NPPES file of Aug 9, 2026

Kenneth Michael Downes, MD

Ophthalmology Physician · Albuquerque, NM

Kenneth Michael Downes, MD is an ophthalmology physician with a practice address in Albuquerque, New Mexico, and NPI 1215226014, issued on Apr 1, 2011. Check the license (New Mexico MD2017-0187, as entered in NPPES) on the New Mexico Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1215226014
Name
Kenneth Michael Downes
Credential
MD
Primary taxonomy
Ophthalmology Physician 207W00000X
License numbers
MD2017-0187 NM
A123717 CA
MD176549 OR
Self-reported in NPPES; status is on the state search
Practice location
7110 Wyoming Blvd NE, Albuquerque, NM 87109
Phone
(505) 346-0500
Enumerated
Apr 1, 2011
Record last updated
Jul 19, 2024
Fax
(505) 346-0164
Medicare enrollment
Enrolled (PECOS I20170724001850); accepts Medicare assignment
Medical or professional school
University Of New Mexico School Of Medicine, 2011
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 7110 Wyoming Blvd NE

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Peter Beaudette, M.D.Ophthalmology Physician1720053200
  2. Randolph Black, M.D.Ophthalmology Physician1497736870
  3. Raymond Cannon, M.D.Ophthalmology Physician1215900717
  4. Thomas Gillette, MDOphthalmology Physician1013413475
  5. Stacia Jacobi-Garcia, O.D.Optometrist1376609636
  6. Paul Sanchez, MDOphthalmology Physician1811106685

Verify Kenneth Michael Downes in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNew Mexico Medical Board
    Search for license MD2017-0187
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New Mexico license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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49% more Medicare Part D claims than the average ophthalmology physician in 2024

2,257 Medicare Part D claims for 670 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 50% of claims.

  1. Kenneth Downes2,257
  2. Specialty average1,518

Most prescribed

  1. Prednisolone Acetate545 claims
  2. Ofloxacin318 claims
  3. Timolol Maleate240 claims
  4. Latanoprost202 claims
  5. Dorzolamide-Timolol106 claims
  6. Fluorometholone103 claims

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 practice group's MIPS final score for 2023 (Medicare payment program): 87.9 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score100.0
  2. Costout of 100 · 30%59.6
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $1,368.48

46 payments; by number, the most common kind was food and beverage; the largest payer was Alcon Vision LLC. The 13,221 providers of this specialty with any payment received $4,535.02 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Kenneth Downes$1,368.48
  2. Specialty average$4,535.02

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

  1. Southwest Eyecare Specialists P CAlbuquerque, NM

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kenneth Michael Downes among 105 ophthalmology physician records in New Mexico

Kenneth Michael Downes, MD is one of 105 ophthalmology physician records with a practice address in New Mexico. 64% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 86% of them.

  • NPI issued2011 · 86% of these records are older, 12% newer
  • In a Medicare fileYes · 64% of these records are
  • In the CMS Doctors and Clinicians fileYes · 56% of these records are
  • Graduated2011 · median 1999 among the 59 with a school on file
  • Record last updated2024 · 66% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a New Mexico practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Ophthalmology Physician providers in New Mexico

There are 105 ophthalmology physician records in New Mexico.

The 8 ophthalmology physician records with the nearest ZIP codes

  1. Randolph Black, M.D.Albuquerque, NM 871091497736870
  2. Charles Chiang, M.D.Albuquerque, NM 871091154321156
  3. Alfonso De La Torre, M.D.Albuquerque, NM 871091295717833
  4. Michael Dimonaco, D.O.Albuquerque, NM 871091295720621
  5. Frank Durso, M.D.Albuquerque, NM 871091275528606
  6. Hal Hudson, M.D.Albuquerque, NM 871091700876679
  7. Mark Lesher, M.D.Albuquerque, NM 871091376533240
  8. Frank Mares, M.D.Albuquerque, NM 871091316932437

Common questions

What is Kenneth Michael Downes, MD's NPI number?

Kenneth Michael Downes, MD's National Provider Identifier (NPI) is 1215226014, issued on Apr 1, 2011. An NPI identifies a provider in billing; it is not a license.

Where is Kenneth Michael Downes, MD located?

The NPPES record lists a practice address at 7110 Wyoming Blvd NE, Albuquerque, NM, 87109. Phone: (505) 346-0500. Providers update this record themselves, so call before visiting.

How can I verify Kenneth Michael Downes, MD's license?

NPPES lists New Mexico license number MD2017-0187, as entered by the provider. Search the New Mexico Medical Board at https://www.nmmb.state.nm.us/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Kenneth Michael Downes, MD prescribe under Medicare Part D?

In 2024, Kenneth Michael Downes, MD had 2,257 Medicare Part D claims for 670 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.

What is Kenneth Michael Downes, MD's MIPS final score?

The 2023 MIPS final score is 87.9 of 100, reported for the practice group. 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.