Physician

Lamiere Joseph Downing, MD

According to 2025 Medicare claims, Lamiere Downing, MD (NPI: 1699750976) practices vascular surgery in the Blacksburg-Christiansburg-Radford, VA market, with the plurality of this provider's patient population coming from Montgomery, VA. This provider's primary affiliated billing organization is CARILION HEALTHCARE CORPORATION (NPI: 1447206370; TIN: 540506332) and primary practice location at 24073-6344. Downing is affiliated with the Doctors Connected (ACO ID: A4949), participating under the MSSP model.

Downing's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 525 traditional Medicare patients, billed 1,083 HCPCS/CPT codes, and received $149,324 in Medicare payments. The top billing code was 37215 (Insertion of stent and blood clot protection device in neck artery with review by radiologist). Part D data shows 512 prescription claims across 156 beneficiaries totaling $26,421 in drug costs, led by Clopidogrel (Clopidogrel Bisulfate). 2023 DME data shows 11 claims. Open Payments data shows 32 records totaling $41,075. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has declined steadily, from $194,326 to $149,324. In contrast, Part D prescription costs have moved from a lower plateau to a higher plateau, from $7,655 to $26,421. For DME billing, this smaller-volume category started with an early spike, then settled into a lower baseline, moving from $14,008 to $3,743.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	655	1,368	$194,326
2016	680	1,403	$205,394
2017	643	1,360	$169,625
2018	620	1,358	$221,219
2019	627	1,365	$209,453
2020	498	1,052	$162,341
2021	523	1,082	$165,222
2022	498	1,002	$144,506
2023	501	987	$149,177
2024	525	1,083	$149,324

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	116	340	$7,655
2016	115	360	$9,343
2017	121	380	$6,563
2018	101	346	$15,209
2019	98	294	$23,954
2020	86	285	$22,427
2021	124	393	$27,163
2022	139	450	$23,617
2023	151	493	$34,710
2024	156	512	$26,421

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	12	$819
2016	N/R	17	$308
2017	N/R	12	$128
2018	N/R	N/R	N/R
2019	N/R	14	$331
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	11	$1,388
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
37215	Insertion of stent and blood clot protection device in neck artery with review by radiologist	33	36	$714
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	58	62	$96
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	62	$94
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$74
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	313	385	$63

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Clopidogrel	Clopidogrel Bisulfate	232	15,917	$1,802
Cilostazol	Cilostazol	48	2,390	$657
Cephalexin	Cephalexin	31	260	$280
Atorvastatin Calcium	Atorvastatin Calcium	49	2,985	$236
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	27	93	$98

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	32	$41,075	Silk Road Medical, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

Explore More Providers

FAQ

What Medicare data is available for Lamiere Joseph Downing, MD?

Tedicare shows public-source Medicare data for Lamiere Joseph Downing, MD (NPI 1699750976), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Lamiere Joseph Downing, MD have ACO affiliation data?

Lamiere Joseph Downing, MD is shown with ACO affiliation data for Doctors Connected (MSSP, ACO ID A4949).

What billing organization is linked to Lamiere Joseph Downing, MD?

Lamiere Joseph Downing, MD is linked to CARILION HEALTHCARE CORPORATION (billing NPI 1447206370) in the available physician profile data.

Does Lamiere Joseph Downing, MD have Open Payments data?

Lamiere Joseph Downing, MD has 32 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.