Medicare Enrolled

Dr. Laura Downey, M.D.

Optician · West Orange, NJ
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
741 NORTHFIELD AVE, West Orange, NJ 07052
9732430600
In practice since 2005 (21 years)
NPI: 1215932553 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Downey from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Downey? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Downey

Dr. Laura Downey is an optician specialist in West Orange, NJ, with 21 years of NPI registration. Based on federal Medicare data, Dr. Downey performed 4,265 Medicare services across 2,949 unique beneficiaries.

Between the years covered by Open Payments, Dr. Downey received a total of $2,002 from 17 pharmaceutical and/or device companies across 133 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Downey 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.

✓ 21 years in practice ▲ Top 16% volume in NJ $2,002 industry payments

Medicare Practice Summary

Medicare Utilization ↗
4,265
Medicare services
Top 16% in NJ for optician
2,949
Unique beneficiaries
$74
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~203 Medicare services per year of practice

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 (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.
780 $76 $128
Ear wax removal
A procedure to remove impacted ear wax from the ear canal.
722 $37 $150
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.
625 $107 $192
Microscopic ear examination
A detailed visual inspection of the ear using a specialized microscope to examine the ear canal and eardrum.
487 $25 $150
Middle ear function test
A diagnostic test used to evaluate how well the middle ear is functioning.
348 $14 $50
Impacted earwax removal by physician
Removal of impacted earwax from one or both ears by a physician on the same day as audiologic testing.
312 $41 $150
Inner ear fluid canal incision with drug infusion
A surgical procedure involving an incision into the fluid-filled canal of the inner ear followed by the infusion of medication.
158 $211 $1,200
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
151 $90 $181
Nasal endoscopy
A diagnostic procedure that uses a thin, lighted tube to examine the inside of the nasal passages.
138 $166 $340
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.
133 $143 $254
Flexible laryngoscopy
A diagnostic exam of the voice box using a flexible endoscope to visualize the larynx.
95 $112 $304
Simple removal of skin debris and drainage of mastoid cavity
This procedure involves the simple removal of skin debris and the drainage of a mastoid cavity.
93 $62 $200
Eardrum incision with tube insertion
A small cut is made in the eardrum to insert a ventilation tube, performed under local or topical anesthesia.
35 $178 $500
Nasal and throat exam with endoscope
A procedure to visually examine the nose and throat using a thin, flexible tube with a camera. This allows for direct visualization of the internal structures of the upper airway.
33 $108 $300
Comprehensive hearing and speech recognition test
A diagnostic evaluation that assesses hearing ability and the capacity to understand spoken words. The test measures how well a patient can detect sounds and recognize speech.
31 $31 $165
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.
28 $48 $91
Repair of eardrum 22 $354 $1,000
Eardrum incision, aspiration, and/or inflation
A procedure involving making an incision in the eardrum, removing fluid, and/or inflating the middle ear space.
16 $175 $400
Telephone medical discussion, 11-20 minutes
A phone conversation with a physician lasting between 11 and 20 minutes.
13 $40 $50
Eardrum incision with tube placement under general anesthesia
A surgical procedure involving an incision in the eardrum to insert a ventilation tube, performed while the patient is under general anesthesia.
12 $140 $733
Swallowing function evaluation
An assessment to evaluate how well a patient can swallow. This procedure examines the mechanics and safety of the swallowing process.
11 $77 $375
Swallowing evaluation using an endoscope
This procedure involves using an endoscope to visually evaluate and record the swallowing process.
11 $185 $309
Swallowing evaluation using endoscope
This procedure involves evaluating, recording, and interpreting the swallowing process by using an endoscope to visualize the throat and esophagus.
11 $32 $125
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
3.7% high complexity
3.2% medium
93.1% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$2,002
Total received (2018-2024)
Avg $286/year across 7 years
Top 32% in NJ for optician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
17
Companies
133
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,903 (95.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$99 (4.9%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$250
2023
$605
2022
$492
2021
$307
2020
$115
2019
$207
2018
$27

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Regeneron Healthcare Solutions, Inc.
$87
GENZYME CORPORATION
$56
AERIN MEDICAL INC.
$38
Medtronic, Inc.
$21
BioCryst US Sales Co., LLC
$17
Optinose US, Inc.
$16
Takeda Pharmaceuticals U.S.A., Inc.
$15
Top 3 companies account for 72.1% of 2024 payments
All-time payments by company (2018-2024) ›
GENZYME CORPORATION
$469
GlaxoSmithKline, LLC.
$398
Regeneron Healthcare Solutions, Inc.
$294
OptiNose US, Inc.
$286
Optinose US, Inc.
$228
SANOFI-AVENTIS U.S. LLC
$99
Medtronic, Inc.
$45
AERIN MEDICAL INC.
$38
ALK-Abello, Inc
$25
Acclarent, Inc
$17
BioCryst US Sales Co., LLC
$17
Merck Sharp & Dohme LLC
$16
Takeda Pharmaceuticals U.S.A., Inc.
$15
Merck Sharp & Dohme Corporation
$14
COVIDIEN LP
$14
Boston Scientific Corporation
$13
Hikma Pharmaceuticals USA
$13
Top 3 companies account for 58.0% of all-time payments
Associated products mentioned in payments ›
ACCLARENT AERA EUSTACHIAN TUBE BALLOON DILATION SYSTEM · DUPIXENT · GENERAL BPH · LIGASURE · NUCALA · ORLADEYO · Odactra · Ryaltris · Sinuva · TAKHZYRO · VERQUVO · VIVAER STYLUS · Xhance
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (95%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an optician specialist in West Orange?
Compare opticians in the West Orange area by procedure volume, costs, and industry payment transparency.
Browse opticians nearby

Geographic Context

Opticians within 10 mi
12,390
Per 100K population
1450.6
County median income
$76,712
Nearest hospital
HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL
3.1 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public 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. Downey is a clinical cardiology specialist, with above-average Medicare volume (top 16% in NJ), with low-engagement industry engagement, with 21 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Downey experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Downey performed 780 office visit, established patient (20-29 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Downey receive payments from pharmaceutical companies?
Yes. Dr. Downey received a total of $2,002 from 17 companies across 133 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Downey's costs compare to other opticians in West Orange?
Dr. Downey's average Medicare payment per service is $74. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Downey) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →