JD
Accepting patients
Affiliated with a Castle Connolly Top Hospital
Who is Dr. Downing, Pain Medicine Specialist - Anesthesiologist in Newark, DE?
Dr. James Downing, MD is a Pain Medicine Specialist - Anesthesiologist, who primarily practices in Newark, DE with 2 additional practice locations. He is board certified. Dr. Downing graduated from Tulane Univ School of Medicine and completed his residency at Tulane Univ Hosp & Clis, Anesthesiology; Alton Ochsner Med Fndn, Internal Medicine. Dr. Downing is fluent in English, and is currently seeing new patients. Dr. Downing’s practice accepts Medicare, UnitedHealthcare and other major insurance plans. To book an appointment or to confirm insurance options, please call Dr. Downing’s office at (302) 478-7001.
Where did Dr. Downing go to medical school and complete their residency?
Residency: Tulane Univ Hosp & Clis, Anesthesiology; Alton Ochsner Med Fndn, Internal Medicine | LSU HEALTH SCIENCES
Medical School: Tulane Univ Sch of Med, New Orleans La | Tulane Univ School of Medicine
Is Dr. Downing board certified as a Pain Medicine Specialist - Anesthesiologist?
Yes, Dr. James Downing, MD is board certified by the American Board of Anesthesiology
What languages does Dr. Downing speak?
Dr. Downing and their clinical team can communicate with patients in the following languages:
English
What conditions does Dr. Downing treat?
As a Pain Medicine Specialist - Anesthesiologist, Dr. Downing diagnoses, treats, and manages a wide range of conditions. This condition information is derived from anonymized insurance claims and highlights the medical conditions most commonly treated by Dr. Downing. It provides insight into the doctor’s areas of experience and expertise based on real-world patient encounters from the past two years, updated quarterly.
Also known as:
- Pinched Nerve in Lower Back
- Pinched Nerve in Neck
- Back Pain
- Peripheral Nerve Disorder
- Neck Injuries and Disorder
- Lumbar Radiculopathy
- Lower Back Nerve Compression
- Compressed Nerve in Lower Back
- Cervical Radiculopathy
- Neck Nerve Compression
- Compressed Nerve in Neck
ICD-10 Codes:
- M5416: Radiculopathy, lumbar region
- M5412: Radiculopathy, cervical region
Also known as:
- Lower Back and Tailbone Spinal Degeneration
- Spine Injuries and Disorder
- Lumbosacral Spondylosis
- Lower Back Arthritis
- Degenerative Disc Disease in Lower Back
ICD-10 Codes:
- M47817: Spondylosis without myelopathy or radiculopathy, lumbosacral region
Also known as:
- Neck Spondylosis
- Neck Injuries and Disorder
- Cervical Spondylosis
- Neck Arthritis
- Degenerative Neck Disease
ICD-10 Codes:
- M47812: Spondylosis without myelopathy or radiculopathy, cervical region
Also known as:
- Sacroiliac Joint Inflammation
- Back Pain
- SI Joint Inflammation
- Sacroiliac Dysfunction
- Inflamed SI Joint
ICD-10 Codes:
- M461: Sacroiliitis, not elsewhere classified
Also known as:
- Mid-Back Nerve Root Pain
- Back Pain
- Peripheral Nerve Disorder
- Pinched Nerve in Mid-Back
- Thoracic Radiculopathy
- Upper Back Nerve Compression
ICD-10 Codes:
- M5414: Radiculopathy, thoracic region
Also known as:
- Vertebrogenic Low Back Pain
- Back Pain
- vertebral low back pain
- spine-related low back pain
- discogenic low back pain
ICD-10 Codes:
- M5451: Vertebrogenic low back pain
What procedures does Dr. Downing perform?
As a Pain Medicine Specialist - Anesthesiologist, Dr. Downing performs a variety of medical procedures. This procedure information is derived from anonymized insurance claims and highlights the medical procedures most commonly performed by Dr. Downing. It provides insight into the doctor’s areas of experience and expertise based on real-world patient encounters from the past two years, updated quarterly.
