BRIAN WILLIAM DOWNS MD
NPI 1952316457
Otolaryngology in Clemmons, NC

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
2341 LEWISVILLE CLEMMONS RD, CLEMMONS, NC 27012(336) 716-4000(336) 713-3277 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brian William Downs Md NPPES

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

BRIAN WILLIAM DOWNS MD (NPI 1952316457) is an individual otolaryngology provider in Clemmons, North Carolina, licensed in North Carolina (2003-01349) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1952316457
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameBRIAN WILLIAM DOWNSCredential: MD
Location Address2341 LEWISVILLE CLEMMONS RDClemmons, NC 27012-8905
Mailing AddressPo Box 602658Charlotte, NC 28260-2658 · (336) 716-2011
Fax(336) 713-3277
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 31, 2006
Last NPPES UpdateJanuary 31, 2017
NPI 1952316457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in NC · 2003-01349
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

2341 LEWISVILLE CLEMMONS RD, Clemmons, NC 27012

Accepted Insurance

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

Brian William Downs Md 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 ID9537101290
PECOS Enrollment IDI20090527000593
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 3

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.

Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services17 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients
Melanoma (skin cancer) excision NAN03
Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.
0 services14 patients

Hospital Affiliations CMS Care Compare

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

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27012 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Audiologist
2341 LEWISVILLE CLEMMONS RD, 3RD FLOOR AUDIOLOGY
CLEMMONS, NC 27012
Audiologist
2341 LEWISVILLE CLEMMONS RD, 3RD FLOOR- AUDIOLOGY
CLEMMONS, NC 27012
Obstetrics & Gynecology
2341 LEWISVILLE CLEMMONS RD
CLEMMONS, NC 27012
Psychiatry & Neurology (Neurology)
2341 LEWISVILLE CLEMMONS RD
CLEMMONS, NC 27012
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2341 LEWISVILLE CLEMMONS RD
CLEMMONS, NC 27012
Nurse Practitioner (Family)
2341 LEWISVILLE CLEMMONS RD
CLEMMONS, NC 27012
Neurological Surgery
2341 LEWISVILLE CLEMMONS RD
CLEMMONS, NC 27012
Physical Therapist
2341 LEWISVILLE CLEMMONS RD
CLEMMONS, NC 27012

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 Brian Downs's NPI number?

The NPI number for Brian Downs is 1952316457. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Brian Downs located?

Brian Downs practices at 2341 Lewisville Clemmons Rd, Clemmons, NC 27012. The listed phone number is (336) 716-4000.

What is Brian Downs's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Brian Downs enrolled in Medicare?

Yes. Brian 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.

What insurance does Brian Downs accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Brian Downs 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 Brian Downs affiliated with any hospitals?

According to CMS data, Brian Downs is affiliated with North Carolina Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Brian Downs was last updated on January 31, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.