Brian C Downey, MD - Medicare Cardiovascular Disease (cardiology) in Worcester, MA

Brian C Downey, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Worcester, Massachusetts. He went to Georgetown University School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Cardiovascular Center At Tufts Medical Center Inc and his current practice location is 123 Summer St., Suite 290 N, Worcester, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 368-3130.

Brian C Downey is licensed to practice in Massachusetts (license number 209725) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912984592.

Contact Information

Brian C Downey, MD
123 Summer St., Suite 290 N,
Worcester, MA 01608-1312
(508) 368-3130
(508) 368-3133

Map and Direction




Physician's Profile

Full NameBrian C Downey
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience26 Years
Location123 Summer St., Worcester, Massachusetts
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brian C Downey attended and graduated from Georgetown University School Of Medicine in 1998
  NPI Data:
  • NPI Number: 1912984592
  • Provider Enumeration Date: 12/27/2005
  • Last Update Date: 06/04/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 7315973773
  • Enrollment ID: I20050718000049

Medical Identifiers

Medical identifiers for Brian C Downey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912984592NPI-NPPES
8898428OtherCIGNA HEALTH PLAN
042472266OtherTRICARE/CHAMPUS
1081056OtherAETNA/ US HEALTHCARE
2028017OtherFIRST HEALTH
87319OtherCHILDRENS MEDICAL SECURIT
J23785OtherBLUE CARE ELECT
209725OtherTUFTS HEALTH PLAN
87319OtherHEALTHY START
AA33834OtherHARVARD PILGRIM HEALTHCAR
0142476OtherMEDICAID/WELFARE
042472266OtherONE HEALTH PLAN
042472266OtherUNITED HEALTHCARE
92598OtherFALLON COMMUNITY HEALTH P
A32712OtherMEDICARE B
0142476MedicaidMA
042472266OtherPRIVATE HEALTHCARE SYSTEM
789680OtherMVP HEALTH CARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 209725 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tufts Medical CenterBoston, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cardiovascular Center At Tufts Medical Center Inc387085781698

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brian C Downey allows following entities to bill medicare on his behalf.
Entity NamePratt Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275570319
PECOS PAC ID: 3375515661
Enrollment ID: O20040807000255
Entity NameCardiovascular Center At Tufts Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447764253
PECOS PAC ID: 3870857816
Enrollment ID: O20180430000179

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian C Downey is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brian C Downey, MD
630 Plantation St,
Worcester, MA 01605-2038

Ph: (508) 368-3130
Brian C Downey, MD
123 Summer St., Suite 290 N,
Worcester, MA 01608-1312

Ph: (508) 368-3130

Reviews and Comments


Internal Medicine Doctors in Worcester, MA

Dr. Adepeju Gbadebo Champion, M.D.
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 508-334-2731    Fax: 774-442-4672
Madaiah Lokeshwari, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 123 Summer St, Worcester, MA 01608
Phone: 508-363-6849    
Sowmya Korapati,
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 508-334-3550    Fax: 774-442-6715
Irma Nadeem Hashmi, DO
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 508-334-1000    
Dr. Madhav Sharma, MD
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 123 Summer St, Worcester, MA 01608
Phone: 508-363-5438    
Daniel M Steigman, MD
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 123 Summer Street, Suite 390, Worcester, MA 01608
Phone: 508-368-3120    Fax: 508-368-3121
Dr. Julia D Andrieni, M.D.
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 55 Lake Ave N, Department Of General Medicine, Worcester, MA 01655
Phone: 508-334-2731    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.