Craig William Downey, MD
NPI 1407856701ActiveIndividual· Pediatrics· Union City, IN
Pediatrics (MD) in Union City, Indiana, trained at Ohio State University College of Medicine (class of 1996). Their prescriptions cost Medicare Part D more than their services did: $343,220 for 5,495 claims, against $1,616 paid for services in 2024. Inspire Medical Systems, Inc. reported $13.85 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1407856701 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 28, 2005 |
| Last updated in NPPES | Jun 20, 2022 |
| Certified by provider | Jun 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 01052404A | IN |
| Family Medicine | 207Q00000X | 01052404A | IN |
| Internal Medicine | 207R00000X | 01052404A | IN |
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 - Pediatric Medicine (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 63 |
|---|---|
| Services billed | 98 across 12 procedure codes |
| Paid by Medicare | $1,616 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,495 · 9,673 30-day fills |
|---|---|
| Patients | 297 |
| Total drug cost | $343,220 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | Ohio State University College of Medicine |
|---|---|
| Graduation year | 1996 |
| Medicare specialty | Pediatric Medicine |
| Secondary specialties | Internal Medicine |
Medical group
- St Vincent Medical Group IncCarmel, IN · 736 clinicians
Hospital affiliations
- Ascension St Vincent RandolphWinchester, IN
- Indiana University Health Ball Memorial HospitalMuncie, IN
- Reid HealthRichmond, IN
- Wayne HospitalGreenville, OH
Other facilities
- Home Health Angels LLCHome health agency · Winchester, IN
Industry payments (Open Payments)
- 2025$13.85 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Inspire Medical Systems, Inc. | $13.85 | 1 |
What the 2025 payments were for
- Food and Beverage$13.85 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records