Thomas Downes, M.D.
NPI 1689725814 · Surgery Physician · Boaz, AL
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Downes, M.D. is a Surgery Physician provider in Boaz, AL (NPI 1689725814).
Provider details
- NPI number
- 1689725814
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 15086 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
246 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 | 84 | $113 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 51 | $99 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 35 | $80 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 29 | $151 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 21 | $157 |
| Removal of Gallbladder Using an Endoscope |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 111 | 101 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 26 | 24 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Peg-3350 and Electrolytes | 19 | 19 |
| Doxycycline Monohydrate | 18 | 16 |
| Ondansetron Hcl | 16 | 16 |
| Ketorolac Tromethamine | 14 | 14 |
| Lidocaine/Prilocaine |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$992 across 8 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
- 2007-01-15
- Last updated
- 2012-02-16
Frequently asked questions
- What is Thomas Downes's NPI number?
- Thomas Downes's National Provider Identifier (NPI) is 1689725814, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Downes's specialty?
- Thomas Downes is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Thomas Downes located?
- Thomas Downes's practice location on file with NPPES is 2525 US Highway 431, Boaz, AL 35957-5934.
- What is Thomas Downes's phone number?
- The practice phone number listed in the NPPES registry for Thomas Downes is (256) 593-1611.
- Does Thomas Downes accept Medicare?
- Thomas Downes is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Downes's NPI active?
- Yes — Thomas Downes's NPI (1689725814) is active in the NPPES registry as of the last update on 2012-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.