Active NPI 1518054121 Individual Practitioner Female Practitioner

Dr. Merry C Downer , MD

Internal Medicine - Nephrology • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Dr. Merry Downer, MD is a registered healthcare professional specializing in Internal Medicine - Nephrology in Springfield, IL. Practice services are available at 350 W CARPENTER ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, hemodialysis procedure with physician evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

350 W Carpenter St

Springfield, IL 627024902

Telephone 2175287541

Associated Practice Facility / Clinic

🏢 Springfield Obstetric & Gynecologic Associates, S.c. Facility NPI 1306822093

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Springfield, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.0 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

16 Specialists

Practicing in Springfield, IL (598 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	338	232	$461.00	$127.10
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	263	130	$471.00	$102.17
90935 Hemodialysis procedure with physician evaluation	175	88	$483.00	$72.88
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	153	45	$1133.00	$296.43
90966 Home dialysis services per month, patient 20 years of age or older	96	33	$1122.00	$296.11
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	64	33	$1424.00	$355.58
99213 Established patient office or other outpatient visit, typically 15 minutes	48	46	$317.00	$89.85
90945 Dialysis procedure including 1 evaluation	40	19	$441.00	$83.35
90962 Dialysis services, 1 physician visit per month (20 years or older)	27	19	$826.00	$202.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$893.00	$199.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	472	303	$427.00	$106.78
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	278	140	$454.00	$105.29
90935 Hemodialysis procedure with physician evaluation	252	118	$483.00	$74.58
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	227	49	$1133.00	$241.52
90962 Dialysis services, 1 physician visit per month (20 years or older)	62	34	$826.00	$185.83
90966 Home dialysis services per month, patient 20 years of age or older	51	16	$1122.00	$241.50
99213 Established patient office or other outpatient visit, typically 15 minutes	44	42	$294.00	$74.46
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	44	21	$1424.00	$287.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	38	$828.00	$205.24
90945 Dialysis procedure including 1 evaluation	25	14	$441.00	$87.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$569.65	$158.89
90947 Dialysis procedure requiring repeat evaluation	19	13	$641.00	$127.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	321	241	$81.06	$72.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	282	218	$200.38	$106.02
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	204	40	$440.23	$237.76
36415 Insertion of needle into vein for collection of blood sample	144	89	$3.08	$2.94
82043 Urine microalbumin (protein) level	134	124	$8.40	$6.29
82570 Creatinine level to test for kidney function or muscle injury	134	124	$6.99	$5.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	129	76	$124.19	$72.85
90935 Hemodialysis procedure with physician evaluation	124	65	$154.93	$72.19
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	117	19	$386.29	$283.27
90966 Home dialysis services per month, patient 20 years of age or older	87	12	$318.95	$237.00
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	79	48	$263.67	$104.12
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	47	31	$7.18	$7.04
90962 Dialysis services, 1 physician visit per month (20 years or older)	42	27	$468.61	$183.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$193.37	$162.32
81003 Automated urinalysis test	20	20	$2.49	$2.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$454.92	$202.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$206.49	$106.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	609	345	$79.48	$70.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	218	104	$83.67	$70.87
36415 Insertion of needle into vein for collection of blood sample	199	109	$3.01	$2.93
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	187	41	$266.38	$231.73
90966 Home dialysis services per month, patient 20 years of age or older	182	21	$289.47	$229.11
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	153	24	$348.98	$267.30
90935 Hemodialysis procedure with physician evaluation	116	61	$85.75	$71.79
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	50	29	$7.98	$7.82
81003 Automated urinalysis test	34	33	$2.77	$2.71
90962 Dialysis services, 1 physician visit per month (20 years or older)	34	21	$235.03	$169.87
90945 Dialysis procedure including 1 evaluation	27	12	$92.36	$84.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$176.59	$161.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$220.33	$200.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	602	342	$78.81	$70.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	253	119	$79.75	$70.51
90966 Home dialysis services per month, patient 20 years of age or older	220	25	$378.70	$210.71
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	200	46	$266.54	$231.83
36415 Insertion of needle into vein for collection of blood sample	198	107	$3.02	$2.94
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	161	26	$341.53	$273.88
90935 Hemodialysis procedure with physician evaluation	80	47	$79.09	$71.23
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	70	39	$8.87	$8.69
81003 Automated urinalysis test	32	32	$3.08	$3.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$221.96	$199.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$176.86	$159.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$120.85	$100.19
90962 Dialysis services, 1 physician visit per month (20 years or older)	20	17	$199.79	$178.78
90937 Hemodialysis procedure requiring repeated evaluation	19	12	$113.97	$102.65

Medical Specialties & State Licenses

CMS Verified: 2020-05-22

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License IL 036-083440

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Kaitlin Henry , MD

Family Medicine

NPI 1003136276

Doctor of Medicine (M.D.)

Sydney Lynch

Physician Assistant - Surgical

NPI 1003404864

Jeremy Elliott

Nurse Practitioner - Family

NPI 1003416546

Jessica Lee , APN

Nurse Practitioner - Family

NPI 1003461831

Advanced Practice Nurse

Julie Hart , PA-C

Physician Assistant

NPI 1003867342

Physician Assistant (Certified)

Barbara Wolfson , LCPC

Counselor

NPI 1003900739

Licensed Clinical Professional Counselor

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 14, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 14, 2015

Registered at 350 W CARPENTER ST, SPRINGFIELD, IL 627024902 (Tel: 2175287541)

📍

Updated Business Mailing Address July 14, 2015

Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032403 (Tel: 2175287541)

👤

Provider Name / Credentials Updated July 14, 2015

Recorded as MERRY DOWNER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2015

Internal Medicine (License #036-083440 in IL)

🟢

Initial NPI Registration & Enumeration October 06, 2006

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: 1518054121

Entity Type:

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

Enumeration Date: October 06, 2006

Last Update: May 22, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1025 S 6th St

Springfield, IL 627032403

Phone: 2175287541

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.