PAUL DOWNTON PA-C
NPI 1891731618
Physician Assistant in Susquehanna, PA

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment
94.03/100
CMS Quality Rating
2872 TURNPIKE ST, SUSQUEHANNA, PA 18847(570) 853-3135(570) 853-3008 Get Directions Write a Review

NPPES record last updated: November 3, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Paul Downton Pa-c NPPES

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

PAUL DOWNTON PA-C (NPI 1891731618) is an individual physician assistant in Susquehanna, Pennsylvania, licensed in Pennsylvania (MA051818) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Delaware Valley Hospital, Inc, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1891731618
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePAUL DOWNTONCredential: PA-C
Location Address2872 TURNPIKE STSusquehanna, PA 18847-2771
Mailing Address2872 Turnpike StSusquehanna, PA 18847-2771 · (570) 853-3135 · Fax (570) 853-3008
Fax(570) 853-3008
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 21, 2006
Last NPPES UpdateNovember 3, 2009
NPI 1891731618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in PA · MA051818
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2872 TURNPIKE ST, Susquehanna, PA 18847

Other Identifiers 2

Medicare ID-Type Unspecified086500PA
Medicare UPINQ31155PA

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

Paul Downton Pa-c 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 ID2466419734
PECOS Enrollment IDI20100908000935
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.

Hospital Affiliations CMS Care Compare

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

Delaware Valley Hospital, Inc

Critical Access Hospitals · Walton, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331312
Location1 Titus PlaceWalton, NY 13856 · Delaware County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18847 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

94.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.32
Promoting Interoperability100
Improvement Activities40

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.

Radiology (Diagnostic Radiology)
2872 TURNPIKE ST
SUSQUEHANNA, PA 18847
Internal Medicine
2872 TURNPIKE ST
SUSQUEHANNA, PA 18847
Internal Medicine
2872 TURNPIKE ST
SUSQUEHANNA, PA 18847
Dentist
2872 TURNPIKE ST
SUSQUEHANNA, PA 18847
Internal Medicine
2872 TURNPIKE ST
SUSQUEHANNA, PA 18847
Nurse Practitioner
2872 TURNPIKE ST
SUSQUEHANNA, PA 18847
General Acute Care Hospital (Critical Access)
2872 TURNPIKE ST
SUSQUEHANNA, PA 18847
Home Health
2872 TURNPIKE ST
SUSQUEHANNA, PA 18847

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 Paul Downton's NPI number?

The NPI number for Paul Downton is 1891731618. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Paul Downton located?

Paul Downton practices at 2872 Turnpike St, Susquehanna, PA 18847. The listed phone number is (570) 853-3135.

What is Paul Downton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Paul Downton enrolled in Medicare?

Yes. Paul Downton 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.

Is Paul Downton affiliated with any hospitals?

According to CMS data, Paul Downton is affiliated with Delaware Valley Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Paul Downton was last updated on November 3, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.