200
LA JOLLA, CA 92037

San Diego County (858) 457-3050

MARILYN SARA FREEMAN PH.D., MFT

Marriage & Family Therapist

9834 GENESEE AVE, STE. 427
LA JOLLA, CA 92037

San Diego County (858) 502-5553

LA JOLLA NEUROSURGICAL ASSOCIATES A MEDICAL CORPORATION

Specialist

9834 GENESEE AVE, SUITE #411
LA JOLLA, CA 92037

San Diego County (858) 677-1755

FREDERICK J DE LA VEGA, MD

Specialist

9834 GENESEE AVE, 411
LA JOLLA, CA 92037

San Diego County (858) 677-1755

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 Kristopher Downing's NPI number?

The NPI number for Kristopher Downing is 1851451439. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Kristopher Downing located?

Kristopher Downing practices at 9834 Genesee Ave Ste 228, La Jolla, CA 92037. The listed phone number is (858) 824-1703.

What is Kristopher Downing's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Kristopher Downing enrolled in Medicare?

Yes. Kristopher Downing 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.

When was this NPI record last updated?

The NPPES record for Kristopher Downing was last updated on June 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.