Active NPI 1831182831 Individual Practitioner Male Practitioner

Dr. Daniel Hoehle Downs , MD

Otolaryngology • Flagstaff, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Downs, MD is a certified Otolaryngology practicing in Flagstaff, AZ. With approximately 37 years of clinical experience since graduating from University Of Minnesota Medical School in 1989, Dr. Downs delivers high-quality medical care to the local community at 1300 N RIM DR.

Dr. Downs is affiliated with Valley Ent Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, exam of ear using a microscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1300 N Rim Dr
Suite B

Flagstaff, AZ 860013128

Telephone 9285569200

Fax 9285560336

Associated Practice Facility / Clinic

🏢 Northern Arizona Ear Nose And Throat Pc Facility NPI 1558449900

Medicare Profile & Education

Medical School

University Of Minnesota Medical School

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Flagstaff, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +14.7 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

3 Specialists

Practicing in Flagstaff, AZ (186 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Downs (37 Years) 37 Yrs

Flagstaff Specialty Average (22.3 Years) 22.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	222	222	$221.00	$107.03
99213 Established patient office or other outpatient visit, typically 15 minutes	215	185	$180.00	$87.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$330.58	$160.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	66	$256.00	$122.81
92504 Exam of ear using a microscope	68	64	$58.00	$27.07
99202 New patient office or other outpatient visit, typically 20 minutes	67	67	$144.00	$69.84
92557 Comprehensive hearing and speech recognition test	55	55	$77.00	$35.25
92568 Assessment of hearing loss with placement of probe in ear to assess ear bone contraction	53	53	$31.00	$14.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	44	$111.00	$54.78
92511 Exam of the nose and throat using an endoscope	35	31	$233.00	$112.55
31525 Diagnostic examination of voice box using an endoscope	19	19	$499.00	$240.08
31231 Diagnostic examination of nasal passages using an endoscope	15	13	$388.00	$178.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$257.91	$125.04
31238 Control of bleeding of nose using an endoscope	11	11	$496.00	$240.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	218	183	$179.40	$86.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	162	162	$221.00	$108.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	117	117	$330.28	$161.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	73	$255.08	$123.38
92504 Exam of ear using a microscope	76	70	$58.00	$28.23
31525 Diagnostic examination of voice box using an endoscope	53	53	$497.87	$243.83
92557 Comprehensive hearing and speech recognition test	41	40	$76.20	$36.14
92568 Assessment of hearing loss with placement of probe in ear to assess ear bone contraction	38	37	$31.00	$15.12
31231 Diagnostic examination of nasal passages using an endoscope	34	25	$385.12	$183.90
92511 Exam of the nose and throat using an endoscope	26	22	$232.54	$114.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$111.00	$54.61
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$143.73	$70.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	231	172	$180.00	$87.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	171	171	$221.00	$108.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	151	151	$331.00	$162.62
92504 Exam of ear using a microscope	111	103	$58.00	$28.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	79	$256.00	$124.96
31525 Diagnostic examination of voice box using an endoscope	51	50	$499.00	$245.77
31231 Diagnostic examination of nasal passages using an endoscope	48	41	$388.00	$181.94
92557 Comprehensive hearing and speech recognition test	42	40	$76.81	$37.10
92568 Assessment of hearing loss with placement of probe in ear to assess ear bone contraction	40	38	$31.00	$15.43
69210 Removal of impacted ear wax	26	26	$94.00	$43.09
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	20	14	$506.00	$276.49
92511 Exam of the nose and throat using an endoscope	16	16	$231.00	$116.08
31238 Control of bleeding of nose using an endoscope	11	11	$496.00	$246.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	269	192	$182.88	$89.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	166	166	$260.13	$110.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	124	124	$327.02	$164.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	68	$265.04	$126.30
69210 Removal of impacted ear wax	72	69	$115.42	$43.94
92504 Exam of ear using a microscope	60	50	$69.15	$28.81
31575 Diagnostic exam of voice box using a flexible endoscope	50	49	$287.36	$123.57
31231 Diagnostic examination of nasal passages using an endoscope	41	34	$414.80	$193.52
92557 Comprehensive hearing and speech recognition test	34	34	$92.19	$38.06
92568 Assessment of hearing loss with placement of probe in ear to assess ear bone contraction	32	32	$38.46	$15.36
92511 Exam of the nose and throat using an endoscope	28	27	$274.04	$115.39
95992 Repositioning maneuvers for treatment of vertigo, per day	23	23	$95.08	$43.63
30901 Simple control of nose bleed	15	15	$197.87	$147.79
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	14	12	$364.96	$192.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	270	203	$147.78	$73.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	171	171	$212.16	$105.14
69210 Removal of impacted ear wax	68	67	$94.90	$46.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$324.56	$162.85
92504 Exam of ear using a microscope	53	35	$57.18	$28.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	39	$214.58	$107.59
31575 Diagnostic exam of voice box using a flexible endoscope	39	38	$243.10	$121.73
92568 Assessment of hearing loss with placement of probe in ear to assess ear bone contraction	33	33	$31.68	$15.36
92557 Comprehensive hearing and speech recognition test	33	33	$75.96	$36.84
31231 Diagnostic examination of nasal passages using an endoscope	31	30	$381.40	$185.81
92511 Exam of the nose and throat using an endoscope	23	23	$221.46	$105.81
95992 Repositioning maneuvers for treatment of vertigo, per day	22	22	$89.30	$44.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	324	233	$182.65	$73.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	288	288	$269.85	$106.56
69210 Removal of impacted ear wax	94	90	$122.92	$45.04
31575 Diagnostic exam of voice box using a flexible endoscope	48	48	$285.40	$115.67
92557 Comprehensive hearing and speech recognition test	42	37	$95.05	$38.11
92504 Exam of ear using a microscope	41	33	$74.43	$29.06
92568 Assessment of hearing loss with placement of probe in ear to assess ear bone contraction	40	35	$39.95	$15.88
92511 Exam of the nose and throat using an endoscope	36	32	$276.30	$110.20
31231 Diagnostic examination of nasal passages using an endoscope	33	33	$523.35	$198.64
95992 Repositioning maneuvers for treatment of vertigo, per day	28	27	$108.40	$44.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$268.78	$107.69
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	22	13	$852.24	$294.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$410.07	$162.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	365	365	$269.85	$105.05
99213 Established patient office or other outpatient visit, typically 15 minutes	326	235	$182.65	$71.28
69210 Removal of impacted ear wax	98	84	$122.92	$47.40
31575 Diagnostic exam of voice box using a flexible endoscope	72	69	$285.40	$109.32
31231 Diagnostic examination of nasal passages using an endoscope	63	56	$523.35	$205.59
92557 Comprehensive hearing and speech recognition test	60	56	$95.05	$36.08
92568 Assessment of hearing loss with placement of probe in ear to assess ear bone contraction	60	56	$39.95	$15.18
92504 Exam of ear using a microscope	49	34	$74.43	$28.75
92511 Exam of the nose and throat using an endoscope	41	35	$276.30	$103.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	23	$108.95	$43.12
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	23	16	$927.63	$312.20
95992 Repositioning maneuvers for treatment of vertigo, per day	22	22	$108.40	$41.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$268.78	$105.75
30901 Simple control of nose bleed	19	19	$238.37	$133.81
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$186.90	$73.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$343.20	$134.78
30930 Therapeutic fracture of nasal passages	12	12	$452.17	$79.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	374	267	$182.65	$71.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	359	359	$269.85	$106.46
69210 Removal of impacted ear wax	128	110	$122.92	$46.85
31575 Diagnostic exam of voice box using a flexible endoscope	65	60	$285.40	$110.76
31231 Diagnostic examination of nasal passages using an endoscope	61	50	$523.35	$206.27
92557 Comprehensive hearing and speech recognition test	59	55	$95.05	$37.22
92568 Assessment of hearing loss with placement of probe in ear to assess ear bone contraction	56	52	$39.95	$15.58
92511 Exam of the nose and throat using an endoscope	53	42	$276.30	$108.92
92504 Exam of ear using a microscope	48	37	$74.43	$29.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	29	$108.95	$43.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$268.78	$106.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$410.07	$161.78
30901 Simple control of nose bleed	17	14	$238.37	$93.88
95992 Repositioning maneuvers for treatment of vertigo, per day	14	14	$108.40	$42.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$343.20	$135.08

