2026 NPPES data Otolaryngology Physician NPI 1831182831 MD
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DANIEL DOWNS, MD

Otolaryngology Physician in FLAGSTAFF, Arizona. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
182
Medicare Part D claims · 82 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
69.2421/100
▼ 14 pts below national avg 83.1 · [object Object]
Industry payments
$13.79
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: DANIEL DOWNS, MD is a Otolaryngology Physician ([object Object]) practicing in FLAGSTAFF, Arizona with a Medicare Part D prescribing footprint of 182 claims across 82 beneficiaries — 20% brand-name prescribing . Their CMS MIPS Final Score of 69.2421/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $13.79 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: DANIEL DOWNS, MD reported a CMS MIPS final score of 69.2421 out of 100, below the 83.1 national average, and filed 182 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

DANIEL DOWNS, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

DANIEL DOWNS, MD at a glance

Below national average

NPI registry status

Active

Issued 08/24/2005

NPI 1831182831

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

182 64% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

69.2421/100 13.8579% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Arizona

How Otolaryngology Physician compares to other specialties among Arizona providers

Arizona providers

Otolaryngology Physician share within Arizona

1. Otolaryngology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology Physician share within Arizona

Medicare quality performance — MIPS

DANIEL DOWNS, MD's 2023 MIPS final score plotted against the Otolaryngology Physician national average

Below national average
MIPS Final Score
69.2421/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 69.2421/100 vs national avg 83.1

0%100%National avg83%69.2%
MIPS final score (Otolaryngology Physician) — 69.2421/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

DANIEL DOWNS, MD is a Otolaryngology Physician provider practicing in FLAGSTAFF, Arizona, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1831182831. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

DANIEL DOWNS, MD appears in the CMS NPPES registry as a Otolaryngology Physician provider holding MD credentials at 1300 N RIM DR, FLAGSTAFF, AZ, 86001, with a listed phone of (928) 556-9200. NPI 1831182831 was issued on 08/24/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DOWNS most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 182 prescription claims written by this provider, covering 82 Medicare beneficiaries and totaling roughly $3K in drug spend, split 20% brand-name and 80% generic by claim count, with an opioid prescribing rate of 16.5%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 69.2421/100 for the 2023 performance year (Quality 69.8691, Cost 28.438), compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1300 N RIM DR
FLAGSTAFF, AZ 86001

Provider Details

NPI 1831182831
Specialty Otolaryngology Physician
Credentials MD
Gender Male
NPI Issued 08/24/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

69.2421
Final Score
Avg: 83.1
69.8691
Quality
28.438
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where DANIEL DOWNS, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

VALLEY ENT PC
FLAGSTAFF, AZ

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for DANIEL DOWNS, MD. Source: openpaymentsdata.cms.gov.

Total received

$14

Largest payer

GENZYME CORPORATION

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

DANIEL DOWNS, MD — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 182 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

182
Total Claims
$3K
Total Drug Cost
82
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
273
Total Day Supply
6,006
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$1K
Generic Drug Cost
$2K
Opioid Claims
30 (16.5% rate)
Antibiotic Claims
26

Patient Demographics

Average Patient Age
71.3 years
Avg HCC Risk Score
0.90
Gender Split
56% female / 44% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Levothyroxine Sodium
50
Prednisone
27
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
17
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Otolaryngology Physician Overview

How DANIEL DOWNS, MD fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

DANIEL DOWNS, MD's 182 claims are below the specialty average of 509.

Nearby Otolaryngology Physician Providers in Arizona

Other clinicians with the same primary specialty enrolled in Arizona, drawn from the same CMS NPPES roster as DOWNS.

Compare Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DANIEL DOWNS, MD's specialty?
DANIEL DOWNS, MD specializes in Otolaryngology Physician and practices in FLAGSTAFF, Arizona. Credentials: MD.
How much does DANIEL DOWNS, MD prescribe under Medicare Part D?
In 2023, DANIEL DOWNS, MD wrote 182 Medicare Part D claims totaling $3K in drug costs for 82 beneficiaries.
What is DANIEL DOWNS, MD's Medicare quality score?
DANIEL DOWNS, MD has a CMS MIPS Final Score of 69.2421/100 (Quality: 69.8691, Cost: 28.438). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DANIEL DOWNS, MD located?
DANIEL DOWNS, MD is located at 1300 N RIM DR, FLAGSTAFF, AZ, 86001. Phone: (928) 556-9200.
What is DANIEL DOWNS, MD's NPI number?
DANIEL DOWNS, MD's National Provider Identifier (NPI) is 1831182831, issued on 08/24/2005.
Does DANIEL DOWNS, MD prescribe more brand-name or generic drugs?
DANIEL DOWNS, MD's prescribing is 20% brand-name and 80% generic drugs by claim count, with $1K in brand drug costs.
Does DANIEL DOWNS, MD prescribe opioids?
Yes, DANIEL DOWNS, MD had 30 opioid claims in 2023 with an opioid prescribing rate of 16.5%.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does DANIEL DOWNS, MD prescribe most often?
Based on 2023 Medicare Part D data, DANIEL DOWNS, MD's most frequently prescribed drugs include Levothyroxine Sodium, Prednisone, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DANIEL DOWNS, MD accept Medicare?
DANIEL DOWNS, MD appears in CMS Medicare data with 182 Part D claims and 82 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DANIEL DOWNS, MD's credentials?
DANIEL DOWNS, MD's NPI is 1831182831 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology