DR. DOUGLAS MERRITT DOWNEY (M.D.) – Surgery Physician, NPI 1083775803
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
522 GENERAL SURGERY in AL
Provider Addresses for DR. DOUGLAS MERRITT DOWNEY (M.D.)
1041 Balch Rd
Ste 350
Madison, AL 357588343
Phone: (256) 265-5951
Fax: (256) 265-5952
Type: Location
416 E 4TH AVE STE A
CORDELE, GA 310153729
Phone: (229) 271-4659
Fax: (229) 271-4654
Type: Location
Cordele Post Office, 11th Avenue East, Cordele, Crisp County, Georgia, 31010, United States
CORDELE, GA 310105007
Phone: (229) 271-4659
Fax: (229) 271-4654
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $9,964.
Total Amount is formed as General ($9,964) + Research ($0) + Ownership ($0) = $9,964.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($5,815).
Total Amount
$9,964
General + Research + Ownership
Payments
53
Total payment records
General Amount
$9,964
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $5,815 |
| ABBVIE INC. | $2,481 |
| Davol Inc. | $1,006 |
| Integra LifeSciences Corporation | $645 |
| Kerecis Limited | $11 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-06-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140626002277 | I | General Surgery | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 50 | 50 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 40 | 40 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 27 | 22 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 21 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 17 | $0 |
Insurance plans in this area (ZIP 35758)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | AL | |
| Nurse Practitioner | AL | |
| Pulmonary Disease | AL | |
| E N D O C R I N O L O G Y | NY | |
| Critical Care (Intensivists), Pulmonary Disease | OH | |
| Nurse Practitioner | AL | |
| Pulmonary Disease, Critical Care (Intensivists) | AL | |
| Nurse Practitioner | WI | |
| P S Y C H I A T R Y | AL | |
| General Surgery | AL |
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