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Edit this profileJames E. Downing, MD is a healthcare provider in Newark, DE specializing in interventional pain management. James trained at Tulane University School of Medicine, graduating in 1986. James is also listed as specializing in anesthesiology — pain medicine. According to Medicare claims data, James cared for 969 Medicare patients across 1,684 services. The services billed most often include established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level, and injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level. This provider record is associated with NPI 1477579498.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
774 CHRISTIANA RD STE 111
Newark, DE 19713
3411 Silverside Road suite 103 Rodney Building
Wilmington, DE 19810
1,684 services · 969 patients · 25 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | Procedure | 64483 |
186 | More than most peers in Interventional Pain Management |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | Procedure | 64484 |
92 | More than most peers in Interventional Pain Management |
| Injection of lower or sacral spine facet joint using imaging guidance, single level | Procedure | 64493 |
90 | More often than most peers in Interventional Pain Management |
| Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | Procedure | 64635 |
89 | More than most peers in Interventional Pain Management |
| Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | Procedure | 64636 |
75 | More often than most peers in Interventional Pain Management |
| Injection of lower or sacral spine facet joint using imaging guidance, second level | Procedure | 64494 |
67 | More often than most peers in Interventional Pain Management |
| Injection of upper or middle spine facet joint using imaging guidance, single level | Procedure | 64490 |
59 | More often than most peers in Interventional Pain Management |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | Procedure | 64483 |
50 | More than most peers in Interventional Pain Management |
| Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | Procedure | 27096 |
50 | More often than most peers in Interventional Pain Management |
| Injection of upper or middle spine facet joint using imaging guidance, second level | Procedure | 64491 |
49 | More often than most peers in Interventional Pain Management |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Dr. Downing is an interventional pain management in Newark, DE. That is the designation recorded for this NPI in the federal registry.
NPI registry
Dr. Downing is listed at 774 Christiana Rd Ste 111, Newark, DE 19713. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (302) 478-7001. Contact the office directly to confirm availability and scheduling.
NPI registry
Dr. Downing's National Provider Identifier is 1477579498. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Dr. Downing attended Tulane University School of Medicine, graduating in 1986. This comes from the CMS National Downloadable File.
CMS public data
Dr. Downing has 40 years experience. Calculated from a graduation year of 1986, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Dr. Downing performs procedures including injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level, injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level and injection of lower or sacral spine facet joint using imaging guidance, single level, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Downing. If this is you, claiming it is free.
Guide.md
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