DR. DAVID THOMAS DOWNS D.O.
NPI 1942564869
Radiology - Diagnostic Radiology in Springfield, IL

Active since June 26, 2012PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
701 N 1ST ST, APT. 1501, SPRINGFIELD, IL 62702(217) 788-5582 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David Thomas Downs D.o. NPPES

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

DR. DAVID THOMAS DOWNS D.O. (NPI 1942564869) is an individual diagnostic radiology provider in Springfield, Illinois, licensed in Illinois (036-142501) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1942564869
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. DAVID THOMAS DOWNSCredential: D.O.
Location Address701 N 1ST ST, APT. 1501Springfield, IL 62702-3757
Mailing Address111 Oakwood RdEast Peoria, IL 61611-1853 · (309) 740-4272
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 26, 2012
Last NPPES UpdateJanuary 23, 2024
NPPES CertifiedJanuary 23, 2024
NPI 1942564869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in IL · 036-142501
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

701 N 1ST ST, Springfield, IL 62702

Secondary Practice Location 1

Location 1800 E Carpenter StSpringfield, IL 62769-3757 · Phone (217) 544-6464

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. David Thomas Downs D.o. 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 ID3577860048
PECOS Enrollment IDI20171116002438
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 73

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
992 services992 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
991 services991 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
802 services717 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
314 services308 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
269 services269 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
222 services222 patients

Hospital Affiliations CMS Care Compare 5

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Hshs Holy Family Hospital Inc

Acute Care Hospitals · Greenville, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140137
Location200 Health Care DrGreenville, IL 62246 · Bond County
Emergency services

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Hshs Good Shepherd Hospital Inc

Critical Access Hospitals · Shelbyville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141354
Location200 S Cedar StShelbyville, IL 62565 · Shelby County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy
Final reports for procedures using fluoroscopy that document radiation exposure indices, or exposure time and number of fluorographic images (if radiation exposure indices are not available)
13%55 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Dietitian, Registered
701 N 1ST ST
SPRINGFIELD, IL 62702
Internal Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Pathology (Anatomic Pathology & Clinical Pathology)
701 N 1ST ST
SPRINGFIELD, IL 62702
Internal Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Internal Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Emergency Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Emergency Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Emergency Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702

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 David Downs's NPI number?

The NPI number for David Downs is 1942564869. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Where is David Downs located?

David Downs practices at 701 N 1st St Apt. 1501, Springfield, IL 62702. The listed phone number is (217) 788-5582.

What is David Downs's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is David Downs enrolled in Medicare?

Yes. David Downs 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 David Downs affiliated with any hospitals?

According to CMS data, David Downs is affiliated with St Anthonys Memorial Hospital, St Johns Hospital, Hshs Holy Family Hospital Inc, Hshs St Elizabeth's Hospital and Hshs Good Shepherd Hospital Inc.

When was this NPI record last updated?

The NPPES record for David Downs was last updated on January 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.