Active NPI 1851711188 Individual Practitioner Male Practitioner

Philip Downs , PA-C

Physician Assistant • Cooperstown, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Philip Downs, PA-C is a certified Physician Assistant practicing in Cooperstown, NY. With approximately 12 years of clinical experience since completing medical education in 2014, Philip Downs delivers high-quality medical care to the local community at 1 ATWELL RD.

Philip Downs is affiliated with St. Mary'S Healthcare and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, automated urinalysis test, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Atwell Rd

Cooperstown, NY 133261301

Telephone 6075476366

Associated Practice Facility / Clinic

🏢 Mary Imogene Bassett Hospital Facility NPI 1083664221

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Cooperstown, NY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -3.3 yrs vs City Avg

City Avg: 15.3 Yrs

State Avg: 12.0 Yrs

Regional Practice Density

84 Specialists

Practicing in Cooperstown, NY (15701 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

91.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Downs (12 Years) 12 Yrs

Cooperstown Specialty Average (15.3 Years) 15.3 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
99284 Emergency department visit with moderate level of medical decision making	26	26	$1819.65	$108.20
81003 Automated urinalysis test	17	17	$12.00	$2.20
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$174.80	$70.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	56	54	$192.86	$74.17
81003 Automated urinalysis test	30	29	$11.80	$2.20
99285 Emergency department visit for life threatening or functioning severity	22	22	$1454.00	$143.75
99284 Emergency department visit with moderate level of medical decision making	17	17	$979.00	$98.70
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	11	11	$100.00	$34.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	144	143	$217.56	$74.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	72	$311.92	$105.84
87804 Detection test by immunoassay with direct visual observation for influenza virus	72	36	$26.00	$16.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$219.61	$92.40
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	61	61	$153.03	$19.02
81003 Automated urinalysis test	40	40	$9.38	$2.21
99285 Emergency department visit for life threatening or functioning severity	37	37	$2562.46	$147.39
71046 X-ray of chest, 2 views	36	36	$112.89	$9.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$312.43	$137.94
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	27	26	$56.67	$16.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$412.09	$149.58
90471 Administration of 1 vaccine	14	14	$58.43	$13.77
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	13	13	$40.00	$36.72
99283 Emergency department visit with low level of medical decision making	13	13	$733.31	$59.64
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	13	13	$100.00	$34.62
99284 Emergency department visit with moderate level of medical decision making	12	12	$1427.00	$101.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	116	115	$207.00	$76.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$207.00	$93.84
99285 Emergency department visit for life threatening or functioning severity	51	48	$1920.10	$150.98
99284 Emergency department visit with moderate level of medical decision making	29	29	$1384.72	$101.07
81003 Automated urinalysis test	28	28	$5.00	$2.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$300.00	$109.41
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	24	23	$100.00	$41.38
87804 Detection test by immunoassay with direct visual observation for influenza virus	24	12	$26.00	$16.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$150.00	$47.39
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	21	17	$102.57	$7.02
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$150.00	$61.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$300.00	$141.52
71046 X-ray of chest, 2 views	18	18	$56.00	$9.09
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	13	$145.00	$19.11
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	11	11	$30.00	$16.53
99283 Emergency department visit with low level of medical decision making	11	11	$727.45	$60.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	157	154	$1521.57	$146.82
99283 Emergency department visit with low level of medical decision making	105	102	$571.31	$55.42
99284 Emergency department visit with moderate level of medical decision making	71	70	$1007.56	$101.16
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	36	34	$100.00	$7.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$288.27	$89.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	121	118	$365.26	$143.87
99213 Established patient office or other outpatient visit, typically 15 minutes	63	61	$118.33	$43.45
99284 Emergency department visit with moderate level of medical decision making	58	58	$227.05	$97.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	44	$171.00	$65.68
99283 Emergency department visit with low level of medical decision making	21	21	$255.52	$51.56
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$117.00	$42.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	66	65	$300.00	$141.96
99284 Emergency department visit with moderate level of medical decision making	43	43	$200.00	$96.40
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$117.00	$42.28
99283 Emergency department visit with low level of medical decision making	15	15	$130.00	$50.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	52	52	$300.00	$154.69
99284 Emergency department visit with moderate level of medical decision making	18	18	$200.00	$104.85

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 017475

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

St. Mary's Healthcare

7 Timmerman Ave, St Johnsville, NY 134521017

Phone: 5187707818

St. Mary's Healthcare

380 Guy Park Ave, Amsterdam, NY 120101065

Phone: 5187707830

Practice Associates & Co-Workers

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

5 Associated Practitioners

Claudy Zulme

Nurse Practitioner - Primary Care

NPI 1154169159

Robin Knapp , NURSE MIDWIFE

Advanced Practice Midwife

NPI 1295775823

NURSEMIDWIFE

Shanna Barran , PA

Physician Assistant

NPI 1609380831

Physician Assistant

Stephanie Mccann , RN

Registered Nurse

NPI 1821917337

Registered Nurse

Michael Pelcer , PA-C

Physician Assistant

NPI 1932241718

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 25, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location April 25, 2014

Registered at 1 ATWELL RD, COOPERSTOWN, NY 133261301 (Tel: 6075476366)

📍

Updated Business Mailing Address April 25, 2014

Registered at 1 ATWELL RD, COOPERSTOWN, NY 133261301 (Tel: 6075476366)

👤

Provider Name / Credentials Updated April 25, 2014

Recorded as PHILIP DOWNS, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2014

Physician Assistant (License #017475 in NY)

🟢

Initial NPI Registration & Enumeration April 25, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Philip Downs. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1851711188

Entity Type:

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

Enumeration Date: April 25, 2014

Last Update: April 25, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Atwell Rd

Cooperstown, NY 133261301

Phone: 6075476366

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.