DR. CAREY DOWNEY MD NPI 1972009728

Family Medicine in Butte, MT

NPI 1972009728 Individual Female Years of Experience 5 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment

NPI Profile for DR. CAREY DOWNEY MD

Carey Downey is a primary care provider established in Butte, Montana and her medical specialization is family medicine with more than 5 years of experience. She graduated from University Of Utah School Of Medicine in 2018. The NPI number of Carey Downey is 1972009728 and was assigned on April 2018. The practitioner's primary taxonomy code is 207Q00000X with license number 100026 (MT). The provider is registered as an individual and her NPI record was last updated March 2022.

A primary care provider (PCP) like Dr. Carey Downey Md sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Carey Downey is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Carey Downey is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with St James Healthcare.

The typical physician office visit costs for Medicare beneficiaries in this area are: $22.72 for a new patient copayment and $26.21 for an established patient copayment.

NPI

1972009728

Provider NameDR. CAREY DOWNEY MD
Provider Location Address445 CENTENNIAL AVE BUTTE, MT 59701
Provider Mailing Address445 CENTENNIAL AVE BUTTE, MT 59701
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year2018
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date04-02-2018
Last Update Date03-28-2022


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.100026
License StateMT
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

DR. CAREY DOWNEY MD
445 CENTENNIAL AVE
BUTTE, MT
ZIP 59701
Phone: (406) 723-4075
Fax: (406) 723-3059

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Mailing Address

DR. CAREY DOWNEY MD
445 CENTENNIAL AVE
BUTTE, MT
ZIP 59701
Phone: (406) 723-4075
Fax: (406) 496-6035



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID9032544861
PECOS Enrollment IDI20211021002687
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 59701 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$59.12 $179.28 $90.9
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.78 $44.82 $22.72
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$18.41 $146.41 $104.87
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.6 $36.6 $26.21

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Carey Downey is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ST JAMES HEALTHCARE400 S CLARK ST
BUTTE, MT 59701
(406) 723-2500Acute Care Hospitals270017

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1972009728
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29142001874
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 0 + 0 + 1 + 8 + 7 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1972009728 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902904675 CHARLES E BELL M.D.
Individual
Pediatrics445 CENTENNIAL AVE
BUTTE, MT 59701
(406) 723-4075
1801994504MISS ALFRED G O'BRIEN PA-C
Individual
Physician Assistant445 CENTENNIAL AVE
BUTTE, MT 59701
(406) 723-4075
1285731133MRS. RUTH C LEE PA-C
Individual
Physician Assistant445 CENTENNIAL AVE
BUTTE, MT 59701
(406) 723-4075
1831296714MR. KEVIN R SKOCILICH LCSW
Individual
Social Worker (Clinical)445 CENTENNIAL AVE
BUTTE, MT 59701
(406) 723-4075
1316046246DR. SUSAN M SHEPHERD M.D.
Individual
Pediatrics445 CENTENNIAL AVE
BUTTE, MT 59701
(406) 723-4075
1861591695MS. FRANCES HONSHARUK LCSW
Individual
Social Worker (Clinical)445 CENTENNIAL AVE
BUTTE, MT 59701
(406) 723-4075
1871692780MS. MARGARET J PORTER LCSW
Individual
Social Worker (Clinical)445 CENTENNIAL AVE
BUTTE, MT 59701
(406) 723-4075
1720179328 DANIEL J COMBO M.D.
Individual
Pediatrics445 CENTENNIAL AVE
BUTTE, MT 59701
(406) 723-4075
1881747392 MICHONNE M MCHUGH PHARM D
Individual
Pharmacist445 CENTENNIAL AVE
BUTTE, MT 59701
(406) 723-4075
1346436557MS. CYNTHIA A KAISER RN, CNM
Individual
Midwife445 CENTENNIAL AVE
BUTTE, MT 59701
(406) 723-4075
1639491822 JAIME HUNT DECKER
Individual
Pharmacist445 CENTENNIAL AVE
BUTTE, MT 59701
(406) 723-4075
1619213535MRS. CATHERINE SCOTT POKORNY P.A.-C
Individual
Physician Assistant445 CENTENNIAL AVE
BUTTE, MT 59701
(406) 723-4075
1558794404DR. MARIA BARTOLETTI DMD
Individual
Dentist (Dental Public Health)445 CENTENNIAL AVE
BUTTE, MT 59701
(406) 490-9354
1962837914MRS. TRACY R NEIL RPH
Individual
Pharmacist445 CENTENNIAL AVE
BUTTE, MT 59701
(406) 496-6026
1861708976DR. ANNE M MARCOTTE DDS
Individual
Dentist445 CENTENNIAL AVE
BUTTE, MT 59701
(907) 723-7941
1801207253COMMUNITY HEALTH CENTER
Organization
Nurse Practitioner (Family)445 CENTENNIAL AVE
BUTTE, MT 59701
(406) 782-4075
1447634407DR. MARIO BARTOLETTI DMD
Individual
Dentist445 CENTENNIAL AVE
BUTTE, MT 59701
(406) 565-0951
1184089120 CASSANDRA SUE CASSIDY LCPC
Individual
Counselor (Professional)445 CENTENNIAL AVE
BUTTE, MT 59701
(406) 723-4075
1245645803MRS. KRISTIN MAURER F.N.P
Individual
Nurse Practitioner (Family)445 CENTENNIAL AVE
BUTTE, MT 59701
(406) 723-4075
1689982852DR. RYAN THOMAS DEE DMD
Individual
Dentist445 CENTENNIAL AVE
BUTTE, MT 59701
(406) 491-3529

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Carey Downey Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.