Active NPI 1215226014 Individual Practitioner Male Practitioner

Dr. Kenneth Michael Downes , MD

Ophthalmology • Albuquerque, NM

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Downes, MD is a certified Ophthalmology practicing in Albuquerque, NM. With approximately 15 years of clinical experience since graduating from University Of New Mexico School Of Medicine in 2011, Dr. Downes delivers high-quality medical care to the local community at 7110 WYOMING BLVD NE.

Dr. Downes is affiliated with Southwest Eyecare Specialists P C and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include imaging of retina, established patient complete exam of visual system, established 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

7110 Wyoming Blvd Ne

Albuquerque, NM 871094867

Telephone 5053460500

Fax 5053460164

Associated Practice Facility / Clinic

🏢 Southwest Eyecare Specialists P C Facility NPI 1841221231

Medicare Profile & Education

Medical School

University Of New Mexico School Of Medicine

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Albuquerque, NM

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -8.8 yrs vs City Avg

City Avg: 23.8 Yrs

State Avg: 35.4 Yrs

Regional Practice Density

70 Specialists

Practicing in Albuquerque, NM (117 Statewide)

Telehealth Adoption Rate

4.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

45.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Downes (15 Years) 15 Yrs

Albuquerque Specialty Average (23.8 Years) 23.8 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
92134 Imaging of retina	786	741	$57.42	$38.37
92014 Established patient complete exam of visual system	488	483	$180.00	$120.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	457	335	$179.04	$125.28
92136 Measurement of corneal curvature and depth of eye	195	97	$128.00	$43.71
99213 Established patient office or other outpatient visit, typically 15 minutes	173	160	$126.00	$88.59
66821 Removal of recurring cataract in lens capsule using a laser	163	113	$507.56	$307.07
66984 Removal of cataract with insertion of lens	144	92	$1319.27	$530.60
92025 Ct scan of cornea	119	114	$54.00	$32.15
92083 Exam of visual field with extended testing	85	78	$93.00	$59.46
92004 New patient complete exam of visual system	72	72	$206.00	$141.38
68761 Closure of tear duct opening using plug	65	52	$375.32	$191.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$234.00	$164.52
65855 Laser repair to improve eye fluid flow	46	27	$374.61	$203.39
92133 Imaging of optic nerve	21	20	$57.00	$34.83
76514 Ultrasound scan of cornea to determine thickness	20	19	$22.00	$10.61
99442 Telephone medical discussion with physician, 11-20 minutes	20	19	$68.00	$68.23
92286 Imaging of front third of eye using a special microscope	11	11	$56.00	$37.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	953	903	$57.00	$38.08
92014 Established patient complete exam of visual system	621	615	$180.00	$119.23
99213 Established patient office or other outpatient visit, typically 15 minutes	393	266	$120.63	$86.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	319	276	$176.43	$122.91
92136 Measurement of corneal curvature and depth of eye	213	108	$140.39	$42.59
66984 Removal of cataract with insertion of lens	212	132	$1281.01	$507.08
66821 Removal of recurring cataract in lens capsule using a laser	161	107	$483.99	$296.11
92025 Ct scan of cornea	141	129	$54.00	$31.63
92083 Exam of visual field with extended testing	126	115	$93.00	$58.39
92004 New patient complete exam of visual system	105	105	$209.14	$142.39
68761 Closure of tear duct opening using plug	78	60	$400.56	$197.79
92133 Imaging of optic nerve	62	60	$57.00	$34.44
65855 Laser repair to improve eye fluid flow	55	32	$381.75	$194.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$235.07	$162.01
92071 Fitting of contact lens for treatment of eye surface disease	34	15	$79.91	$44.64
76514 Ultrasound scan of cornea to determine thickness	29	28	$22.00	$10.47
99442 Telephone medical discussion with physician, 11-20 minutes	26	26	$65.00	$65.13
92285 Photography of content of eyes	17	15	$30.00	$21.27
92286 Imaging of front third of eye using a special microscope	16	16	$56.00	$37.05
66982 Complex removal of cataract with insertion of prosthetic lens	15	14	$1568.00	$711.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	795	750	$57.00	$38.00
92014 Established patient complete exam of visual system	626	607	$180.00	$119.11
99213 Established patient office or other outpatient visit, typically 15 minutes	397	256	$107.00	$86.93
66984 Removal of cataract with insertion of lens	203	124	$1275.00	$513.66
92136 Measurement of corneal curvature and depth of eye	197	101	$183.00	$45.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	132	$158.00	$122.69
92025 Ct scan of cornea	134	131	$54.00	$31.61
92004 New patient complete exam of visual system	102	102	$217.00	$141.12
66821 Removal of recurring cataract in lens capsule using a laser	95	68	$496.19	$296.32
92133 Imaging of optic nerve	81	76	$57.00	$34.29
92083 Exam of visual field with extended testing	66	62	$93.00	$58.54
68761 Closure of tear duct opening using plug	60	48	$381.63	$188.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$243.00	$162.15
66821 Removal of recurring cataract in lens capsule using a laser	42	32	$481.00	$317.45
99442 Telephone medical discussion with physician, 11-20 minutes	26	24	$65.00	$64.62
65855 Laser repair to improve eye fluid flow	23	14	$400.00	$195.15
92285 Photography of content of eyes	21	17	$30.00	$21.27
76514 Ultrasound scan of cornea to determine thickness	20	18	$22.00	$10.53
92286 Imaging of front third of eye using a special microscope	19	18	$56.00	$36.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	703	637	$57.00	$38.55
92014 Established patient complete exam of visual system	673	638	$180.00	$120.76
99213 Established patient office or other outpatient visit, typically 15 minutes	371	252	$107.00	$88.12
92136 Measurement of corneal curvature and depth of eye	314	153	$183.00	$49.24
92025 Ct scan of cornea	216	191	$54.00	$32.46
92004 New patient complete exam of visual system	188	188	$217.00	$142.28
66984 Removal of cataract with insertion of lens	170	100	$1275.00	$512.54
68761 Closure of tear duct opening using plug	113	96	$373.08	$194.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	106	$158.00	$123.73
92133 Imaging of optic nerve	96	92	$57.00	$34.80
