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Dr. Erika Taylor Downs , DC

Chiropractor โ€ข Newark, OH

Active NPI 1407244239 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1495 Granville Rd
Newark, OH 430551537

Call 7404046487 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1495 Granville Rd

Newark, OH 430551537

Telephone 7404046487
Organization at the Same NPPES Address or Phone
Balanced Living Chiropractic And Wellness Facility NPI 1487282505

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Balanced Living Chiropractic And Wellness. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Palmer College Chiropractic - Davenport

Graduation Year

2020

Medicare patients

22 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $6,714 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $4,511 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Downs has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Newark and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 75% of clinicians listed under Chiropractor in Ohio (2024, 1,059 clinicians with data). Median for this group: 370. Middle half: 193 to 684.

Too few clinicians listed under Chiropractor in Newark have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 70% of clinicians listed under Chiropractor in Ohio (2024, 1,059 clinicians with data). Median for this group: $12,853. Middle half: $6,445 to $23,051.

Too few clinicians listed under Chiropractor in Newark have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 70% of clinicians listed under Chiropractor in Ohio (2024, 1,059 clinicians with data). Median for this group: $8,973. Middle half: $4,507 to $16,127.

Too few clinicians listed under Chiropractor in Newark have Medicare Part B data for 2024 to compare.

21 active clinicians are listed under Chiropractor with a practice address in Newark, OH (2,688 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Newark

0% of these 21 clinicians have the CMS telehealth indicator.

57.1% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2021โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
180 21 $45.64 $37.30

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-09-06
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES OH DC-04951

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Physical Therapy Assistant

NUCC Taxonomy Code: 225200000X

License # reported to NPPES IA 05099

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1407244239 (IA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CHIROPRACTIC

Medicare Enrollment ID

I20200511002639

Enrollment State Jurisdiction

OH

PECOS Control ID

4981035755

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Balanced Living Chiropractic And Wellness

1495 Granville Rd, Newark, OH 430551537

Phone: 7404046487

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1619672094

Doctor of Chiropractic

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
๐Ÿ“
Updated Practice Location September 06, 2023

Registered at 1495 GRANVILLE RD, NEWARK, OH 430551537 (Tel: 7404046487)

๐Ÿ“
Updated Business Mailing Address September 06, 2023

Registered at 1495 GRANVILLE RD, NEWARK, OH 430551537 (Tel: 7404046487)

๐Ÿ“
Updated Practice Location April 01, 2020

Registered at 1670 COLUMBUS RD STE D, GRANVILLE, OH 430231232 (Tel: 7404046487)

๐Ÿ“
Updated Practice Location March 03, 2020

Registered at 1670 COLUMBUS RD, GRANVILLE, OH 430231232 (Tel: 7404046487)

๐Ÿ“
Updated Business Mailing Address March 03, 2020

Registered at 1670 COLUMBUS RD, GRANVILLE, OH 430231232 (Tel: 7404046487)

๐Ÿ‘ค
Provider Name / Credentials Updated March 03, 2020

Recorded as ERIKA DOWNS, D.C.

โœ…
NPI Profile Active January 01, 2015

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) January 01, 2015

Registered at 800 E RUSHOLME ST, DAVENPORT, IA 528032547 (Tel: 7404046487)

๐Ÿ“
Business Mailing Address (Initial Record) January 01, 2015

Registered at 2228 1/2 SCOTT ST, DAVENPORT, IA 528032752

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) January 01, 2015

Recorded as ERIKA DOUDNA, P.T.A

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 01, 2015

Physical Therapy Assistant (license number reported to NPPES: IA 05099)

๐ŸŸข
Initial NPI Registration & Enumeration January 01, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407244239
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 01, 2015
Last Update: September 06, 2023
Sole Proprietor: No

Other Chiropractors in Newark

All Chiropractors in Newark

Mailing Address

1495 Granville Rd

Newark, OH 430551537

Phone: 7404046487

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.