DR. KARLAN J DOWNING M.D.
NPI 1932103454
Emergency Medicine in Chilton, TX

Active since June 13, 2005PECOS Enrolled
81.12/100
CMS Quality Rating
2370 FM 935, CHILTON, TX 76632(361) 676-8122(254) 546-2027 Get Directions Write a Review

NPPES record last updated: August 9, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

NPI1932103454
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. KARLAN J DOWNINGCredential: M.D.
Location Address2370 FM 935Chilton, TX 76632-3116
Mailing Address2370 Fm 935Chilton, TX 76632-3116 · (361) 676-8122 · Fax (254) 546-2027
Fax(254) 546-2027
Sole ProprietorYes
Enumeration DateJune 13, 2005
Last NPPES UpdateAugust 9, 2011
✔ NPI 1932103454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · E0892
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedGeneral PracticeTaxonomy 208D00000X · License E0892 (TX)
2370 FM 935, Chilton, TX 76632

Other Identifiers 9

Medicare ID-Type Unspecified8A3235TX
Medicare ID-Type Unspecified00335XTX
Medicaid1333676-05TX
Medicare ID-Type Unspecified00A27WTX
Medicaid0815318-01TX
Medicaid1679318-01TX
Medicare ID-Type Unspecified1679318-02TX
Medicaid1403685-58TX
Medicare UPINB22359TX

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).

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 Reassignments

15

Medicare 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.

Emergency Medicine
125 NEWMAN ST
Fairfield, TX 75840
  • Reassigned Medicare billing, Texas enrollment
  • 76 clinicians in this Medicare group
Critical Access
10201 HIGHWAY 16
Comanche, TX 76442
  • Reassigned Medicare billing, Texas enrollment
  • 100 clinicians in this Medicare group
Emergency Medicine
8686 NEW TRAILS DR, SUITE 100
Spring, TX 77381
  • Reassigned Medicare billing, Texas enrollment
  • 180 clinicians in this Medicare group
122 mi
Critical Access
600 S AUSTIN RD
Eagle Lake, TX 77434
  • Reassigned Medicare billing, Texas enrollment
  • 89 clinicians in this Medicare group
Emergency Medicine
1110 N SARAH DEWITT DR
Gonzales, TX 78629
  • Reassigned Medicare billing, Texas enrollment
  • 430 clinicians in this Medicare group
Family Medicine
2550 N ESPLANADE ST
Cuero, TX 77954
  • Reassigned Medicare billing, Texas enrollment
  • 74 clinicians in this Medicare group
Emergency Medicine
2550 N ESPLANADE ST
Cuero, TX 77954
  • Reassigned Medicare billing, Texas enrollment
  • 135 clinicians in this Medicare group
Emergency Medicine
1353 N TRAVIS ST
Liberty, TX 77575
  • Reassigned Medicare billing, Texas enrollment
  • 199 clinicians in this Medicare group
Rural Health
1013A SOUTH WELLS STREET
Edna, TX 77957
  • Reassigned Medicare billing, Texas enrollment
  • 100 clinicians in this Medicare group
Emergency Medicine
506 E SAN ANTONIO ST
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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
35 services35 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
33 services32 patients

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.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

81.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.23
Improvement Activities40

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.