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CLAIBORNE DOWNEY
NPI 1861923591
Anesthesiology in Charlottesville, VA

Active since March 24, 2017PECOS EnrolledAccepts Medicare Assignment
1215 LEE ST, BOX 800710, CHARLOTTESVILLE, VA 22908(434) 982-0629(434) 982-0019 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 20, 2023, May 4, 2021, Mar 24, 2017 (3 updates tracked since 2017).

About Claiborne Downey NPPES

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

CLAIBORNE DOWNEY (NPI 1861923591) is an individual anesthesiology provider in Charlottesville, Virginia, licensed in Virginia (0116030379) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Henrico Doctors' Hospital, and is a graduate of Virginia Commonwealth University, School Of Medicine (2017).

NPPES Registry Identity

NPI1861923591
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameCLAIBORNE DOWNEY
Location Address1215 LEE ST, BOX 800710Charlottesville, VA 22908-0816
Mailing Address1215 Lee St, Box 800710Charlottesville, VA 22908-0816 · (434) 982-0629 · Fax (434) 982-0019
Phone(434) 982-0629
Fax(434) 982-0019
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2017
Enumeration DateMarch 24, 2017
Last NPPES UpdateJune 20, 20233 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1861923591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in VA · 0116030379
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1215 LEE ST, Charlottesville, VA 22908
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.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

Claiborne Downey 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 ID6901176619
PECOS Enrollment IDI20210811000866
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 Reassignment

Medicare enrollment records show Claiborne Downey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

American Anesthesiology Of Virginia PC
90 mi
Anesthesiology
3300 GALLOWS RD
Falls Church, VA 22042
  • Reassigned Medicare billing, Virginia enrollment
  • 1,217 clinicians in this Medicare group
NPI 1417994872 (037) 764-0017

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 9

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
539 services515 patients
Anesthesia for other procedure on eye 00140
Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.
43 services43 patients
Anesthesia for procedure on eyelid 00103
Anesthesia for an eyelid procedure helps ensure comfort and painlessness during the operation. It's typically a local anesthetic, applied to numb your eyelid and surrounding area. You'll likely be awake but won't feel any discomfort. It's a safe, routine part of many eye procedures.
30 services30 patients
Anesthesia for retinal surgery 00145
Anesthesia for retinal surgery involves using medications to numb your eye and surrounding area. This prevents pain and discomfort during the procedure. You may also receive medication to help you relax. The anesthesia can be local (just your eye) or general (you're asleep).
28 services28 patients
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447
This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.
21 services21 patients
Anesthesia for other procedure on nose and sinuses 00160
Anesthesia for procedures on the nose and sinuses involves administering medication to block sensation, ensuring comfort during the procedure. It can be local (numbing a specific area) or general (you're asleep). This helps prevent pain and discomfort during the procedure.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henrico Doctors' Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490118
Location1602 Skipwith RoadRichmond, VA 23229 · Henrico County
Emergency services

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.

NORMA BRANHAM R.N., N.P.
Nurse Practitioner
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2047
FARNAZ M GAZONI MD
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2283
MARGARET K. SANDE M.D.
Emergency Medicine
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2231
KATHERINE T, FORKIN M.D.
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2283
AMBER N. INOFUENTES M.D.
Hospitalist
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 243-4288
JOY R MILLER PNP
Nurse Practitioner (Pediatrics)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 243-2617
DR. DARREN GUFFEY M.D.
Dermatology
1215 LEE ST, BOX 800744
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-1931
SETH MORRISON MD
Pediatrics (Pediatric Gastroenterology)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-3627

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 Claiborne Downey's NPI number?

The NPI number for Claiborne Downey is 1861923591. It was assigned to this individual provider in the NPPES registry on March 24, 2017.

Where is Claiborne Downey located?

Claiborne Downey practices at 1215 Lee St Box 800710, Charlottesville, VA 22908. The listed phone number is (434) 982-0629.

What is Claiborne Downey's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Claiborne Downey enrolled in Medicare?

Yes. Claiborne 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 organization bills Medicare for Claiborne Downey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claiborne Downey reassigns Medicare benefits to American Anesthesiology Of Virginia PC (Falls Church, VA). The 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 Claiborne Downey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claiborne Downey accept?

Health plans from Oscar Health and Oscar Insurance Company list Claiborne 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.

Is Claiborne Downey affiliated with any hospitals?

According to CMS data, Claiborne Downey is affiliated with Henrico Doctors' Hospital.

When was this NPI record last updated?

The NPPES record for Claiborne Downey was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.