Total Payments
$1,901
2024 Payments
$45.72
Companies
16
Transactions
31
Medicare Patients
1,651
Medicare Billing
$165,347
Payment Breakdown by Category
Travel$1,183 (62.2%)
Food & Beverage$718.38 (37.8%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Travel and Lodging | $1,183 | 3 | 62.2% |
| Food and Beverage | $718.38 | 28 | 37.8% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Medical Device Business Services, Inc. | $1,379 | 7 | $0 (2019) |
| Ethicon US, LLC | $225.67 | 8 | $0 (2024) |
| Covidien LP | $38.52 | 2 | $0 (2019) |
| Smith+Nephew, Inc. | $34.40 | 2 | $0 (2022) |
| Innovation Technologies Inc | $30.00 | 1 | $0 (2019) |
| TELA Bio, Inc. | $29.38 | 1 | $0 (2022) |
| ABBVIE INC. | $25.06 | 1 | $0 (2022) |
| Merz North America, Inc. | $23.66 | 1 | $0 (2018) |
| Lucid Diagnostics Inc. | $17.78 | 1 | $0 (2021) |
| ACELL, INC. | $16.44 | 1 | $0 (2020) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $45.72 | 2 | Ethicon US, LLC ($31.00) |
| 2023 | $44.87 | 2 | Ethicon US, LLC ($44.87) |
| 2022 | $76.50 | 3 | TELA Bio, Inc. ($29.38) |
| 2021 | $97.41 | 5 | Ethicon US, LLC ($51.23) |
| 2020 | $40.99 | 3 | ACELL, INC. ($16.44) |
| 2019 | $1,512 | 11 | Medical Device Business Services, Inc. ($1,379) |
| 2018 | $51.20 | 3 | Merz North America, Inc. ($23.66) |
| 2017 | $32.97 | 2 | Covidien LP ($21.88) |
All Payment Transactions
31 individual payment records from CMS Open Payments — Page 1 of 2
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 04/12/2024 | Boston Scientific Corporation | SpyGlass Discover (Device) | Food and Beverage | In-kind items and services | $14.72 | General |
| Category: SpyGlass Discover_ENDO | ||||||
| 02/13/2024 | Ethicon US, LLC | LINX REFLUX MANAGEMENT SYSTEM (Device) | Food and Beverage | In-kind items and services | $31.00 | General |
| Category: Endo-Mechanical | ||||||
| 07/05/2023 | Ethicon US, LLC | LINX Reflux Management System (Device) | Food and Beverage | In-kind items and services | $17.27 | General |
| Category: Endo-Mechanical | ||||||
| 04/20/2023 | Ethicon US, LLC | LINX Reflux Management System (Device) | Food and Beverage | In-kind items and services | $27.60 | General |
| Category: Endo-Mechanical | ||||||
| 08/30/2022 | ABBVIE INC. | LO LOESTRIN FE (Drug) | Food and Beverage | In-kind items and services | $25.06 | General |
| Category: WOMENS HEALTH | ||||||
| 07/19/2022 | Smith+Nephew, Inc. | STRAVIX (Medical Supply) | Food and Beverage | In-kind items and services | $22.06 | General |
| Category: Extremities & Limb Restoration | ||||||
| 03/17/2022 | TELA Bio, Inc. | OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex) (Device) | Food and Beverage | In-kind items and services | $29.38 | General |
| Category: Surgical Mesh | ||||||
| 12/02/2021 | Lucid Diagnostics Inc. | — | Food and Beverage | In-kind items and services | $17.78 | General |
| 10/05/2021 | Heron Therapeutics, Inc. | Zynrelef (Drug) | Food and Beverage | In-kind items and services | $13.15 | General |
| Category: Postoperative Pain | ||||||
| 09/16/2021 | Medtronic, Inc. | Bravo (Device) | Food and Beverage | In-kind items and services | $15.25 | General |
| Category: Reflux Testing | ||||||
| 08/30/2021 | Ethicon US, LLC | — | Food and Beverage | In-kind items and services | $14.84 | General |
| 04/06/2021 | Ethicon US, LLC | — | Food and Beverage | In-kind items and services | $36.39 | General |
| 06/18/2020 | Ethicon US, LLC | LINX Reflux Management System (Device) | Food and Beverage | In-kind items and services | $12.21 | General |
| Category: Endo-Mechanical | ||||||
| 06/11/2020 | ACELL, INC. | — | Food and Beverage | Cash or cash equivalent | $16.44 | General |
| 03/04/2020 | Smith+Nephew, Inc. | PICO7 (Device) | Food and Beverage | In-kind items and services | $12.34 | General |
| Category: Negative Pressure Wound Therapy | ||||||
| 12/31/2019 | Innovation Technologies Inc | Irrisept (Device) | Food and Beverage | Cash or cash equivalent | $30.00 | General |
| Category: Jet Lavage Device with CHG | ||||||
| 12/01/2019 | Ethicon US, LLC | LINX Reflux Management System (Device) | Food and Beverage | In-kind items and services | $64.70 | General |
| Category: Endo-Mechanical | ||||||
| 11/22/2019 | Medical Device Business Services, Inc. | LINX Reflux Management System (Device) | Food and Beverage | In-kind items and services | $40.00 | General |
| Category: Endo-Mechanical | ||||||
| 11/22/2019 | Medical Device Business Services, Inc. | LINX Reflux Management System (Device) | Food and Beverage | In-kind items and services | $20.00 | General |
| Category: Endo-Mechanical | ||||||
| 11/22/2019 | Medical Device Business Services, Inc. | LINX Reflux Management System (Device) | Food and Beverage | In-kind items and services | $10.95 | General |
| Category: Endo-Mechanical | ||||||
| 11/21/2019 | Medical Device Business Services, Inc. | LINX Reflux Management System (Device) | Travel and Lodging | In-kind items and services | $818.20 | General |
| Category: Endo-Mechanical | ||||||
| 11/21/2019 | Medical Device Business Services, Inc. | LINX Reflux Management System (Device) | Travel and Lodging | In-kind items and services | $248.57 | General |
| Category: Endo-Mechanical | ||||||
