Timothy Downey, M.D.
NPI 1225124043 · Otolaryngology Physician · West Grove, PA
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timothy Downey, M.D. is a Otolaryngology Physician provider in West Grove, PA (NPI 1225124043).
Provider details
- NPI number
- 1225124043
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD436393 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
2,050 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 644 | $97 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 447 | $136 |
| Diagnostic Exam of Voice Box Using a Flexible Endoscope31575 | 171 | $138 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 166 | $119 |
| Diagnostic Exam of Nasal Passages Using an Endoscope31231 | 162 | $201 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ipratropium Bromide | 346 | 181 |
| Prednisone | 75 | 64 |
| Azelastine Hcl | 54 | 29 |
| Fluocinolone Acetonide Oil | 37 | 32 |
| Meclizine Hcl | 28 | — |
| Montelukast Sodium | 27 | 11 |
| Amoxicillin | 26 | 25 |
| Triamcinolone Acetonide |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2009-12-03
Frequently asked questions
- What is Timothy Downey's NPI number?
- Timothy Downey's National Provider Identifier (NPI) is 1225124043, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Downey's specialty?
- Timothy Downey is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Timothy Downey located?
- Timothy Downey's practice location on file with NPPES is 1 Commerce Blvd Ste 201, West Grove, PA 19390-9198.
- What is Timothy Downey's phone number?
- The practice phone number listed in the NPPES registry for Timothy Downey is (610) 345-0977.
- Does Timothy Downey accept Medicare?
- Timothy Downey is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Timothy Downey's NPI active?
- Yes — Timothy Downey's NPI (1225124043) is active in the NPPES registry as of the last update on 2009-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.