Dr. Nathaniel Downing, DO
100 E Carroll St, Salisbury, MD 21801 • +1-958-555-7564
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Salisbury Percentiles
NPI #1760976401 • CBSA Regional • Emergency Medicine
Dr. Nathaniel Downing, DO (NPI #1760976401) practices Emergency Medicine in Salisbury, MD (21801) with sub-specialty concentration in 29 Active CMS HCPCS Codes, recording 1,521 annual CMS services across 914 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (83.33th Salisbury percentile) (+0.23σ vs MD state mean, 85.43th statewide percentile).
Medicare Part B line-item claims for Dr. Nathaniel Downing (21801) place 99214 at the top of the practice ledger (684 yearly units, 83.33th metro rank), rounded out by 99213 and 93000.
Uninsured and high-deductible cash patients visiting Dr. Nathaniel Downing in Salisbury (21801) face an estimated $209.00 initial evaluation fee at 100 E Carroll St (in-person clinic visits only; 20-minute average reception wait; bedside manner 4.91/5 from 6 verified reports).
Clinical background for Dr. Downing (DO, NPI #1760976401) includes accredited doctoral training (2016, 10 yrs in practice) and dedicated on-site consultations at 100 E Carroll St.
Compared against Salisbury, MD Emergency Medicine peers
1,521 annual services across 914 beneficiaries
Standard deviations from MD Emergency Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 684 | 83.33th | $172 – $235 |
| 99213 | Established Preventive & Chronic Care Visit | 395 | 85.33th | $131 – $180 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 198 | 82.33th | $63 – $86 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 152 | 86.33th | $201 – $276 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 91 | 86.33th | $239 – $327 |
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Dr. Nathaniel Downing, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Downing National Provider Identifier | NPI #1760976401 (DO) | CMS NPPES Registry (21801) |
| Dr. Downing Salisbury CMS Volume Rank | 83.33th Pct (1,521 CMS svcs; Z +0.231σ) | CMS Medicare Part B (MD Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Salisbury, MD) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 20 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.91/5 Listening • 4.52/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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