| 11/21/2019 | Medical Device Business Services, Inc. | LINX Reflux Management System (Device) | Food and Beverage | In-kind items and services | $124.77 | General |
| Category: Endo-Mechanical | ||||||
| 11/21/2019 | Medical Device Business Services, Inc. | LINX Reflux Management System (Device) | Travel and Lodging | In-kind items and services | $116.33 | General |
| Category: Endo-Mechanical | ||||||
| 04/30/2019 | Ethicon US, LLC | LINX Reflux Management System (Device) | Food and Beverage | In-kind items and services | $21.66 | General |
| Category: Endo-Mechanical | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 7 | 226 | 251 | $46,940 | $18,800 |
| 2022 | 13 | 462 | 497 | $113,250 | $51,531 |
| 2021 | 12 | 489 | 525 | $107,695 | $50,479 |
| 2020 | 13 | 474 | 499 | $102,930 | $44,538 |
Total Patients
1,651
Total Services
1,772
Medicare Billing
$165,347
Procedure Codes
45
All Medicare Procedures & Services
45 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 37 | 37 | $7,400 | $4,344 | 58.7% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 39 | 44 | $8,800 | $3,524 | 40.0% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 37 | 50 | $6,250 | $3,152 | 50.4% |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | Facility | 2023 | 13 | 13 | $5,200 | $2,304 | 44.3% |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Facility | 2023 | 30 | 32 | $12,800 | $2,245 | 17.5% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2023 | 56 | 61 | $4,600 | $2,155 | 46.8% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 14 | 14 | $1,890 | $1,076 | 56.9% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 68 | 68 | $13,600 | $7,465 | 54.9% |
| 47562 | Removal of gallbladder using an endoscope | Facility | 2022 | 14 | 14 | $11,900 | $7,463 | 62.7% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 62 | 77 | $10,075 | $6,371 | 63.2% |
| 45384 | Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery | Facility | 2022 | 39 | 39 | $17,940 | $6,139 | 34.2% |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | Facility | 2022 | 27 | 28 | $5,880 | $4,358 | 74.1% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 48 | 62 | $7,750 | $4,353 | 56.2% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2022 | 80 | 85 | $6,375 | $3,611 | 56.6% |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Facility | 2022 | 47 | 47 | $18,100 | $3,551 | 19.6% |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | Facility | 2022 | 23 | 23 | $10,200 | $3,225 | 31.6% |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | Facility | 2022 | 12 | 12 | $4,800 | $2,190 | 45.6% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 16 | 16 | $2,080 | $1,337 | 64.3% |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | Office | 2022 | 15 | 15 | $1,800 | $757.17 | 42.1% |
| 91035 | Monitoring and recording of esophageal function through a capsule attached to the esophagus wall | Facility | 2022 | 11 | 11 | $2,750 | $712.20 | 25.9% |
| 47562 | Removal of gallbladder using an endoscope | Facility | 2021 | 16 | 16 | $13,600 | $8,596 | 63.2% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 75 | 100 | $12,010 | $6,765 | 56.3% |
| 99203 | New patient outpatient visit, total time 30-44 minutes | Office | 2021 | 73 | 73 | $9,490 | $5,541 | 58.4% |
| 45384 | Removal of tissue abnormalities, tumors, or polyps of large bowel by hot biopsy forceps, using a flexible endoscope | Facility | 2021 | 33 | 33 | $15,180 | $5,040 | 33.2% |
| 45378 | Diagnostic examination of the colon (large bowel) using an endoscope(colonoscopy); high risk | Facility | 2021 | 31 | 31 | $10,850 | $4,282 | 39.5% |
About Dr. Christopher Downing, DO
Dr. Christopher Downing, DO is a Surgery healthcare provider based in Wytheville, Virginia. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 07/17/2006. The National Provider Identifier (NPI) number assigned to this provider is 1396763835.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Christopher Downing, DO has received a total of $1,901 in payments from pharmaceutical and medical device companies, with $45.72 received in 2024. These payments were reported across 31 transactions from 16 companies. The most common payment nature is "Travel and Lodging" ($1,183).
As a Medicare-enrolled provider, Downing has provided services to 1,651 Medicare beneficiaries, totaling 1,772 services with total Medicare billing of $165,347. Data is available for 4 years (2020–2023), covering 45 distinct procedure/service records.
Ad
Practice Information
- Specialty Surgery
- Location Wytheville, VA
- Active Since 07/17/2006
- Last Updated 03/18/2019
- Taxonomy Code 208600000X
- Entity Type Individual
- NPI Number 1396763835
Products in Payments
- LINX Reflux Management System (Device) $1,522
- LINX REFLUX MANAGEMENT SYSTEM (Device) $31.00
- Irrisept (Device) $30.00
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex) (Device) $29.38
- LO LOESTRIN FE (Drug) $25.06
- STRAVIX (Medical Supply) $22.06
- Barrx (Device) $21.88
- ManoScan (Device) $16.64
- AQUACEL AG (Device) $16.07
- Bravo (Device) $15.25
- SpyGlass Discover (Device) $14.72
- Zynrelef (Drug) $13.15
- PICO7 (Device) $12.34
- Durolane (Device) $11.47
- ClosureFast (Device) $11.09
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.