Also known as:
- Lumbar Transforaminal Epidural Injection
- Facet Joint Injection (Lower Back/Sacrum)
- Lumbar or Sacral Epidural Injection with Imaging
- Epidural Steroid Injection
- TFESI (Lumbar)
- Nerve Root Block (Lumbar)
- Lower Back Nerve Injection with Imaging
- Lumbar Facet Joint Injection
- Sacral Facet Joint Injection
- Paravertebral Facet Injection
- Lower Back Pain Injection (Guided)
- Caudal Epidural Injection
- Spinal Nerve Block
- Pain Management Injection
- Cervical Epidural Injection
- Thoracic Epidural Injection
- Pain Relief Spinal Injection
CPT Codes:
- 64483: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level
- 64493: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level
- 62323: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); with imaging guidance (ie, fluoroscopy or CT)
- 62321: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; with imaging guidance (ie, fluoroscopy or CT)
Also known as:
- Lumbar or Sacral Facet Joint Injection
- Lumbar/Sacral Facet Joint Nerve Destruction (Additional)
- Facet Joint Injection (Neck/Upper Back) with Imaging
- Facet joint block
- Zygapophyseal joint injection
- Lower back facet injection
- Sacral facet injection
- Facet Joint Nerve Ablation
- Radiofrequency Ablation (RFA) Spine
- Lumbar Facet Denervation
- Paravertebral facet injection
- Neck/upper back pain injection
CPT Codes:
- 64494: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (List separately in addition to code for primary procedure)
- 64636: Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for primary procedure)
- 64492: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any additional level(s) (List separately in addition to code for primary procedure)
Also known as:
- Facet Joint Nerve Ablation (Lumbar/Sacral)
- Nerve Burning for Back Pain (Additional Vertebra)
- Sacroiliac Joint Nerve Ablation
- Lumbar Facet Joint Denervation
- Sacral Facet Nerve Block
- Radiofrequency Ablation for Back Pain
- Basivertebral Nerve Ablation
- Lumbar Nerve Destruction
- Sacral Nerve Destruction
- Spinal Nerve Radiofrequency Ablation
- SI Joint Radiofrequency Ablation
- Nerve Burning for SI Joint Pain
- Sacroiliac Nerve Treatment
CPT Codes:
- 64635: Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint
- 64629: Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure)
- 64625: Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)
Also known as:
- Facet Joint Injection (Neck/Upper Back)
- Cervical Facet Injection
- Thoracic Facet Injection
- Zygapophyseal Joint Injection
- Spinal Joint Injection
CPT Codes:
- 64491: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level (List separately in addition to code for primary procedure)
Also known as:
- Facet Joint Nerve Ablation (Neck/Mid-Back)
- Heat Treatment for Back Pain Nerve (Basivertebral Nerve)
- Radiofrequency Ablation Facet Joint
- Cervical Facet Nerve Destruction
- Thoracic Facet Nerve Block
- Spine Nerve Ablation
- Basivertebral nerve ablation
- Intraosseous nerve destruction
- Radiofrequency ablation for back pain
- Vertebral nerve thermal destruction
CPT Codes:
- 64634: Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code for primary procedure)
- 64628: Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral
Also known as:
- Cervical or Thoracic Transforaminal Epidural Injection with Imaging
- Transforaminal epidural steroid injection (TFESI)
- Cervical nerve root block
- Thoracic nerve block with fluoroscopy
CPT Codes:
- 64480: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code for primary procedure)
Also known as:
- Nerve Ablation for Neck or Upper Back Pain
- Facet Joint Nerve Ablation
- Radiofrequency Ablation (RFA) Neck
- Cervical Facet Denervation
- Thoracic Facet Nerve Block
CPT Codes:
- 64633: Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint
Also known as:
- Greater Occipital Nerve Block
- Occipital Nerve Injection
- Headache Nerve Block
- Steroid Injection for Occipital Neuralgia
CPT Codes:
- 64405: Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve
Also known as:
- Lumbar or Sacral Epidural Injection (Guided)
- Spinal Nerve Block Injection
- Guided Facet Joint Injection (Neck/Upper Back)
- Sacroiliac Joint Injection
- Lumbar or Sacral Facet Joint Injection (Additional Levels)
- Multiple Trigger Point Injections
- Transforaminal Epidural Injection
- Spinal Nerve Block
- Lower Back Pain Injection with Guidance
- Cervical Epidural Injection
- Thoracic Epidural Injection
- Nerve Root Block
- Paravertebral Facet Joint Injection
- Cervical Facet Injection
- Thoracic Facet Injection
- Zygapophyseal Joint Injection
- SI joint injection
- Sacroiliac steroid injection
- Image-guided SI joint injection
- Sacroiliac joint block
- Lower Back Facet Joint Injection
- Sacral Facet Nerve Block
- Paravertebral Facet Injection (Lumbar/Sacral)
- Trigger Point Release Injections
- Muscle Pain Injections
- Myofascial Pain Injections
CPT Codes:
- 64484: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for primary procedure)
- 64479: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level
- 64490: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level
- 27096: Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed
- 64495: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any additional level(s) (List separately in addition to code for primary procedure)
- 20553: Injection(s); single or multiple trigger point(s), 3 or more muscles
Also known as:
- Joint or Bursa Injection/Fluid Removal
- Arthrocentesis
- Major Joint Aspiration
- Bursa Injection
- Joint Fluid Removal
CPT Codes:
- 20610: Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance
Also known as:
- Trigger Point Injection
- Muscle Pain Injection
- Myofascial Trigger Point Injection
- Trigger Point Release Injection
CPT Codes:
- 20552: Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)
Does Dr. Downing accept my insurance?