92083 Exam of visual field with extended testing	86	78	$93.00	$59.52
66821 Removal of recurring cataract in lens capsule using a laser	80	54	$481.00	$299.02
92012 Established patient problem focused exam of visual system	79	67	$124.00	$84.06
66821 Removal of recurring cataract in lens capsule using a laser	77	49	$505.99	$322.16
92250 Photography of the retina	48	48	$94.00	$36.75
76514 Ultrasound scan of cornea to determine thickness	47	42	$22.00	$10.79
92285 Photography of content of eyes	37	29	$30.00	$21.44
92286 Imaging of front third of eye using a special microscope	36	34	$56.00	$36.99
99442 Telephone medical discussion with physician, 11-20 minutes	30	29	$65.00	$65.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$243.00	$164.81
65855 Laser repair to improve eye fluid flow	16	13	$487.19	$268.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	446	419	$180.00	$121.62
92012 Established patient problem focused exam of visual system	390	258	$124.00	$83.86
92134 Imaging of retina	316	300	$57.00	$38.88
92004 New patient complete exam of visual system	202	202	$217.00	$145.13
66984 Removal of cataract with insertion of lens	144	90	$1275.00	$541.45
92025 Ct scan of cornea	130	115	$54.00	$34.28
68761 Closure of tear duct opening using plug	117	100	$378.62	$198.34
92136 Measurement of corneal curvature and depth of eye	98	91	$183.00	$56.43
76514 Ultrasound scan of cornea to determine thickness	81	81	$22.00	$11.10
92083 Exam of visual field with extended testing	70	62	$93.00	$60.70
92250 Photography of the retina	70	68	$94.00	$43.16
66821 Removal of recurring cataract in lens capsule using a laser	68	47	$481.00	$317.44
92286 Imaging of front third of eye using a special microscope	38	35	$56.00	$37.19
92285 Photography of content of eyes	34	26	$30.00	$20.73
92133 Imaging of optic nerve	30	30	$57.00	$34.60
66821 Removal of recurring cataract in lens capsule using a laser	23	17	$481.00	$303.24
65855 Laser repair to improve eye fluid flow	20	11	$359.00	$243.77
65400 Removal of growth of cornea	18	15	$993.00	$670.02
67820 Removal of eyelashes using forceps	18	14	$78.11	$26.04
99442 Telephone medical discussion with physician, 11-20 minutes	18	18	$65.00	$65.68
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$107.00	$73.89
92002 New patient problem focused exam of visual system	12	12	$118.00	$77.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	605	348	$124.00	$83.99
92014 Established patient complete exam of visual system	502	442	$180.00	$120.58
92134 Imaging of retina	320	284	$57.00	$38.44
92136 Measurement of corneal curvature and depth of eye	300	114	$127.49	$34.74
92004 New patient complete exam of visual system	264	264	$217.00	$142.63
68761 Closure of tear duct opening using plug	243	194	$383.97	$193.86
66984 Removal of cataract with insertion of lens	178	107	$1275.00	$617.57
76514 Ultrasound scan of cornea to determine thickness	137	135	$22.00	$11.61
92025 Ct scan of cornea	111	90	$54.77	$35.56
92250 Photography of the retina	70	70	$94.00	$48.01
92285 Photography of content of eyes	70	37	$30.00	$19.62
92083 Exam of visual field with extended testing	55	51	$93.00	$60.43
92133 Imaging of optic nerve	50	49	$57.00	$35.67
92286 Imaging of front third of eye using a special microscope	49	48	$56.00	$36.68
66821 Removal of recurring cataract in lens capsule using a laser	39	24	$481.00	$301.52
67820 Removal of eyelashes using forceps	39	29	$74.00	$28.87
66821 Removal of recurring cataract in lens capsule using a laser	34	25	$481.00	$305.71
68760 Repair duct opening	29	27	$481.66	$264.60
92071 Fitting of contact lens for treatment of eye surface disease	26	23	$56.00	$36.91
65778 Insertion of amniotic membrane to eye surface	24	13	$1993.00	$1153.59
65426 Removal or relocation of corneal conjunctiva with graft	23	18	$946.00	$466.22
65400 Removal of growth of cornea	19	13	$993.00	$654.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	587	299	$124.00	$83.83
92014 Established patient complete exam of visual system	346	307	$180.00	$120.48
92136 Measurement of corneal curvature and depth of eye	268	94	$124.28	$36.51
92004 New patient complete exam of visual system	263	263	$217.00	$145.24
68761 Closure of tear duct opening using plug	258	168	$341.04	$188.15
92134 Imaging of retina	176	153	$57.00	$39.39
66984 Removal of cataract with insertion of lens	124	83	$1275.00	$618.16
76514 Ultrasound scan of cornea to determine thickness	101	99	$22.00	$14.33
92133 Imaging of optic nerve	62	62	$57.00	$36.25
92285 Photography of content of eyes	55	35	$30.00	$19.58
92083 Exam of visual field with extended testing	49	42	$93.00	$59.73
66821 Removal of recurring cataract in lens capsule using a laser	42	32	$492.45	$325.19
66821 Removal of recurring cataract in lens capsule using a laser	30	23	$513.07	$303.36
67820 Removal of eyelashes using forceps	29	19	$74.00	$34.67
92132 Imaging of front third of eye	25	22	$45.00	$29.39
68760 Repair duct opening	23	14	$417.52	$246.08
92286 Imaging of front third of eye using a special microscope	22	22	$56.00	$36.54
92071 Fitting of contact lens for treatment of eye surface disease	19	13	$56.00	$36.91
66982 Complex removal of cataract with insertion of prosthetic lens	16	13	$1568.00	$621.40
68115 Removal of (over 1 centimeter) growth of sclera	13	12	$448.00	$166.47
92002 New patient problem focused exam of visual system	12	12	$118.00	$80.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	181	180	$180.00	$115.47
92012 Established patient problem focused exam of visual system	174	109	$124.00	$80.41
92004 New patient complete exam of visual system	78	78	$217.00	$140.98
92134 Imaging of retina	77	76	$57.00	$38.39
92012 Established patient problem focused exam of visual system	50	29	$59.00	$52.94
76514 Ultrasound scan of cornea to determine thickness	47	47	$22.00	$13.88
92136 Measurement of corneal curvature and depth of eye	45	16	$126.07	$40.14
68761 Closure of tear duct opening using plug	28	28	$214.00	$202.11
92133 Imaging of optic nerve	26	26	$57.00	$33.78
92286 Imaging of front third of eye using a special microscope	23	23	$56.00	$36.64
92083 Exam of visual field with extended testing	18	16	$93.00	$60.74
92132 Imaging of front third of eye	18	18	$45.00	$28.77
92020 Examination of cornea and iris using lens device and slit lamp	14	14	$39.00	$24.20
65756 Transplantation of outer layer of corneal tissue	12	11	$1074.49	$432.81

