Dr. Nathaniel Joseph Downing, DO

  • Salisbury, MD
  • Emergency medicine physician
NPI1760976401PAC ID4587077631
Medicare services, 2024
1,464
Medicare patients, 2024
914
Part D claims, 2024
410
MIPS score, 2024
96
Hospital affiliations
3
Practice address
100 East Carroll Avenue, Salisbury, MD 21801
Practice phone
Call (410) 546-6400
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

TidalHealth Peninsula Regional

Hospital · Salisbury, Maryland

See all 5 affiliations

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Dr. Nathaniel Joseph Downing is an emergency medicine physician in Salisbury, Maryland

Dr. Downing practices at TidalHealth Peninsula Regional in Salisbury, Maryland, part of TidalHealth Peninsula Regional.

Dr. Downing's NPI, 1760976401, was assigned on June 16, 2018. Dr. Downing graduated from Michigan State University College of Osteopathic Medicine in 2018. Dr. Downing holds Maryland license H0093615.

NPI and contact details
Medicare PAC ID
4587077631
NPI enumeration date
June 16, 2018
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(410) 546-6400
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
34
Medical school graduation
2018

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

Dr. Nathaniel Joseph Downing practices at TidalHealth Peninsula Regional in Salisbury, Maryland

Dr. Downing's primary practice is TidalHealth Peninsula Regional, at 100 East Carroll Avenue, Salisbury, MD 21801 in Wicomico County. The practice phone is (410) 546-6400.

Source: Dmand AI Affiliation Data

Dr. Nathaniel Joseph Downing is affiliated with 4 sites of care and 1 medical group

Dr. Downing's primary practice is TidalHealth Peninsula Regional in Salisbury, Maryland, part of TidalHealth Peninsula Regional. Dr. Downing is also affiliated with TidalHealth Nanticoke. The medical group on file is Emergency Service Associates. Dmand AI also links Dr. Downing to 1 more hospital and 1 community health center, each named with a free account.

See all 5 affiliations for Dr. Downing

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Nathaniel Joseph Downing's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Downing practices, 4 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
TidalHealth Peninsula RegionalAvailable with a free account
+3 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Nathaniel Joseph Downing is one of 1,057 emergency medicine physicians in Maryland

Emergency medicine is Dr. Downing's primary specialty in the NPI Registry, under taxonomy code 207P00000X. Dmand AI has Dr. Downing's licenses on file in 3 states: Maryland, Delaware and Michigan.

Specialties and state licenses

  • Emergency medicine, MarylandPrimaryLicense H0093615 · taxonomy 207P00000X
  • Delaware licenseLicense C2-0024067
  • Michigan licenseLicense 5151011126

Emergency medicine physicians near Dr. Downing

Counts of emergency medicine physicians 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. Nathaniel Joseph Downing billed Medicare for 1,464 services in 2024

CMS data shows 1,464 Medicare services from Dr. Downing across 5 procedure codes in 2024, for 914 Medicare patients. Medicare paid $124,614 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 20241,464
Medicare patients914
Paid by Medicare$124,614
Procedure codes5

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

  • 2023
  • 2024
Office and hospital visits
2023: 9402024: 9511%
Tests and treatments
2023: 4472024: 51315%

Dr. Downing compared with the Maryland median for emergency medicine physicians, 2024

  • Dr. Downing
  • Maryland median
Medicare services
1,464vs 3004.9 times
Medicare patients
914vs 2923.1 times
Part D claims
242vs 445.5 times

Medians across 1,040 emergency medicine physicians in Maryland with Dmand AI profiles that report each measure.

Dr. Downing'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. Downing

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

Dr. Nathaniel Joseph Downing treated 914 Medicare patients in 2024, average age 74

CMS counts 914 Medicare patients who saw Dr. Downing in 2024. The largest group is 65 to 74, with 306 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 27% are also on Medicaid. Their average risk score is 2.07, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Downing's median patient age at 44, with 56% women.

Medicare patients, 2024914
Average age74
Average risk score2.07
Also on Medicaid27%

Dr. Downing's Medicare patients by age, 2024

Dr. Downing's Medicare patients by sex, 2024

  • Women49454%
  • Men42046%

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

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis63%
  4. Ischemic heart disease47%
  5. Chronic kidney disease46%
  6. Diabetes44%
  7. Anxiety41%
  8. Mood disorders41%

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

Dr. Downing's patients across all payers

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

Patient panel by age, all payers

Median age 44

Patient panel by sex, all payers

  • Women56%
  • Men43%

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

Dr. Nathaniel Joseph Downing wrote 410 Medicare Part D claims in 2024

In 2024, Dr. Downing wrote 410 Medicare Part D claims for 272 patients. 97% of them were for generic drugs. CMS names the drug for 242 of them, across 10 drugs with 11 or more claims each, at $1,043 in total drug cost. In 2023, CMS named 225 claims across 9 drugs.

