Active NPI 1184648305 Individual Practitioner Male Practitioner

Dr. James B Downey , MD

Surgery • Highlands Ranch, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Downey, MD is a certified Surgery practicing in Highlands Ranch, CO. With approximately 34 years of clinical experience since graduating from University Of Colorado School Of Medicine, Denver in 1992, Dr. Downey delivers high-quality medical care to the local community at 9330 S UNIVERSITY BLVD STE 230.

Dr. Downey is affiliated with Poudre Valley Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9330 S University Blvd Ste 230

Highlands Ranch, CO 801265049

Telephone 7205160600

Fax 7205160601

Associated Practice Facility / Clinic

🏢 Poudre Valley Medical Group, Llc Facility NPI 1174233118

Medicare Profile & Education

Medical School

University Of Colorado School Of Medicine, Denver

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Highlands Ranch, CO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +15.0 yrs vs City Avg

City Avg: 19.0 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

5 Specialists

Practicing in Highlands Ranch, CO (635 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Downey (34 Years) 34 Yrs

Highlands Ranch Specialty Average (19.0 Years) 19.0 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
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$271.00	$128.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	18	$190.00	$77.91
99239 Hospital discharge day management, more than 30 minutes	18	17	$219.33	$113.52
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	14	$254.00	$116.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	24	22	$254.00	$120.21
99239 Hospital discharge day management, more than 30 minutes	19	19	$214.00	$116.05
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	14	$190.00	$79.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$271.00	$131.32
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	13	$133.00	$49.99
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$201.00	$83.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$312.85	$135.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	40	$288.00	$72.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$802.00	$202.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$649.00	$163.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$419.14	$115.83
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	13	$412.00	$104.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	15	$288.00	$74.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$512.00	$161.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$802.00	$208.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$304.00	$111.08
49650 Repair of groin hernia using an endoscope	11	11	$3192.73	$563.76

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	11	11	$304.00	$110.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	11	$207.00	$68.84

Medical Specialties & State Licenses

CMS Verified: 2025-01-16

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CO 36210

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.

Hospital & Practice Group Affiliations

Poudre Valley Medical Group Llc

2121 E Harmony Rd, Fort Collins, CO 805283403

Phone: 9702215878

Secondary Practice Locations

12605 E 16th Ave

Aurora, CO 800452545

Phone: 7208480000

2121 E Harmony Rd Unit 330

Fort Collins, CO 805283403

Phone: 9702215878

Practice Associates & Co-Workers

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

3 Associated Practitioners

Erin Lennon , PA-C

Physician Assistant - Surgical

NPI 1184948291

Physician Assistant (Certified)

Angel Padilla , CSFA

Specialist/Technologist, Other - Surgical Technologist

NPI 1396012159

Dr. Cash Sterling , MD

Surgery

NPI 1427518224

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location January 16, 2025

Registered at 9330 S UNIVERSITY BLVD STE 230, HIGHLANDS RANCH, CO 801265049 (Tel: 7205160600)

📍

Updated Business Mailing Address January 16, 2025

Registered at 2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 805389071 (Tel: 9706242409)

📍

Updated Practice Location January 28, 2019

Registered at 12605 E 16TH AVE, AURORA, CO 800452545 (Tel: 7208480000)

✅

NPI Profile Active December 22, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location December 22, 2008

Registered at 181 WEST MEADOW DRIVE, VAIL, CO 81658 (Tel: 9704795036)

📍

Updated Business Mailing Address December 22, 2008

Registered at 126 SEVEN HERMITS DRIVE, PO BOX 3056, EAGLE, CO 81631 (Tel: 9703283002)

👤

Provider Name / Credentials Updated December 22, 2008

Recorded as JAMES DOWNEY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2008

Surgery (License #36210 in CO)

🟢

Initial NPI Registration & Enumeration July 27, 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: 1184648305

Entity Type:

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

Enumeration Date: July 27, 2006

Last Update: January 16, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2695 Rocky Mountain Ave Ste 150

Loveland, CO 805389071

Phone: 9706242409

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.