Active NPI 1104910488 Individual Practitioner Male Practitioner

Dr. Joseph Rogers Downs , MD

Internal Medicine • Opelika, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Downs, MD is a certified Internal Medicine practicing in Opelika, AL. With approximately 48 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 1978, Dr. Downs delivers high-quality medical care to the local community at 121 N 20TH ST STE 20B.

Dr. Downs is affiliated with The Heart Center Cardiology, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician, exercise or drug-induced heart stress test with electrocardiogram (ecg), subsequent nursing facility care with straightforward level of medical decision making, per day, 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

121 N 20th St Ste 20b

Opelika, AL 368015456

Telephone 3343213700

Fax 3348877475

Associated Practice Facility / Clinic

🏢 Oral And Maxillofacial Surgery Of East Al Facility NPI 1417064270

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Opelika, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs +29.6 yrs vs City Avg

City Avg: 18.4 Yrs

State Avg: 29.0 Yrs

Regional Practice Density

32 Specialists

Practicing in Opelika, AL (1784 Statewide)

Telehealth Adoption Rate

9.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Downs (48 Years) 48 Yrs

Opelika Specialty Average (18.4 Years) 18.4 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
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	54	54	$63.75	$19.23
93017 Exercise or drug-induced heart stress test with electrocardiogram (ecg)	53	53	$63.75	$23.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	251	114	$105.00	$37.21
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	59	54	$217.00	$99.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	55	$308.00	$119.19
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	13	12	$309.00	$125.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	797	136	$105.34	$41.31
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	177	107	$155.68	$85.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	97	$202.74	$120.89
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	128	87	$220.02	$126.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	69	60	$208.07	$169.16
99318 Nursing facility annual assessment, typically 30 minutes	51	51	$176.67	$90.47
82947 Blood glucose (sugar) level	49	39	$25.00	$3.91
99306 Initial nursing facility visit, typically 45 minutes per day	43	43	$252.91	$156.96
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	39	11	$111.79	$57.52
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	28	28	$148.00	$73.52
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	21	17	$252.00	$121.31
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	18	$134.67	$49.81
99213 Established patient office or other outpatient visit, typically 15 minutes	21	17	$128.19	$86.14
82962 Blood glucose (sugar) test performed by hand-held instrument	13	13	$7.00	$2.96
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	11	11	$176.00	$84.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	658	112	$120.00	$42.07
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	202	112	$140.00	$87.04
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	176	105	$200.00	$129.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	136	115	$199.43	$172.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	87	$149.67	$123.27
82947 Blood glucose (sugar) level	106	53	$25.00	$3.93
99318 Nursing facility annual assessment, typically 30 minutes	67	67	$170.00	$91.71
99306 Initial nursing facility visit, typically 45 minutes per day	53	53	$225.00	$159.99
99213 Established patient office or other outpatient visit, typically 15 minutes	34	29	$100.00	$87.31
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	27	24	$150.00	$50.08
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	24	24	$130.00	$74.18
99336 Established patient assisted living visit, typically 40 minutes	23	12	$150.00	$130.01
99337 Established patient assisted living visit, typically 60 minutes	22	11	$250.00	$186.20
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	18	16	$120.00	$80.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	737	130	$120.00	$42.37
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	299	138	$140.00	$87.65
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	153	108	$200.00	$129.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	152	130	$197.60	$135.02
82947 Blood glucose (sugar) level	127	71	$24.67	$3.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	101	$149.75	$102.98
99318 Nursing facility annual assessment, typically 30 minutes	75	75	$170.00	$92.89
99306 Initial nursing facility visit, typically 45 minutes per day	48	48	$225.00	$161.42
99213 Established patient office or other outpatient visit, typically 15 minutes	41	37	$99.53	$65.16
99336 Established patient assisted living visit, typically 40 minutes	38	14	$150.00	$130.33
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	35	29	$150.00	$50.27
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	25	18	$120.00	$81.60
99337 Established patient assisted living visit, typically 60 minutes	20	11	$250.00	$187.55
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	18	15	$100.00	$38.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$70.00	$25.83
G2010 Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within t	15	15	$120.00	$8.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	864	146	$120.00	$41.49
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	323	147	$140.00	$85.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	279	186	$148.80	$99.37
82947 Blood glucose (sugar) level	233	101	$24.73	$4.24
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	226	124	$200.00	$127.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	206	159	$199.15	$133.66
99318 Nursing facility annual assessment, typically 30 minutes	101	101	$170.00	$90.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	97	57	$140.00	$68.71
99213 Established patient office or other outpatient visit, typically 15 minutes	81	62	$98.29	$66.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	74	47	$100.00	$37.18
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	60	18	$100.33	$57.03
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	48	39	$150.00	$49.25
99336 Established patient assisted living visit, typically 40 minutes	47	22	$150.00	$127.92
99306 Initial nursing facility visit, typically 45 minutes per day	45	45	$225.00	$157.75
99337 Established patient assisted living visit, typically 60 minutes	35	20	$250.00	$183.25
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	21	14	$100.00	$37.97
99238 Hospital discharge day management, 30 minutes or less	17	17	$150.00	$68.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$200.00	$129.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	935	154	$120.00	$39.70
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	311	157	$140.00	$81.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	281	192	$148.85	$93.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	267	219	$199.67	$127.49
82947 Blood glucose (sugar) level	254	113	$25.00	$4.75
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	221	130	$200.00	$120.91
99231 Follow-up hospital inpatient care per day, typically 15 minutes	118	68	$98.50	$34.95
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	96	20	$100.00	$53.67
99318 Nursing facility annual assessment, typically 30 minutes	94	94	$170.00	$85.73
99213 Established patient office or other outpatient visit, typically 15 minutes	78	65	$98.90	$62.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	67	39	$140.00	$64.99
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	51	43	$150.00	$46.47
99306 Initial nursing facility visit, typically 45 minutes per day	43	43	$225.00	$148.83
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	41	26	$100.00	$36.38
99336 Established patient assisted living visit, typically 40 minutes	36	18	$150.00	$120.70
99337 Established patient assisted living visit, typically 60 minutes	29	17	$250.00	$172.56
99238 Hospital discharge day management, 30 minutes or less	23	23	$150.00	$65.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$200.00	$121.61
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	12	11	$120.00	$75.49
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	11	11	$300.00	$194.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	1,013	177	$120.20	$39.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	449	133	$140.00	$63.98
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	291	146	$130.00	$61.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	283	211	$149.12	$93.48
82947 Blood glucose (sugar) level	252	128	$24.77	$4.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	223	190	$199.45	$125.88
99231 Follow-up hospital inpatient care per day, typically 15 minutes	214	91	$100.00	$34.73
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	213	126	$140.00	$80.48
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	139	96	$200.00	$119.67
99213 Established patient office or other outpatient visit, typically 15 minutes	132	97	$98.73	$61.90
99318 Nursing facility annual assessment, typically 30 minutes	129	129	$170.00	$84.90
99238 Hospital discharge day management, 30 minutes or less	117	105	$150.00	$63.99
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	116	17	$100.00	$53.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	93	86	$200.00	$117.58
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	73	59	$150.00	$46.57
99306 Initial nursing facility visit, typically 45 minutes per day	44	44	$225.00	$147.43
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	39	24	$100.00	$35.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$300.00	$179.19
99217 Hospital observation care on day of discharge	16	14	$150.00	$64.17
99219 Hospital observation care, typically 50 minutes	13	12	$220.00	$120.27