Part D claims, 2024410
Drugs named by CMS10
Total drug cost$1,043
Part D patients272

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

  • Generic396 claims97%
  • Brand-name14 claims3%

Dr. Downing'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. Downing's Part D claims, 2024

  • Opioids13%52 of 410 claims
  • Antibiotics25%101 of 410 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: 2252024: 2428%

Drugs named by CMS: 10 in 2024, 9 in 2023.

See all prescribing by Dr. Downing

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

Dr. Nathaniel Joseph Downing scored 96 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 96 out of 100 for Dr. Downing for performance year 2024, reported as part of a group. Dr. Downing accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Downing's MIPS scores, performance year 2024

  • 96of 100Final score
  • 91.1of 100Quality
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Nathaniel Joseph Downing received $356 in industry payments from 2019 to 2022

CMS Open Payments shows 5 general payments to Dr. Downing from 4 drug and device companies from 2019 to 2022. Food and beverage make up the largest share, 100% of the total. Abbvie Inc. paid the most, $205.

General payments to Dr. Downing by program year, 2019 to 2022

Companies that paid Dr. Downing the most, 2019 to 2022

Share is of all general payments to this clinician.

See all payments to Dr. Downing

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

Dr. Nathaniel Joseph Downing graduated from Michigan State University College of Osteopathic Medicine

Dr. Downing graduated from Michigan State University College of Osteopathic Medicine in 2018.

  1. Medical schoolMichigan State University College of Osteopathic Medicine

Source: Dmand AI Professional Profile Data

Sources for Dr. Nathaniel Joseph Downing'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 phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand 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)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile 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. Nathaniel Joseph Downing

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. Nathaniel Joseph Downing's NPI number?

Dr. Nathaniel Joseph Downing's NPI number is 1760976401. It was assigned on June 16, 2018, and it is active in the NPI Registry.

What kind of doctor is Dr. Nathaniel Joseph Downing?

Dr. Nathaniel Joseph Downing is an emergency medicine physician in Salisbury, Maryland. The primary specialty in the NPI Registry is Emergency Medicine Physician (taxonomy code 207P00000X).

Where does Dr. Nathaniel Joseph Downing practice?

Dr. Downing practices at 100 East Carroll Avenue, Salisbury, MD 21801. Dr. Downing's primary practice is TidalHealth Peninsula Regional in Salisbury, Maryland, part of TidalHealth Peninsula Regional. Dmand AI also links Dr. Downing to 1 hospital and 1 community health center.

What is Dr. Nathaniel Joseph Downing's office phone number?

The practice phone on file for Dr. Downing is (410) 546-6400.

What is Dr. Nathaniel Joseph Downing's medical license number?

Dr. Downing holds Maryland license H0093615, one of the licenses on file in 3 states.

Which states has Dr. Nathaniel Joseph Downing been licensed in?

Dmand AI has state licenses on file for Dr. Downing in Maryland, Delaware and Michigan.

Which hospitals is Dr. Nathaniel Joseph Downing affiliated with?

Dr. Downing practices at TidalHealth Peninsula Regional in Salisbury, Maryland. Dr. Downing is also affiliated with TidalHealth Nanticoke. Dmand AI links Dr. Downing to 1 more hospital.

What medical group is Dr. Nathaniel Joseph Downing part of?

Dr. Downing is linked to Emergency Service Associates.

Does Dr. Nathaniel Joseph Downing accept Medicare?

Yes. CMS data shows Dr. Downing billed Medicare for 1,464 services in 2024, and Dr. Downing accepts Medicare assignment.

What is Dr. Nathaniel Joseph Downing's MIPS score?

Dr. Downing's MIPS final score for performance year 2024 is 96 out of 100, reported as part of a group.

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How many Medicare patients does Dr. Nathaniel Joseph Downing see?

CMS counts 914 Medicare patients who saw Dr. Downing in 2024, with an average age of 74.

What services does Dr. Nathaniel Joseph Downing bill to Medicare?

In 2024, Dr. Downing's most billed Medicare services were emergency department visit (99285), heart test or procedure (93010) and critical care (99291).

Where did Dr. Nathaniel Joseph Downing go to medical school?

Dr. Downing graduated from Michigan State University College of Osteopathic Medicine in 2018.

What drugs does Dr. Nathaniel Joseph Downing prescribe most?

In 2024 Medicare Part D data, Dr. Downing's most prescribed drugs by claims were Oxycodone-Acetaminophen, Ondansetron HCl and Prednisone.

Has Dr. Nathaniel Joseph Downing received payments from drug or device companies?

CMS Open Payments shows $356 in general payments to Dr. Downing from 4 companies from 2019 to 2022. The largest total came from Abbvie Inc.

How long has Dr. Nathaniel Joseph Downing been practicing?

Dr. Downing graduated from medical school in 2018, 8 years ago.

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