Active NPI 1477507648 Individual Practitioner Male Practitioner

Dr. Mark James Downey , MD

Specialist • Birmingham, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Downey, MD is a certified Specialist practicing in Birmingham, AL. With approximately 24 years of clinical experience since graduating from University Of South Alabama College Of Medicine in 2002, Dr. Downey delivers high-quality medical care to the local community at 10 OLD MONTGOMERY HWY STE 200.

Dr. Downey maintains professional affiliations with Champion Sports Medicine Birmingham, Llc, Spine Group Alabama, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10 Old Montgomery Hwy Ste 200

Birmingham, AL 352096797

Telephone 2052716504

Fax 2052716513

Associated Practice Facility / Clinic

🏢 Spine Group Alabama, Llc Facility NPI 1891276788

Medicare Profile & Education

Medical School

University Of South Alabama College Of Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Birmingham, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs -12.3 yrs vs City Avg

City Avg: 36.3 Yrs

State Avg: 34.8 Yrs

Regional Practice Density

98 Specialists

Practicing in Birmingham, AL (611 Statewide)

Telehealth Adoption Rate

5.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

39.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Downey (24 Years) 24 Yrs

Birmingham Specialty Average (36.3 Years) 36.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,720	302	$0.15	$0.11
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	1,412	368	$0.56	$0.36
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,124	333	$8.00	$6.82
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	928	191	$1.50	$0.96
99213 Established patient office or other outpatient visit, typically 15 minutes	595	343	$211.68	$75.72
72100 X-ray of lower and sacral spine, 2-3 views	189	170	$65.00	$32.37
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	183	150	$397.00	$233.17
62323 Injection of substance into lower spine canal using imaging guidance	168	150	$358.00	$208.27
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	135	98	$281.00	$193.42
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	131	73	$225.00	$192.07
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	131	94	$134.00	$100.49
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	126	73	$460.00	$358.06
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	114	99	$125.00	$89.05
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	107	86	$195.00	$156.07
62321 Injection of substance into middle or upper spine canal using imaging guidance	75	62	$389.00	$209.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$262.35	$94.40
77002 Fluoroscopic guidance for needle placement	44	33	$125.00	$93.94
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	42	34	$302.00	$201.39
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	41	34	$148.00	$102.97
20610 Aspiration and/or injection of fluid from large joint	38	27	$491.97	$58.21
72040 X-ray of upper spine, 2-3 views	37	37	$61.00	$31.70
64634 Destruction of upper or middle spinal facet joint nerves with imaging guidance	19	13	$213.00	$194.56
64633 Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint	19	13	$466.00	$359.20
72070 X-ray of middle spine, 2 views	12	11	$56.00	$24.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,797	297	$0.15	$0.12
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,683	380	$8.25	$6.45
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	1,394	345	$0.62	$0.42
99213 Established patient office or other outpatient visit, typically 15 minutes	586	344	$219.20	$82.35
62323 Injection of substance into lower spine canal using imaging guidance	189	171	$614.29	$231.54
72100 X-ray of lower and sacral spine, 2-3 views	171	155	$82.89	$35.19
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	165	141	$615.84	$252.54
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	143	105	$454.52	$224.67
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	141	104	$242.38	$115.53
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	133	70	$427.06	$213.35
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	121	70	$693.06	$399.78
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	105	90	$256.43	$100.45
62321 Injection of substance into middle or upper spine canal using imaging guidance	89	75	$753.64	$237.16
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	81	71	$358.33	$171.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$309.88	$102.31
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	37	27	$213.08	$117.61
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	37	27	$409.89	$229.93
72040 X-ray of upper spine, 2-3 views	35	33	$78.80	$34.66
77002 Fluoroscopic guidance for needle placement	31	27	$170.16	$104.56
20610 Aspiration and/or injection of fluid from large joint	24	23	$500.00	$60.47
64634 Destruction of upper or middle spinal facet joint nerves with imaging guidance	23	15	$419.23	$219.62
64633 Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint	20	15	$579.40	$395.92
72070 X-ray of middle spine, 2 views	18	16	$71.67	$29.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,853	309	$0.14	$0.12
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,459	376	$9.25	$6.56
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	919	309	$0.40	$0.33
62323 Injection of substance into lower spine canal using imaging guidance	254	215	$1600.00	$244.23
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	226	179	$1400.00	$269.57
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	140	100	$1200.00	$231.93
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	138	60	$700.00	$230.96
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	137	100	$700.00	$120.95
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	134	110	$700.00	$105.24
99213 Established patient office or other outpatient visit, typically 15 minutes	134	107	$250.00	$85.58
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	97	61	$1400.00	$416.67
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	78	62	$1140.00	$180.01
72100 X-ray of lower and sacral spine, 2-3 views	72	71	$150.00	$37.16
62321 Injection of substance into middle or upper spine canal using imaging guidance	62	55	$1800.00	$240.70
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	41	31	$750.00	$122.03
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	41	31	$1300.00	$242.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$500.00	$106.77
77002 Fluoroscopic guidance for needle placement	25	18	$300.00	$108.45
20610 Aspiration and/or injection of fluid from large joint	14	11	$500.00	$61.56
72040 X-ray of upper spine, 2-3 views	11	11	$150.00	$33.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
62323 Injection of substance into lower spine canal using imaging guidance	325	239	$1600.00	$248.64
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	203	141	$1400.00	$267.41
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	139	105	$700.00	$107.10
99213 Established patient office or other outpatient visit, typically 15 minutes	123	98	$252.03	$86.40
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	93	34	$700.00	$163.66
62321 Injection of substance into middle or upper spine canal using imaging guidance	86	67	$1800.00	$247.96
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	80	57	$1200.00	$235.24
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	79	56	$700.00	$121.11
72100 X-ray of lower and sacral spine, 2-3 views	73	70	$150.00	$36.33
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	70	51	$1140.00	$187.05
