Active NPI 1689725814 Individual Practitioner Male Practitioner

Dr. Thomas Watson Downes , MD

Surgery • Boaz, AL

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Downes, MD is a registered healthcare professional specializing in Surgery in Boaz, AL. Practice services are available at 2525 US HIGHWAY 431 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2525 Us Highway 431
Suite 170

Boaz, AL 359575934

Telephone 2565931611

Fax 2568404596

Associated Practice Facility / Clinic

🏢 Marshall Surgical Clinic, Pc Facility NPI 1154472397

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Boaz, AL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 7.0 Yrs

State Avg: 28.5 Yrs

Regional Practice Density

3 Specialists

Practicing in Boaz, AL (471 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	73	$176.56	$113.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$153.82	$98.85
99213 Established patient office or other outpatient visit, typically 15 minutes	35	29	$131.14	$79.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$201.52	$150.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$260.10	$157.32
47562 Removal of gallbladder using an endoscope	13	13	$2891.00	$579.67
49505 Repair of groin hernia (5 years or older)	13	13	$1659.00	$424.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$153.62	$102.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	60	$175.00	$114.40
99213 Established patient office or other outpatient visit, typically 15 minutes	50	42	$125.84	$84.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$253.90	$165.13
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	12	$69.00	$47.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$200.00	$156.02
17110 Destruction of up to 14 skin growths	17	17	$111.71	$81.24
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	12	$194.00	$121.31
47562 Removal of gallbladder using an endoscope	11	11	$2891.00	$587.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	80	$131.72	$117.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$146.45	$104.44
99213 Established patient office or other outpatient visit, typically 15 minutes	46	41	$97.48	$85.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	19	$69.00	$37.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$191.65	$160.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	22	$256.00	$192.34
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$106.73	$69.69
17110 Destruction of up to 14 skin growths	20	17	$111.00	$82.73
10060 Simple or single drainage of skin abscess	15	15	$130.00	$118.74
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	14	$1679.00	$315.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	11	$191.46	$131.09
49505 Repair of groin hernia (5 years or older)	12	12	$1659.00	$495.81
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$384.00	$253.77
47562 Removal of gallbladder using an endoscope	11	11	$2891.00	$654.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	98	$123.01	$119.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$136.30	$108.79
99231 Follow-up hospital inpatient care per day, typically 15 minutes	60	27	$69.00	$37.64
99213 Established patient office or other outpatient visit, typically 15 minutes	58	48	$89.59	$87.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$187.00	$163.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	29	$253.25	$190.64
17110 Destruction of up to 14 skin growths	24	20	$111.00	$78.23
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$93.30	$67.17
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	19	18	$191.79	$135.34
49505 Repair of groin hernia (5 years or older)	18	18	$1659.00	$549.23
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	13	$318.22	$178.05
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	18	18	$1679.00	$331.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$197.00	$133.16
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	15	$235.20	$159.30
47562 Removal of gallbladder using an endoscope	15	15	$2891.00	$658.58
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	15	15	$268.00	$84.49
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$156.20	$98.99
10060 Simple or single drainage of skin abscess	13	12	$130.00	$118.51
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	12	11	$188.00	$81.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	76	$124.21	$102.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	81	32	$69.00	$38.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$139.70	$100.71
99213 Established patient office or other outpatient visit, typically 15 minutes	59	52	$94.17	$71.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	28	$252.97	$198.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$187.00	$158.74
47562 Removal of gallbladder using an endoscope	18	18	$2891.00	$628.27
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	17	13	$328.47	$173.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$194.75	$135.35
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	16	$193.63	$146.18
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	15	15	$268.00	$85.17
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$103.80	$72.46
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$1679.00	$307.54
19081 Biopsy of breast accessed through the skin with stereotactic guidance	11	11	$256.00	$166.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	125	125	$141.41	$100.07
