DR. KARLAN J DOWNING M.D.
NPI 1932103454
Emergency Medicine in Chilton, TX
About Dr. Karlan J Downing M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KARLAN J DOWNING M.D. (NPI 1932103454) is an individual emergency medicine provider in Chilton, Texas, licensed in Texas (E0892) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 9
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Karlan J Downing M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
15Medicare enrollment records show Karlan Downing reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fairfield, TX 75840
- Reassigned Medicare billing, Texas enrollment
- 76 clinicians in this Medicare group
Comanche, TX 76442
- Reassigned Medicare billing, Texas enrollment
- 100 clinicians in this Medicare group
Spring, TX 77381
- Reassigned Medicare billing, Texas enrollment
- 180 clinicians in this Medicare group
Eagle Lake, TX 77434
- Reassigned Medicare billing, Texas enrollment
- 89 clinicians in this Medicare group
Gonzales, TX 78629
- Reassigned Medicare billing, Texas enrollment
- 430 clinicians in this Medicare group
Cuero, TX 77954
- Reassigned Medicare billing, Texas enrollment
- 74 clinicians in this Medicare group
Cuero, TX 77954
- Reassigned Medicare billing, Texas enrollment
- 135 clinicians in this Medicare group
Liberty, TX 77575
- Reassigned Medicare billing, Texas enrollment
- 199 clinicians in this Medicare group
Edna, TX 77957
- Reassigned Medicare billing, Texas enrollment
- 100 clinicians in this Medicare group
Victoria, TX 77901
- Reassigned Medicare billing, Texas enrollment
- 118 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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76632 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.
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 Karlan Downing's NPI number?
The NPI number for Karlan Downing is 1932103454. It was assigned to this individual provider in the NPPES registry on June 13, 2005.
Where is Karlan Downing located?
Karlan Downing practices at 2370 Fm 935, Chilton, TX 76632. The listed phone number is (361) 676-8122.
What is Karlan Downing's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Karlan Downing enrolled in Medicare?
Yes. Karlan Downing is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Karlan Downing's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karlan Downing reassigns Medicare benefits to 15 organizations: Ess Of Fairfield LLC (Fairfield, TX), Comanche County Medical Center Company (Comanche, TX), 24 Hour Physicians, Inc (Spring, TX), Cahrmc (Eagle Lake, TX), Victoria Emergency Partners LLC (Gonzales, TX) and 10 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 Karlan Downing's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karlan Downing accept?
Health plans from Blue Cross and Blue Shield of Texas list Karlan Downing 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 Karlan Downing was last updated on August 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.