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	52	34	$1400.00	$397.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$500.00	$107.44
77002 Fluoroscopic guidance for needle placement	37	28	$300.00	$85.97
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$500.00	$69.43
20610 Aspiration and/or injection of fluid from large joint	25	20	$500.00	$65.18
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	24	21	$1300.00	$238.41
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	23	21	$750.00	$116.77
72040 X-ray of upper spine, 2-3 views	15	15	$150.00	$36.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
62323 Injection of substance into lower spine canal using imaging guidance	370	277	$1540.32	$228.12
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	191	153	$1367.33	$239.00
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	131	105	$694.35	$94.14
62321 Injection of substance into middle or upper spine canal using imaging guidance	114	99	$1724.74	$227.97
99213 Established patient office or other outpatient visit, typically 15 minutes	76	68	$250.00	$68.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$500.00	$97.26
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	69	38	$690.72	$107.05
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	69	38	$1193.04	$209.20
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	65	39	$696.31	$166.50
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	62	46	$1010.81	$168.01
72100 X-ray of lower and sacral spine, 2-3 views	52	49	$138.40	$33.12
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	44	39	$1382.27	$430.72
77002 Fluoroscopic guidance for needle placement	35	30	$294.00	$95.54
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	32	20	$700.00	$100.20
20610 Aspiration and/or injection of fluid from large joint	29	25	$500.00	$58.92
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	23	19	$733.04	$104.11
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	23	19	$1279.13	$213.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$300.00	$99.78
64492 Injections of upper or middle spine facet joint using imaging guidance	15	11	$732.67	$96.42
72040 X-ray of upper spine, 2-3 views	11	11	$142.36	$33.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
62323 Injection of substance into lower spine canal using imaging guidance	345	268	$1122.18	$227.16
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	228	159	$1085.35	$224.68
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	184	130	$581.66	$90.52
62321 Injection of substance into middle or upper spine canal using imaging guidance	131	103	$1127.40	$230.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	103	$176.36	$100.29
72100 X-ray of lower and sacral spine, 2-3 views	103	96	$83.00	$24.42
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	88	53	$1068.82	$221.40
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	83	50	$578.00	$116.63
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	58	43	$593.28	$199.59
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	44	43	$1086.82	$511.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$710.11	$153.00
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	36	30	$216.50	$166.84
20610 Aspiration and/or injection of fluid from large joint	26	21	$500.00	$55.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$500.00	$99.86
77002 Fluoroscopic guidance for needle placement	24	18	$90.00	$88.63
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	23	16	$620.00	$104.90
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	23	16	$1140.00	$216.86
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	22	15	$393.64	$106.61
72040 X-ray of upper spine, 2-3 views	21	20	$66.00	$21.92
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$250.00	$67.08
64492 Injections of upper or middle spine facet joint using imaging guidance	14	12	$308.21	$94.77
62323 Injection of substance into lower spine canal using imaging guidance	13	13	$1140.00	$94.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
62323 Injection of substance into lower spine canal using imaging guidance	343	257	$457.00	$214.49
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	172	132	$407.00	$215.29
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	131	101	$205.00	$81.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	102	$130.00	$96.61
62321 Injection of substance into middle or upper spine canal using imaging guidance	99	79	$590.00	$218.62
62323 Injection of substance into lower spine canal using imaging guidance	75	68	$457.00	$91.79
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	67	43	$357.00	$205.72
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	62	41	$122.00	$105.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$165.00	$148.35
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	52	30	$310.00	$184.16
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	35	31	$750.00	$465.12
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	32	27	$407.00	$111.53
72100 X-ray of lower and sacral spine, 2-3 views	29	28	$83.00	$30.04
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	23	18	$183.00	$155.56
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	23	20	$205.00	$48.13
20610 Aspiration and/or injection of fluid from large joint	19	17	$90.00	$53.90
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$85.00	$65.74
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	16	13	$122.00	$84.87
62321 Injection of substance into middle or upper spine canal using imaging guidance	14	12	$590.00	$99.17
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	13	11	$357.00	$95.84
77002 Fluoroscopic guidance for needle placement	12	11	$90.00	$82.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
62323 Injection of substance into lower spine canal using imaging guidance	276	214	$457.00	$212.35
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	186	127	$407.00	$207.79
62323 Injection of substance into lower spine canal using imaging guidance	134	105	$457.00	$92.08
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	127	89	$205.00	$76.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	108	$130.00	$95.76
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	90	55	$357.00	$192.77
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	85	74	$407.00	$113.61
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	84	52	$122.00	$102.16
62321 Injection of substance into middle or upper spine canal using imaging guidance	70	59	$590.00	$209.59
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	63	55	$205.00	$48.26
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	47	30	$310.00	$189.45
72100 X-ray of lower and sacral spine, 2-3 views	42	41	$83.00	$30.76
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	35	31	$750.00	$432.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$165.00	$144.58
62321 Injection of substance into middle or upper spine canal using imaging guidance	35	31	$590.00	$99.07
99213 Established patient office or other outpatient visit, typically 15 minutes	27	27	$85.00	$65.73
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	25	17	$122.00	$83.47
20610 Aspiration and/or injection of fluid from large joint	25	18	$90.00	$53.99
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	21	20	$183.00	$146.82
77002 Fluoroscopic guidance for needle placement	17	12	$90.00	$81.49
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	13	11	$390.00	$206.68
72040 X-ray of upper spine, 2-3 views	12	12	$66.00	$28.90