Medical Specialties & State Licenses

CMS Verified: 2023-10-11

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License AL 9668

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine - Geriatric Medicine

NUCC Taxonomy Code: 207RG0300X

State License AL 9668

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Internal Medicine - Geriatric Medicine

NUCC Taxonomy Code: 207RG0300X

State License GA 20690

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License GA 20690

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000080867 (AL)

Medicaid State Provider ID

00221581A (GA)

Medicaid State Provider ID

000009536 (AL)

Hospital & Practice Group Affiliations

The Heart Center Cardiology, Pc

7 Medical Park, Valley, AL 368543665

Phone: 3343213700

Secondary Practice Locations

1 48th St

Valley, AL 368543616

Phone: 3347563126

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. John Mitchell , MD

Specialist

NPI 1417975186

Doctor of Medicine (M.D.)

Laura Zambrana

Clinical Nurse Specialist

NPI 1679101117

Career & Practice History Timeline

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

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2023

Internal Medicine (License #9668 in AL)

📍

Updated Practice Location October 04, 2023

Registered at 121 N 20TH ST STE 20B, OPELIKA, AL 368015456 (Tel: 3343213700)

📍

Updated Business Mailing Address October 04, 2023

Registered at PO BOX 2145, OPELIKA, AL 368032145 (Tel: 3343213700)

✅

NPI Profile Active December 01, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location December 01, 2009

Registered at 1 48TH ST, VALLEY, AL 368543616 (Tel: 3347563126)

📍

Updated Business Mailing Address December 01, 2009

Registered at 1 48TH ST, VALLEY, AL 368543616 (Tel: 3347563126)

👤

Provider Name / Credentials Updated December 01, 2009

Recorded as JOSEPH DOWNS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2009

Internal Medicine (License #9668 in AL)

🟢

Initial NPI Registration & Enumeration October 03, 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: 1104910488

Entity Type:

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

Enumeration Date: October 03, 2006

Last Update: October 11, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2145

Opelika, AL 368032145

Phone: 3343213700

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.