Medical Specialties & State Licenses

CMS Verified: 2021-07-14

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License AZ 23384

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

315152 (AZ)

Commercial Insurance / Payer ID Bcbs Provider Id

AZ0882510 (AZ)

Hospital & Practice Group Affiliations

Valley Ent Pc

1300 N Rim Dr, Flagstaff, AZ 860013143

Phone: 9285569200

Valley Ent Pc

9097 E Desert Cove Ave, Scottsdale, AZ 852606278

Phone: 4808471193

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Nathan Benson , MD

Urology

NPI 1285693481

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address July 14, 2021

Registered at 9097 E DESERT COVE AVE STE 200, SCOTTSDALE, AZ 852606280 (Tel: 4802738510)

✅

NPI Profile Active March 14, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location March 14, 2008

Registered at 1300 N RIM DR, SUITE B, FLAGSTAFF, AZ 860013128 (Tel: 9285569200)

📍

Updated Business Mailing Address March 14, 2008

Registered at 1300 N RIM DR, SUITE B, FLAGSTAFF, AZ 860013128 (Tel: 9285569200)

👤

Provider Name / Credentials Updated March 14, 2008

Recorded as DANIEL DOWNS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2008

Otolaryngology (License #23384 in AZ)

🟢

Initial NPI Registration & Enumeration August 24, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831182831

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 24, 2005

Last Update: July 14, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9097 E Desert Cove Ave Ste 200

Scottsdale, AZ 852606280

Phone: 4802738510

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.