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AL 00025657

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

009912131 (AL)

Hospital & Practice Group Affiliations

Champion Sports Medicine Birmingham, Llc

201 Doug Baker Blvd, Hoover, AL 352422013

Phone: 2054080700

Spine Group Alabama, Llc

10 Old Montgomery Hwy, Birmingham, AL 352096797

Phone: 2052716511

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Katherine Clary , PT, DPT

Physical Therapist

NPI 1558104935

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location May 23, 2019

Registered at 10 OLD MONTGOMERY HWY STE 200, BIRMINGHAM, AL 352096797 (Tel: 2052716504)

📍

Updated Business Mailing Address May 23, 2019

Registered at 10 OLD MONTGOMERY HWY STE 200, BIRMINGHAM, AL 352096797 (Tel: 2052716504)

✅

NPI Profile Active December 03, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location December 03, 2009

Registered at 3525 INDEPENDENCE DR, BIRMINGHAM, AL 352095709 (Tel: 2058026700)

📍

Updated Business Mailing Address December 03, 2009

Registered at 3525 INDEPENDENCE DR, BIRMINGHAM, AL 352095709 (Tel: 2058026700)

👤

Provider Name / Credentials Updated December 03, 2009

Recorded as MARK DOWNEY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2009

Specialist (License #00025657 in AL)

🟢

Initial NPI Registration & Enumeration May 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477507648

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 20, 2006

Last Update: May 23, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10 Old Montgomery Hwy Ste 200

Birmingham, AL 352096797

Phone: 2052716504

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.