99213 Established patient office or other outpatient visit, typically 15 minutes	103	92	$92.08	$68.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes	78	41	$69.73	$37.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	51	$121.43	$101.25
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$99.67	$71.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	35	$256.00	$191.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$70.15	$42.01
49505 Repair of groin hernia (5 years or older)	24	24	$1659.00	$497.65
99201 New patient office or other outpatient visit, typically 10 minutes	23	23	$76.22	$42.53
47562 Removal of gallbladder using an endoscope	23	23	$2891.00	$569.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$190.35	$154.93
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	17	17	$351.00	$82.54
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	16	13	$188.00	$113.83
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	13	$362.00	$272.24
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	12	$336.00	$164.49
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	14	13	$195.00	$152.00
19081 Biopsy of breast accessed through the skin with stereotactic guidance	13	13	$256.00	$163.24
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	11	$194.00	$95.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$197.00	$130.99
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$1679.00	$315.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	133	133	$133.68	$97.61
99213 Established patient office or other outpatient visit, typically 15 minutes	102	91	$91.45	$67.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	77	36	$69.00	$37.10
99202 New patient office or other outpatient visit, typically 20 minutes	59	59	$92.00	$68.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	53	$120.21	$100.26
99221 Initial hospital inpatient care per day, typically 30 minutes	46	44	$149.00	$95.22
47562 Removal of gallbladder using an endoscope	31	31	$2891.00	$606.07
17110 Destruction of up to 14 skin growths	29	29	$111.00	$70.87
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	20	20	$1679.00	$301.36
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	18	15	$384.00	$227.81
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	16	15	$262.00	$161.67
99201 New patient office or other outpatient visit, typically 10 minutes	15	15	$72.20	$40.89
10060 Simple or single drainage of skin abscess	14	13	$118.00	$109.60
11200 Removal of skin tag, 1-15 skin tags	14	14	$123.00	$67.58
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	13	13	$268.00	$92.81
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	11	11	$362.00	$163.12
11100 Biopsy of single growth of skin and/or tissue	11	11	$160.00	$83.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	147	147	$134.67	$95.43
99213 Established patient office or other outpatient visit, typically 15 minutes	143	112	$89.57	$65.11
99231 Follow-up hospital inpatient care per day, typically 15 minutes	92	39	$69.00	$35.80
99202 New patient office or other outpatient visit, typically 20 minutes	57	57	$92.00	$66.13
99221 Initial hospital inpatient care per day, typically 30 minutes	51	50	$149.00	$90.47
17110 Destruction of up to 14 skin growths	43	38	$111.00	$71.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	38	$119.33	$96.47
47562 Removal of gallbladder using an endoscope	33	33	$2891.00	$577.10
10060 Simple or single drainage of skin abscess	20	18	$118.00	$89.24
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	17	$262.00	$134.49
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	17	17	$362.00	$203.23
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	13	$384.00	$189.62
49505 Repair of groin hernia (5 years or older)	16	16	$1659.00	$444.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$197.00	$124.67
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$194.00	$123.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$187.00	$146.87
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$384.00	$215.75
99201 New patient office or other outpatient visit, typically 10 minutes	11	11	$85.18	$39.25
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	11	11	$512.00	$282.07
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$1679.00	$308.64

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AL 15086

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000082305 (AL)

Commercial Insurance / Payer ID Blue Cross Blue Shield

51082305 (AL)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Douglas Clink , MD

Surgery

NPI 1376694596

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 16, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 16, 2012

Registered at 2525 US HIGHWAY 431, SUITE 170, BOAZ, AL 359575934 (Tel: 2565931611)

📍

Updated Business Mailing Address February 16, 2012

Registered at 2525 US HIGHWAY 431, SUITE 170, BOAZ, AL 359575934 (Tel: 2565931611)

👤

Provider Name / Credentials Updated February 16, 2012

Recorded as THOMAS DOWNES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2012

Surgery (License #15086 in AL)

🟢

Initial NPI Registration & Enumeration January 15, 2007

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: 1689725814

Entity Type:

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

Enumeration Date: January 15, 2007

Last Update: February 16, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2525 Us Highway 431, Suite 170

Boaz, AL 359575934

Phone: 2565931611

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.