Dr. Nicki Downes, DO
What this data tells you about Dr. Downes
Dr. Nicki Downes is a surgery specialist in Jacksonville, NC, with 11 years of NPI registration. Based on federal Medicare data, Dr. Downes performed 622 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Downes received a total of $1,717 from 17 pharmaceutical and/or device companies across 38 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Downes is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
Medicare Practice Summary — 2023
Medicare Utilization ↗Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
178 | $86 | $225 |
| Skin graft, each additional 30 sq cm This procedure involves transferring skin to repair a wound. The code applies to each additional 30 square centimeters of skin graft used beyond the initial amount. |
77 | $162 | $810 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
52 | $109 | $347 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
45 | $64 | $156 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
39 | $39 | $107 |
| Skin graft repair, 30.1-60.0 sq cm A surgical procedure to repair a wound by transferring skin from one area to another. This code applies to grafts covering an area between 30.1 and 60.0 square centimeters. |
29 | $416 | $2,739 |
| Aspiration of abscess, blood, or cyst A procedure to remove fluid, pus, or blood from an abscess, hematoma, or cyst using a needle. |
26 | $83 | $254 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
26 | $44 | $383 |
| X-ray of surgical specimen | 25 | $11 | $42 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
22 | $119 | $317 |
| Deep underarm lymph node biopsy or removal A procedure to remove or sample deep lymph nodes located in the underarm area for examination. |
20 | $159 | $1,350 |
| Injection of radioactive material for lymph node identification A radioactive substance is injected to help locate lymph nodes during imaging procedures. |
20 | $12 | $290 |
| Limited ultrasound of 1 breast A focused ultrasound examination of a single breast to evaluate specific areas of concern. |
18 | $61 | $215 |
| Vein injection to assess skin graft or flap blood flow An agent is injected into a vein to evaluate the blood flow within a skin graft or flap. |
17 | $40 | $439 |
| Partial removal of breast | 16 | $349 | $1,588 |
| New patient office visit, complex (60-74 min) | 12 | $139 | $433 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
All-time payments by company (2021-2024) ›
Associated products mentioned in payments ›
Geographic Context
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Downes is a clinical cardiology specialist, with above-average Medicare volume (top 14% in NC).
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
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This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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