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Donald Gratton Downs

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NPI Number Detailed Information

Provider Information:

Name: Donald Gratton Downs
Gender: M
Provider License Number If Given: G61850

NPI Information:

NPI: 1568451979
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 10/18/2005

Last Update Date: 4/3/2014

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 9602
Mission Hills, CA 91346
Phone Number: 8188375691
Fax Number: 8187924793

Provider Business Practice Location Address:

Address: 2655 1ST ST
Simi Valley, CA 93065
Phone Number: 8052062000
Fax Number: 8055771270

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: CA

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About Donald Gratton Downs

Donald Gratton Downs ( DONALD GRATTON DOWNS ) is Family Family Medicine Physician in Simi Valley, CA. The NPI Number for Donald Gratton Downs is 1568451979.
The current location address for Donald Gratton Downs is 2655 1ST ST Simi Valley, CA 93065 and the contact number is 8188375691 and fax number is 8187924793. The mailing address for Donald Gratton Downs is PO BOX 9602 Mission Hills, CA 91346- 8052062000 (mailing address contact number - 8188375691).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Donald Gratton Downs ?


Answer: The NPI Number for Donald Gratton Downs is 1568451979

Where is Donald Gratton Downs located?


Answer: Donald Gratton Downs is located at 2655 1ST ST Simi Valley, CA 93065.

What is the specialty for Donald Gratton Downs ?


Answer: The Specialty of Donald Gratton Downs is Family Family Medicine Physician.

Are there any online reviews for Donald Gratton Downs ?


Answer: Yes! Check It Now.

Are there any other health care providers in Simi Valley, CA?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Donald Gratton Downs

Number of HCPCS 37
Number of Medicare Beneficiaries 117
Number of Services 605
Total Submitted Charge Amount 112743.5
Total Medicare Allowed Amount 41531.26
Total Medicare Payment Amount 29731.59
Total Medicare Standardized Payment Amount 26584.26
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 6
Number of Medicare Beneficiaries With Drug Services 30
Number of Drug Services 77
Total Drug Submitted Charge Amount 8069
Total Drug Medicare Allowed Amount 3016.47
Total Drug Medicare Payment Amount 3005.59
Total Drug Medicare Standardized Payment Amount 2945.36
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 31
Number of Medicare Beneficiaries With Medical 117
Number of Medical Services 528
Total Medical Submitted Charge Amount 104674.5
Total Medical Medicare Allowed Amount 38514.79
Total Medical Medicare Payment Amount 26726
Total Medical Medicare Standardized Payment Amount 23638.9
Average Age of Beneficiaries 72
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 76
Number of Beneficiaries Age 75 to 84 26
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 41
Number of Male Beneficiaries 76
Number of Non-Hispanic White Beneficiaries 92
Number of Black or African American Beneficiaries 0
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure 0.12
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.21
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.19
Percent (%) of Beneficiaries Identified With Diabetes 0.25
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.56
Percent (%) of Beneficiaries Identified With Hypertension 0.55
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.19
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.3
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.0517

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 3990
Number of Standardized 30-Day Fills 9460.6
Aggregate Cost Paid for All Claims 299760.5
Number of Day's Supply for All Claims 279267
Number of Medicare Beneficiaries 279
Number of Claims, Including Refills, for Beneficiaries Age 65+ 3670
Including Refills, for Beneficiaries Age 65+ 8856.6666667
Beneficiaries Age 65+ 260538.93
Number of Day's Supply for All Claims for Beneficaries Age 65+ 261416
Number of Medicare Beneficiaries Age 65+ 263
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 385
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 3579
Aggregate Cost Paid for Generic Drugs 83055.81
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 26
Aggregate Cost Paid for Other Drugs 1984.61
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 2585
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 208849.64
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 1405
Aggregate Cost Paid for Claims Filled by 90910.86
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 634
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 89244.14
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 3356
by Low-Income Subsidy 210516.36
Total Claims of Opioid Drugs, Including 256
Aggregate Cost Paid for Opioid Drugs 5817.55
Opioid Claims 46
Opioid_Tot_Clms divided by the Tot_Clms 6.4160401003
Total Claims of Long-Acting Opioid Drugs 13
Aggregate Cost Paid for Long-Acting Opioid 669.74
Number of Day's Supply of All Long-Acting 390
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the 5.078125
Total Claims of Antibiotic Drugs, Including 63
Aggregate Cost Paid for Antibiotic Drugs 927.98
Antibiotic Claims 37
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 20
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 142.25
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 73.186379928
Number of Beneficiaries Age Less Than 65 16
Number of Beneficiaries Age 65 to 74 152
Number of Beneficiaries Age 75 to 84 84
Number of Female Beneficiaries 116
Number of Male Beneficiaries 163
Number of Non-Hispanic White 208
Number of Black or African American
Number of Asian Pacific Islander 22
Number of Hispanic Beneficiaries 37
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 251
Average Hierarchical Condition Category 1.0950833646

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