Mark James Downey, MD
Specialist · Birmingham, AL
Mark James Downey, MD is a specialist with a practice address in Birmingham, Alabama, and NPI 1477507648, issued on May 20, 2006. Check the license (Alabama 00025657, as entered in NPPES) with the Alabama board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mark James Downey
- Credential
- MD
- Primary taxonomy
- Specialist 174400000X
- License number
- 00025657 AL
Self-reported in NPPES; status is on the state search - Practice location
- 10 Old Montgomery Hwy Ste 200, Birmingham, AL 35209
- Phone
- (205) 271-6504
- Enumerated
- May 20, 2006
- Record last updated
- May 23, 2019 (not updated in 7 years: call before relying on the address or phone)
- Fax
- (205) 271-6513
- Medicaid ID
- 009912131 AL
- Medicare enrollment
- Enrolled (PECOS I20060606000252); accepts Medicare assignment
- Medical or professional school
- University Of South Alabama College Of Medicine, 2002
- Entity
- Type 1 · individual
8 nearest specialist records → All 545 in Alabama → Look up another NPI →
Verify Mark James Downey in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Alabama board licenses this profession
Search for license 00025657Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3% fewer Medicare Part D claims than the average specialist in 2024
1,345 Medicare Part D claims for 509 beneficiaries, against an average of 1,380 among the 8,233 providers of this specialty who prescribed in Part D. Brand-name drugs were 1% of claims. 461 claims were for opioids.
Most prescribed
- Gabapentin349 claims
- Tramadol Hcl246 claims
- Hydrocodone-Acetaminophen160 claims
- Methocarbamol137 claims
- Celecoxib105 claims
- Tizanidine Hcl91 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 MIPS final score for 2023 (Medicare payment program): 0 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: $541.79
14 payments; by number, the most common kind was food and beverage; the largest payer was Boston Scientific Corporation. The 5,844 providers of this specialty with any payment received $4,760.79 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 2 group practices
- Champion Sports Medicine Birmingham, LLCHoover, AL
- Spine Group Alabama, LLCBirmingham, AL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mark James Downey among 545 specialist records in Alabama
Mark James Downey, MD is one of 545 specialist records with a practice address in Alabama. 42% 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 16% of them.
- NPI issued2006 · 16% of these records are older, 38% newer
- In a Medicare fileYes · 42% of these records are
- In the CMS Doctors and Clinicians fileYes · 29% of these records are
- Graduated2002 · median 1991 among the 160 with a school on file
- Record last updated2019 · 82% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 174400000X and a Alabama practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Specialist providers in Alabama
There are 545 specialist records in Alabama.
All 545 in Alabama → Every provider in Birmingham → Specialist nationwide →
The 8 specialist records with the nearest ZIP codes
- Clara Chung, MDBirmingham, AL 352091972575918
- George Duquette, M.D., F.A.C.SBirmingham, AL 352091386612729
- Brian Guffin, M.D.,F.A.C.S.Birmingham, AL 352091497704803
- Cedric Harris, M.D.Birmingham, AL 352091932140589
- John Hurst, M.D.Birmingham, AL 352091023087509
- April Maddux, M.D.Birmingham, AL 352091720049018
- Christa Mann, OTR L, CHTHomewood, AL 352091972506400
- Timothy Murray, M.D.,F.A.C.S.Birmingham, AL 352091891744249
Common questions
What is Mark James Downey, MD's NPI number?
Mark James Downey, MD's National Provider Identifier (NPI) is 1477507648, issued on May 20, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Mark James Downey, MD located?
The NPPES record lists a practice address at 10 Old Montgomery Hwy Ste 200, Birmingham, AL, 35209. Phone: (205) 271-6504. Providers update this record themselves, so call before visiting.
How can I verify Mark James Downey, MD's license?
NPPES lists Alabama license number 00025657, as entered by the provider. Search the Alabama board that licenses this profession; the NPPES record confirms identity only.
How much does Mark James Downey, MD prescribe under Medicare Part D?
In 2024, Mark James Downey, MD had 1,345 Medicare Part D claims for 509 beneficiaries; the average among specialist prescribers was 1,380. Part D covers Medicare prescriptions only.
What is Mark James Downey, MD's MIPS final score?
The 2023 MIPS final score is 0 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.