Richard S. Downing
Opted out of Medicare from October 2026 to October 2028. Nurse Practitioner with Mission Health Community Multispecialty Providers LLC and 1 other group, practicing in Arden, North Carolina. Part D covered 55 prescriptions written in 2024, 87% of them generic. Lists Memorial Mission Hospital and Asheville Surgery Ce and 1 other hospital as hospital affiliations.
Overview
| NPI | 1023644911 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 23, 2020 |
| Last updated in NPPES | Aug 13, 2025 |
| Certified by provider | Aug 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 5013021 | NC |
| Nurse Practitioner, Family | 363LF0000X | 5013021 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NC) |
|---|---|
| Opt-out | Opted out Oct 1, 2026 – Oct 1, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 55 · 60 30-day fills |
|---|---|
| Patients | 37 |
| Total drug cost | $760.90 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Mission Health Community Multispecialty Providers LLCAsheville, NC · 601 clinicians
- Mh Transylvania Regional Hospital, LllpClyde, NC · 12 clinicians
Hospital affiliations
- Memorial Mission Hospital and Asheville Surgery CeAsheville, NC
- Transylvania Regional Hospital, IncBrevard, NC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 15 nurse practitioners in Arden · All nurse practitioners in North Carolina