James B. Downey, MD
Surgery Physician · Highlands Ranch, CO
James B. Downey, MD is a surgery physician with a practice address in Highlands Ranch, Colorado, and NPI 1184648305, issued on Jul 27, 2006. Check the license (Colorado 36210, as entered in NPPES) on the Colorado Medical Board; the Medicare figures below come from public CMS files.
- Name
- James B. Downey
- Credential
- MD
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- 36210 CO
Self-reported in NPPES; status is on the state search - Practice location
- 9330 S University Blvd Ste 230, Highlands Ranch, CO 80126
- Phone
- (720) 516-0600
- Enumerated
- Jul 27, 2006
- Record last updated
- Jan 16, 2025
- Fax
- (720) 516-0601
- Medicare enrollment
- Enrolled (PECOS I20041025000379); accepts Medicare assignment
- Medical or professional school
- University Of Colorado School Of Medicine, Denver, 1992
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 608 in Colorado → Look up another NPI →
Also registered at 9330 S University Blvd Ste 230
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Caitlyn Lesh, M.D.Surgery Physician1508126426
- Cash Sterling, MDSurgery Physician1427518224
Verify James B. Downey in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersColorado Medical Board
Search for license 36210Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
60% fewer Medicare Part D claims than the average surgery physician in 2024
59 Medicare Part D claims for 22 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. 11 claims were for opioids.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 97.6 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $3,259.79
5 payments; by number, the most common kind was travel and lodging; the largest payer was Intuitive Surgical, Inc. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Poudre Valley Medical Group LLCFort Collins, CO
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
James B. Downey among 608 surgery physician records in Colorado
James B. Downey, MD is one of 608 surgery physician records with a practice address in Colorado. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 8% of them.
- NPI issued2006 · 8% of these records are older, 58% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated1992 · median 2005 among the 370 with a school on file
- Record last updated2025 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Colorado practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgery Physician providers in Colorado
There are 608 surgery physician records in Colorado.
All 608 in Colorado → Every provider in Highlands Ranch → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Caitlyn Lesh, M.D.Highlands Ranch, CO 801261508126426
- Samuel Phinney, MDHighlands Ranch, CO 801261164564837
- Cash Sterling, MDHighlands Ranch, CO 801261427518224
- Krista Antenucci, DOLone Tree, CO 801241366607889
- Kimberly Black, M.D.Lone Tree, CO 801241518199728
- Lanny Dunham, MDLone Tree, CO 801241548411358
- Dan Garner, DOLone Tree, CO 801241841646791
- Lauren Gleckler, M.D.Lone Tree, CO 801241841633567
Common questions
What is James B. Downey, MD's NPI number?
James B. Downey, MD's National Provider Identifier (NPI) is 1184648305, issued on Jul 27, 2006. An NPI identifies a provider in billing; it is not a license.
Where is James B. Downey, MD located?
The NPPES record lists a practice address at 9330 S University Blvd Ste 230, Highlands Ranch, CO, 80126. Phone: (720) 516-0600. Providers update this record themselves, so call before visiting.
How can I verify James B. Downey, MD's license?
NPPES lists Colorado license number 36210, as entered by the provider. Search the Colorado Medical Board at https://dpo.colorado.gov/Medical. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does James B. Downey, MD prescribe under Medicare Part D?
In 2024, James B. Downey, MD had 59 Medicare Part D claims for 22 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
What is James B. Downey, MD's MIPS final score?
The 2023 MIPS final score is 97.6 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.