Dr. Downing accepts most major insurance plans. Important: Please call our office at (302) 478-7001 before your appointment to verify that your specific plan and network are accepted.
What insurance plans does Dr. Downing accept in Newark, DE?
Dr. Downing in Newark, DE accepts plans from many carriers. While this list is updated regularly, it is not a guarantee of coverage.
Top Insurances
All Other Third Party
Benefit and Risk Management Services (BRMS)
CVS Health (formerly Aetna)
Express Scripts
Highmark Inc.
Humana
Medicare
Mutual of Omaha
State of Tennessee
UnitedHealthcare
View All Insurances
Where is Dr. Downing's office located?
Dr. James Downing's Primary Practice
774 Christiana Rd Ste 111
Newark, DE 19713
(302) 478-7001
What is Dr. Downing's NPI number?An National Provider Identifier (NPI) is a unique ID number that identifies doctors and healthcare providers nationwide.
Dr. Downing's National Provider Identifier (NPI) number is 1477579498.
What common questions do patients ask about Dr. Downing?
Here are answers to patients Frequently Asked Questions (FAQ’s) about Dr. Downing
What is Dr. James Downing's specialty?
Dr. Downing is a Pain Medicine Specialist - Anesthesiologist near Newark, DE. In both hospital and outpatient settings, an anesthesiologist offers patients with acute, chronic, and/or cancer pain a high standard of care by serving as their primary care physician or consultant. Moreover, the anesthesiologist collaborates with other specialists to coordinate the needs of patient care. Contact Dr. Downing to book an appointment today.
Is this Dr. James Downing affiliated with a ranked Castle Connolly Top Hospital?
Yes, Dr. Downing is affiliated with Bayhealth Hospital, Kent Campus, Penn Medicine Chester County Hospital, Wilmington Hospital which are a Castle Connolly Top Hospitals. Castle Connolly Top Hospitals are healthcare institutions recognized for their excellence in specific medical procedures and overall patient care. They are identified through a rigorous peer nomination process, evaluating factors like patient outcomes, quality of care, and expertise. The list recognizes hospitals that excel in 20 or more specific medical procedures, representing the top 25% nationwide. Castle Connolly Top Hospitals
Where can I learn more about Pain Medicine Specialist - Anesthesiologist?
Explore Pain Medicine Specialist - Anesthesiologist with insights from trusted medical experts on EverydayHealth.com, where you'll find the most relevant content and helpful condition guides for up-to date information about symptoms, causes, diagnosis, treatment and more. See all our health guides to find trusted information on medical conditions from our experts at Everyday Health.
Is James Downing accepting new patients in Newark, DE?
Yes, Dr. James Downing is accepting new patients at this time.
Does Dr. James Downing offer online booking?
Please contact Dr. Downing's office at (302) 478-7001 for information about online booking, telehealth, or to schedule an appointment.
How can I make an appointment with James Downing?
Please contact Dr. Downing's office at (302) 478-7001 for information regarding telehealth appointment availability or for scheduling assistance.
Which board certifications does Dr. James Downing have?
Dr. James Downing is certified by the American Board of Anesthesiology.
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