Thomas Dowling
NPI 1265964910 · Orthopaedic Surgery of the Spine Physician · Commack, NY
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Dowling is a Orthopaedic Surgery of the Spine Physician provider in Commack, NY (NPI 1265964910).
Provider details
- NPI number
- 1265964910
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
333 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 122 | $146 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 117 | $191 |
| X-Ray of Lower and Sacral Spine, Minimum of 4 Views72110 | 31 | $61 |
| Partial Removal of Spine Bone With Release of Spinal Cord And/Or Nerves, Each Additional Segment63048 | 22 | $41 |
| X-Ray of Upper Spine, 4-5 Views72050 | 17 | $62 |
| Partial Removal of Spine Bone With Release of Lower Spinal Cord And/Or Nerves, 1 Segment63047 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Celecoxib | 52 | 46 |
| Gabapentin | 32 | 24 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$392 across 9 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-03-31
- Last updated
- 2023-10-27
- Certified
- 2023-10-27
Frequently asked questions
- What is Thomas Dowling's NPI number?
- Thomas Dowling's National Provider Identifier (NPI) is 1265964910, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Dowling's specialty?
- Thomas Dowling is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery of the Spine Physician (Allopathic & Osteopathic Physicians).
- Where is Thomas Dowling located?
- Thomas Dowling's practice location on file with NPPES is 763 Larkfield Rd Fl 2, Commack, NY 11725-3131.
- What is Thomas Dowling's phone number?
- The practice phone number listed in the NPPES registry for Thomas Dowling is (631) 462-2225.
- Does Thomas Dowling accept Medicare?
- Thomas Dowling is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Dowling's NPI active?
- Yes — Thomas Dowling's NPI (1265964910) is active in the NPPES registry as of the last update on 2023-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.