DR. JOSHUA MICHAEL DOWNIE (M.D.) – Otolaryngology Physician, NPI 1528215340
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
392 OTOLARYNGOLOGY in GA
Provider Addresses for DR. JOSHUA MICHAEL DOWNIE (M.D.)
1360 Upper Hembree Rd
Suite 201B
Roswell, GA 300761171
Phone: (770) 475-3361
Fax: (770) 664-4431
Type: Location
3333 Old Milton Pkwy Ste 520
Alpharetta, GA 300054437
Phone: (770) 777-1100
Fax: (770) 751-9089
Type: Location
Peachtree Dunwoody Road, Atlanta, Georgia, 30328, United States
ATLANTA, GA 303424792
Phone: (404) 257-1589
Fax: (404) 303-1950
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $193.
Total Amount is formed as General ($193) + Research ($0) + Ownership ($0) = $193.
Last reported payment date: 2024-05-29 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($147).
Total Amount
$193
General + Research + Ownership
Payments
4
Total payment records
General Amount
$193
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inspire Medical Systems, Inc. | $147 |
| GENZYME CORPORATION | $26 |
| Optinose US, Inc. | $20 |
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: 2011-06-13
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 |
|---|---|---|---|---|
| I20110613000541 | I | Otolaryngology | GA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 107 | 74 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 85 | 85 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 75 | 68 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 39 | 22 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 38 | 38 | $0 |
Insurance plans in this area (ZIP 30076)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | FL | |
| Nurse Practitioner | GA | |
| General Surgery | GA | |
| Colorectal Surgery (Proctology) | GA | |
| - | GA | |
| - | GA | |
| Vascular Surgery | GA | |
| - | GA | |
| - | GA | |
| - | GA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.