Medical Specialties & State Licenses

CMS Verified: 2024-07-19

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NM MD2017-0187

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License CA A123717

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License OR MD176549

Hospital & Practice Group Affiliations

Southwest Eyecare Specialists P C

7110 Wyoming Blvd Ne, Albuquerque, NM 871094867

Phone: 5053460500

Practice Associates & Co-Workers

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

6 Associated Practitioners

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Doctor of Medicine (M.D.)

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Ophthalmology

NPI 1215900717

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Dr. Randolph Black , MD

Ophthalmology

NPI 1497736870

Doctor of Medicine (M.D.)

Dr. John Teahan , MD

Ophthalmology

NPI 1679545594

Doctor of Medicine (M.D.)

Dr. Peter Beaudette , MD

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Doctor of Medicine (M.D.)

Dr. Paul Sanchez , MD

Ophthalmology

NPI 1811106685

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 24, 2022

Registered at 7110 WYOMING BLVD NE, ALBUQUERQUE, NM 871094867 (Tel: 5053460500)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2022

Ophthalmology (License #A123717 in CA)

✅

NPI Profile Active December 24, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 24, 2016

Registered at 3375 SW TERWILLIGER BLVD, PORTLAND, OR 972394146 (Tel: 5034943929)

📍

Updated Business Mailing Address December 24, 2016

Registered at 3375 SW TERWILLIGER BLVD, PORTLAND, OR 972394146 (Tel: 5034943929)

👤

Provider Name / Credentials Updated December 24, 2016

Recorded as KENNETH DOWNES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 24, 2016

Ophthalmology (License #MD176549 in OR)

🟢

Initial NPI Registration & Enumeration April 01, 2011

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: 1215226014

Entity Type:

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

Enumeration Date: April 01, 2011

Last Update: July 19, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3375 Sw Terwilliger Blvd

Portland, OR 972394146

Phone: 5034943929

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.