Dr. Douglas Downey, MD - Surgery in Cordele, GA

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Downey, MD is a certified Surgery practicing in Cordele, GA. With approximately 23 years of clinical experience since graduating from University Of Alabama School Of Medicine in 2003, Dr. Downey delivers high-quality medical care to the local community at 416 E 4TH AVE STE A.

Dr. Downey is affiliated with Hh Physicians Network and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

416 E 4th Ave Ste A

Cordele, GA 310153729

Telephone 2292714659

Fax 2292714654

Associated Practice Facility / Clinic

🏢 Crisp Regional Hospital Inc Facility NPI 1700851649

Medicare Profile & Education

Medical School

University Of Alabama School Of Medicine

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Cordele, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +0.9 yrs vs City Avg

City Avg: 22.1 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

8 Specialists

Practicing in Cordele, GA (1046 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Downey (23 Years) 23 Yrs

Cordele Specialty Average (22.1 Years) 22.1 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
99221 Initial hospital inpatient care per day, typically 30 minutes	46	45	$158.00	$75.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	28	$135.00	$70.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$198.00	$97.88
99213 Established patient office or other outpatient visit, typically 15 minutes	24	20	$146.25	$80.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$250.00	$113.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$174.23	$115.89
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	12	12	$176.00	$11.32
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$2400.00	$565.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	50	50	$131.00	$77.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$195.00	$103.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	22	$135.00	$74.46
99213 Established patient office or other outpatient visit, typically 15 minutes	26	21	$135.00	$83.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	17	$145.00	$118.16
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	21	21	$176.00	$11.84
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	20	20	$2400.00	$615.14
15734 Creation of muscle graft to trunk	19	12	$2470.00	$962.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$250.00	$122.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	57	55	$114.70	$94.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$195.00	$103.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	25	$135.00	$68.13
99213 Established patient office or other outpatient visit, typically 15 minutes	34	29	$135.00	$84.70
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	23	23	$176.00	$11.79
15734 Creation of muscle graft to trunk	19	12	$2470.00	$1181.13
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	19	19	$2400.00	$631.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$250.00	$129.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	76	75	$113.00	$97.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$195.00	$104.36
99213 Established patient office or other outpatient visit, typically 15 minutes	41	34	$135.00	$85.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	21	$135.00	$69.38
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	29	29	$2400.00	$694.55
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	28	28	$176.00	$13.78
15734 Creation of muscle graft to trunk	21	12	$2587.62	$998.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$250.00	$131.28
49505 Repair of groin hernia (5 years or older)	11	11	$1032.00	$489.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	73	70	$113.27	$99.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	21	$120.07	$71.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$169.74	$100.92
99213 Established patient office or other outpatient visit, typically 15 minutes	31	23	$112.52	$69.64
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	17	17	$2400.00	$704.22
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	17	17	$176.00	$17.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$208.75	$134.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	53	52	$119.79	$95.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$143.00	$98.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$184.00	$129.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	21	$59.00	$41.68
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$94.00	$69.29
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	17	17	$2187.53	$639.02
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	16	16	$176.00	$16.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	13	$99.00	$69.17

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	39	39	$143.00	$97.99
99221 Initial hospital inpatient care per day, typically 30 minutes	38	37	$139.18	$95.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	34	$189.41	$126.21
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	11	$93.00	$38.19
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$94.00	$67.77
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$1884.00	$624.17
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	12	12	$176.00	$17.38

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	44	42	$209.09	$128.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$159.03	$99.97
99213 Established patient office or other outpatient visit, typically 15 minutes	24	22	$95.25	$64.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	12	$91.05	$38.09
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	12	$47.00	$18.09
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$1884.00	$661.47
36569 Insertion of central venous catheter for infusion, patient 5 years or older	13	12	$145.00	$88.40
76937 Ultrasonic guidance for blood vessel access	12	11	$104.33	$13.84

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 077727

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License ME MD19112

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License AL MD.26147

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

Hh Physicians Network

1041 Balch Rd, Madison, AL 357588822

Phone: 2562656851

Secondary Practice Locations

1041 Balch Rd, Ste 350

Madison, AL 357588343

Phone: 2562655951

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Guy Young , MD

Anesthesiology

NPI 1124238878

Doctor of Medicine (M.D.)

Dr. Marilyn Carter , MD

Internal Medicine

NPI 1578669602

Doctor of Medicine (M.D.)

Franklin Saliba , CRNA

Nurse Anesthetist, Certified Registered

NPI 1912964370

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Surgery (License #MD19112 in ME)

✅

NPI Profile Active September 05, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 05, 2017

Registered at 416 E 4TH AVE STE A, CORDELE, GA 310153729 (Tel: (229) 271-4659)

📍

Updated Business Mailing Address September 05, 2017

Registered at PO BOX 5007, CORDELE, GA 310105007 (Tel: (229) 271-4659)

👤

Provider Name / Credentials Updated September 05, 2017

Recorded as DOUGLAS DOWNEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2017

Surgery (License #MD19112 in ME)

✅

NPI Profile Active August 14, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 14, 2015

Registered at 1041 BALCH RD, STE 350, MADISON, AL 357588343 (Tel: 2562655951)

📍

Updated Business Mailing Address August 14, 2015

Registered at PO BOX 2705, HUNTSVILLE, AL 358042705 (Tel: 2562655951)

👤

Provider Name / Credentials Updated August 14, 2015

Recorded as DOUGLAS DOWNEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2015

Surgery (License #MD.26147 in AL)

🟢

Initial NPI Registration & Enumeration December 13, 2006

First registered as active Individual Practitioner in NPPES Database.

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Dr. Douglas Merritt Downey , MD

Professional Overview & Biography Verified Profile Summary

Practice Location & Contact Primary Location

Medicare Profile & Education

Specialty Benchmarks & Practice Insights

Clinical Seniority & Experience Comparison

Performed Procedures & Service Volume

Medical Specialties & State Licenses

Hospital & Practice Group Affiliations

Hh Physicians Network

Secondary Practice Locations

Practice Associates & Co-Workers

Career & Practice History Timeline

Patient & Community Reviews

NPI Administrative Meta

Mailing Address