Dr. Zachary Downs, DO
5325 Faraon St, Saint Joseph, MO 64506 • +1-812-555-6070
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Saint Joseph Percentiles
NPI #1407241433 • CBSA Regional • Emergency Medicine
Operating out of Saint Joseph, MO (5325 Faraon St), Emergency Medicine clinician Dr. Zachary Downs, DO (accredited MD/DO training, 2000) maintains a upper-quartile active clinical volume (72.73th Saint Joseph percentile) (74.38th MO percentile; Z-score -0.10σ across 919 documented services) with sub-specialty concentration in 21 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1407241433 highlights 414 annual claims for 99214 (72.73th Saint Joseph percentile; $123–$169 self-pay corridor) plus 239 encounters under 99213 and 119 under 93000.
Cash-pay intake data for NPI 1407241433 (5325 Faraon St, Saint Joseph) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 12-minute average reception wait and 4.86/5 biomarker openness.
Clinical background for Dr. Downs (DO, NPI #1407241433) includes accredited doctoral training (2000, 26 yrs in practice) and virtual + in-office availability across MO.
Compared against Saint Joseph, MO Emergency Medicine peers
919 annual services across 499 beneficiaries
Standard deviations from MO 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 | 414 | 72.73th | $123 – $169 |
| 99213 | Established Preventive & Chronic Care Visit | 239 | 72.73th | $94 – $129 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 119 | 72.73th | $45 – $62 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 92 | 73.73th | $145 – $198 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 55 | 72.73th | $171 – $235 |
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Dr. Zachary Downs, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Downs National Provider Identifier | NPI #1407241433 (DO) | CMS NPPES Registry (64506) |
| Dr. Downs Saint Joseph CMS Volume Rank | 72.73th Pct (919 CMS svcs; Z -0.101σ) | CMS Medicare Part B (MO Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Saint Joseph, MO) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.57/5 Listening • 4.86/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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