Dr. Craig William Downey, MD

  • Union City, IN
  • Pediatrician
NPI1407856701PAC ID8224024773
Medicare services, 2024
38
Medicare patients, 2024
63
Part D claims, 2024
5,495
Hospital affiliations
3
Industry payments
$72
Practice address
330 W Deerfield Rd, Union City, IN 47390
Practice phone
Call (765) 964-6200
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Ascension Medical Group St. Vincent

Union City, Indiana

See all 7 affiliations

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Dr. Craig William Downey is a pediatrician in Union City, Indiana

Dr. Downey practices at Ascension Medical Group St. Vincent in Union City, Indiana.

Dr. Downey's NPI, 1407856701, was assigned on July 28, 2005. Dr. Downey graduated from Ohio State College of Medicine in 1996. Dr. Downey's Indiana license number on file is 01052404A.

NPI and contact details
Medicare PAC ID
8224024773
NPI enumeration date
July 28, 2005
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(765) 964-6200
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Male
Estimated age
56
Medical school graduation
1996

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Craig William Downey practices at Ascension Medical Group St. Vincent in Union City, Indiana

Dr. Downey's primary practice is Ascension Medical Group St. Vincent, at 330 W Deerfield Rd, Union City, IN 47390 in Randolph County. The practice phone is (765) 964-6200.

  • Ascension Medical Group St. Vincent
    330 W Deerfield Rd, Union City, IN 47390 · Randolph CountyPhone(765) 964-6200

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Craig William Downey is affiliated with 6 sites of care and 1 medical group

Dr. Downey's primary practice is Ascension Medical Group St. Vincent in Union City, Indiana. Dr. Downey is also affiliated with Reid Health. The medical group on file is Ascension Medical Group St Vincent. Dmand AI also links Dr. Downey to 2 more hospitals, 1 home health agency and 1 rural health clinic, each named with a free account.

See all 7 affiliations for Dr. Downey

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Craig William Downey's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Downey practices, 5 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Ascension Medical Group St. VincentAvailable with a free account
+5 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Craig William Downey is one of 949 pediatricians in Indiana

Pediatrics is Dr. Downey's primary specialty in the NPI Registry, under taxonomy code 208000000X. Dr. Downey is board certified in pediatrics by the American Board of Pediatrics. Dmand AI has Dr. Downey's licenses on file in 2 states: Indiana and Ohio.

Specialties and state licenses

  • Pediatrics, IndianaPrimaryLicense 01052404A · 2000 to 2025 · taxonomy 208000000X
  • Ohio license1999 to 2027

Clinical focus

Dmand AI lists acid reflux, acute sinusitis, acute skin infection, anxiety, bipolar disorder, cellulitis, chronic anemia and chronic diabetes among the conditions Dr. Downey treats.

Pediatricians near Dr. Downey

Counts of pediatricians with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Craig William Downey billed Medicare for 38 services in 2024

CMS data shows 38 Medicare services from Dr. Downey across 2 procedure codes in 2024, for 63 Medicare patients. Medicare paid $199 for them. Every service was in an office.

Medicare services, 202438
Medicare patients63
Paid by Medicare$199
Procedure codes2

Dr. Downey's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Lab and pathology
2023: 222024: 3873%

Dr. Downey compared with the Indiana median for pediatricians, 2024

  • Dr. Downey
  • Indiana median
Medicare services
38vs 7851% below
Medicare patients
63vs 64Close to median
Part D claims
4,948vs 20247.4 times

Medians across 132 pediatricians in Indiana with Dmand AI profiles that report each measure.

Dr. Downey's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Downey

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Craig William Downey treated 63 Medicare patients in 2024, average age 73

CMS counts 63 Medicare patients who saw Dr. Downey in 2024. The largest group is 65 to 74, with 32 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 21% are also on Medicaid. Their average risk score is 1.15, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Downey's median patient age at 63, with 49% women.

Medicare patients, 202463
Average age73
Average risk score1.15
Also on Medicaid21%

Dr. Downey's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Downey's Medicare patients by sex, 2024

  • Women3352%
  • Men3048%

Chronic conditions among Dr. Downey's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Ischemic heart disease49%
  4. Arthritis41%
  5. Diabetes38%
  6. Mood disorders27%
  7. Chronic kidney disease24%
  8. Tobacco use24%

Share of Medicare patients with each condition. A patient can have several.

Dr. Downey's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 63

Patient panel by sex, all payers

  • Women49%
  • Men50%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Craig William Downey wrote 5,495 Medicare Part D claims in 2024

In 2024, Dr. Downey wrote 5,495 Medicare Part D claims for 297 patients. 88% of them were for generic drugs. CMS names the drug for 4,948 of them, across 119 drugs with 11 or more claims each, at $256,142 in total drug cost. In 2023, CMS named 4,399 claims across 105 drugs.

Part D claims, 20245,495
Drugs named by CMS119
Total drug cost$256,142
Part D patients297

Dr. Downey's Part D claims by kind of drug, 2024

  • Generic4,815 claims88%
  • Brand-name632 claims12%
  • Other48 claims1%

Dr. Downey's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Downey's Part D claims, 2024

  • Opioids3%175 of 5,495 claims
  • Antibiotics2%103 of 5,495 claims
  • Antipsychotics, patients 65 and over1%30 of 5,495 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 4,3992024: 4,94812%

Drugs named by CMS: 119 in 2024, 105 in 2023.

See all prescribing by Dr. Downey

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

How Dr. Craig William Downey takes part in Medicare

Dr. Downey accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

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Dr. Craig William Downey received $72 in industry payments from 2018 to 2025

CMS Open Payments shows 5 general payments to Dr. Downey from 3 drug and device companies from 2018 to 2025. Food and beverage make up the largest share, 100% of the total. Novo Nordisk Inc paid the most, $47.

General payments to Dr. Downey by program year, 2018 to 2025

Companies that paid Dr. Downey the most, 2018 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Downey

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Craig William Downey has 1 award and honors on record

Dmand AI lists 1 award for Dr. Downey.

Awards and honors for Dr. Downey

  1. Undated
    • AAP Fellow

Source: Dmand AI Professional Profile Data

Dr. Craig William Downey graduated from Ohio State College of Medicine

Dr. Downey graduated from Ohio State College of Medicine in 1996. Dr. Downey is a member of AAP.

  1. Medical schoolOhio State College of Medicine
  2. Board certified in pediatricsAmerican Board of Pediatrics

Source: Dmand AI Professional Profile Data

Dr. Craig William Downey accepts plans from 15 insurance carriers

Dr. Downey is in network with 15 carriers, including United Healthcare, Elevance and HCSC. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.

  • United Healthcare
  • Elevance
  • HCSC
  • Aetna
  • Blue Cross Blue Shield of Massachusetts
  • Blue Cross Blue Shield of Michigan
  • CareSource
  • Regence Health Plans
  • +7 more carriersWith a free account

Plan types Dr. Downey accepts, by number of carriers

  1. PPO9
  2. HMO6
  3. Medicare6
  4. EPO3
  5. POS2
  6. Medicaid1

Source: Dmand AI Insurance Network Data

Sources for Dr. Craig William Downey's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Craig William Downey

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Craig William Downey's NPI number?

Dr. Craig William Downey's NPI number is 1407856701. It was assigned on July 28, 2005, and it is active in the NPI Registry.

What kind of doctor is Dr. Craig William Downey?

Dr. Craig William Downey is a pediatrician in Union City, Indiana. The primary specialty in the NPI Registry is Pediatrics Physician (taxonomy code 208000000X).

Where does Dr. Craig William Downey practice?

Dr. Downey practices at 330 W Deerfield Rd, Union City, IN 47390. Dr. Downey's primary practice is Ascension Medical Group St. Vincent in Union City, Indiana. Dmand AI also links Dr. Downey to 2 hospitals, 1 home health agency and 1 rural health clinic.

What is Dr. Craig William Downey's office phone number?

The practice phone on file for Dr. Downey is (765) 964-6200.

What is Dr. Craig William Downey's medical license number?

Dr. Downey's Indiana license number on file is 01052404A, one of the licenses on file in 2 states.

Which states has Dr. Craig William Downey been licensed in?

Dmand AI has state licenses on file for Dr. Downey in Indiana (2000 to 2025) and Ohio (1999 to 2027).

Which hospitals is Dr. Craig William Downey affiliated with?

Dr. Downey is affiliated with Reid Health. Dmand AI links Dr. Downey to 2 more hospitals.

What medical group is Dr. Craig William Downey part of?

Dr. Downey is linked to Ascension Medical Group St Vincent.

Does Dr. Craig William Downey accept Medicare?

Yes. CMS data shows Dr. Downey billed Medicare for 38 services in 2024, and Dr. Downey accepts Medicare assignment.

How many Medicare patients does Dr. Craig William Downey see?

CMS counts 63 Medicare patients who saw Dr. Downey in 2024, with an average age of 73.

Show 7 more questionsShow fewer questions

Is Dr. Craig William Downey board certified?

Yes. Dr. Downey is board certified in pediatrics by the American Board of Pediatrics.

What services does Dr. Craig William Downey bill to Medicare?

In 2024, Dr. Downey's most billed Medicare services were lab and pathology test (81003) and lab and pathology test (83036).

Where did Dr. Craig William Downey go to medical school?

Dr. Downey graduated from Ohio State College of Medicine in 1996.

What drugs does Dr. Craig William Downey prescribe most?

In 2024 Medicare Part D data, Dr. Downey's most prescribed drugs by claims were Atorvastatin Calcium, Levothyroxine Sodium and Lisinopril.

Has Dr. Craig William Downey received payments from drug or device companies?

CMS Open Payments shows $72 in general payments to Dr. Downey from 3 companies from 2018 to 2025. The largest total came from Novo Nordisk Inc.

How long has Dr. Craig William Downey been practicing?

Dr. Downey graduated from medical school in 1996, 30 years ago.

What insurance does Dr. Craig William Downey accept?

Dr. Downey is in network with 15 carriers, including United Healthcare, Elevance and HCSC. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.

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