DR. MATTHEW JAMES DOWNEY (MD) – Gastroenterology Physician, NPI 1053531079
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,185 GASTROENTEROLOGY in PA
Provider Addresses for DR. MATTHEW JAMES DOWNEY (MD)
1860 FAIR AVENUE
SUITE A
HONESDALE, PA 18431
Phone: (570) 253-3391
Fax: (570) 253-1811
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $66.
Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.
Last reported payment date: 2024-06-05 • Largest payer in this snapshot: ABBVIE INC. ($42).
Total Amount
$66
General + Research + Ownership
Payments
3
Total payment records
General Amount
$66
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $42 |
| Novo Nordisk Inc | $24 |
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: 2008-04-14
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 |
|---|---|---|---|---|
| I20080414000089 | I | Gastroenterology | PA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 469 | 349 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 187 | 185 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 163 | 140 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 136 | 136 | $0 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 115 | 115 | $0 |
Insurance plans in this area (ZIP 18431)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | PA | 45378 | Diagnostic examination of large bowel using an endoscope | 105 | 104 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | PA | |
| Nurse Practitioner | PA | |
| Physician Assistant | PA | |
| Hospitalist, Internal Medicine | PA | |
| Nurse Practitioner | PA |
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.