Surgeon profile
James Downing, MD
Interventional Pain Management · Newark, DE 19713NPI 1477579498
Database refreshed July 2026Live NPPES registry· Industry payments CY2025ⓘ sources
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Tracked procedure volumes
Latest federal claims release with year-over-year momentum. Eight device-heavy specialties tracked — more coming.
353 Medicare cases/yr
211 patients
2 procedures
| Procedure | Cases | Trend | Patients |
|---|---|---|---|
| Transforaminal Epidural Injection — Lumbar CPT 64483 | 236 | ≈ flat | 136 |
| Radiofrequency Ablation — Lumbar Facet CPT 64635 | 117 | ▼ -6% | 75 |
Industry relationships
CMS Open Payments, CY2025 general payments (published June 2026) — who already pays this surgeon.
Pulling CY2025 industry payments + 7-year history…