Dr. Gregory Downer, MD
1250 Mercy DR, Suite 101, Muskegon, MI 49444 • +1-203-555-1381
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Muskegon Percentiles
NPI #1285635367 • CBSA Regional • Nephrology
Statistical peer benchmarking across MI Nephrology providers positions Dr. Gregory Downer, MD in Muskegon at -0.58σ (25th city percentile / 15.82th state percentile, 379 Medicare beneficiaries), with clinical focus spanning 23 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 1250 Mercy DR, Suite 101 shows Dr. Gregory Downer's primary concentration in Chronic Kidney Disease eGFR, uACR & Electrolyte Management (code 99214: 426x/yr, 25th local percentile) alongside Monthly Adult ESRD Renal Replacement Oversight (90960: 195x/yr, $465–$637).
Uninsured and high-deductible cash patients visiting Dr. Gregory Downer in Muskegon (49444) face an estimated $209.00 initial evaluation fee at 1250 Mercy DR, Suite 101 (hybrid in-clinic and telehealth video consults; 14-minute average reception wait; bedside manner 4.94/5 from 4 verified reports).
Credentialed as an MD specialist with 33 years post-graduation experience since completing medical school at an LCME/COCA institution (1993), Dr. Downer coordinates 23 Active CMS HCPCS Codes workups from 1250 Mercy DR, Suite 101 (+1-203-555-1381).
Compared against Muskegon, MI Nephrology peers
888 annual services across 379 beneficiaries
Standard deviations from MI Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 426 | 25th | $232 – $319 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 195 | 28th | $465 – $637 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 160 | 22th | $339 – $465 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 107 | 21th | $320 – $438 |
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Dr. Gregory Downer, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Downer National Provider Identifier | NPI #1285635367 (MD) | CMS NPPES Registry (49444) |
| Dr. Downer Muskegon CMS Volume Rank | 25.00th Pct (888 CMS svcs; Z -0.579σ) | CMS Medicare Part B (MI Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Muskegon, MI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.94/5 Listening • 4.40/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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