Susan Marie McDowell, MD
Physical Medicine & Rehabilitation Physician · Lexington, KY
Susan Marie McDowell, MD is a physical medicine & rehabilitation physician with a practice address in Lexington, Kentucky, and NPI 1770676694, issued on Oct 2, 2006. Check the license (Kentucky 28110, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Susan Marie McDowell
- Credential
- MD
- Primary taxonomy
- Physical Medicine & Rehabilitation Physician 208100000X
- License number
- 28110 KY
Self-reported in NPPES; status is on the state search - Practice location
- 740 S Limestone, Lexington, KY 40536
- Phone
- (859) 257-4888
- Enumerated
- Oct 2, 2006
- Record last updated
- Nov 27, 2012 (not updated in 14 years: call before relying on the address or phone)
- Medicaid ID
- 64281108 KY
- Medicare enrollment
- Enrolled (PECOS I20071120000606); accepts Medicare assignment
- Medical or professional school
- Medical College Of Georgia School Of Medicine, 1990
- Entity
- Type 1 · individual
8 nearest physical medicine & rehabilitation physician records → All 158 in Kentucky → Look up another NPI →
Also registered at 740 S Limestone
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Susan Marie McDowell in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license 28110Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
23% fewer Medicare Part D claims than the average physical medicine & rehabilitation physician in 2024
557 Medicare Part D claims for 60 beneficiaries, against an average of 727 among the 7,448 providers of this specialty who prescribed in Part D. Brand-name drugs were 7% of claims. 50 claims were for opioids.
Most prescribed
- Baclofen78 claims
- Gabapentin52 claims
- Oxycodone Hcl30 claims
- Sertraline Hcl27 claims
- Diazepam26 claims
- Mirtazapine19 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): 100 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.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $95.33
3 payments; by number, the most common kind was food and beverage; the largest payer was Pacira Pharmaceuticals Incorporated. The 3,895 providers of this specialty with any payment received $1,237.86 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
- Kentucky Medical Services Foundation, IncLexington, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Susan Marie McDowell among 158 physical medicine & rehabilitation physician records in Kentucky
Susan Marie McDowell, MD is one of 158 physical medicine & rehabilitation physician records with a practice address in Kentucky. 58% 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 7% of them.
- NPI issued2006 · 7% of these records are older, 64% newer
- In a Medicare fileYes · 58% of these records are
- In the CMS Doctors and Clinicians fileYes · 53% of these records are
- Graduated1990 · median 2009 among the 82 with a school on file
- Record last updated2012 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208100000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Physical Medicine & Rehabilitation Physician providers in Kentucky
There are 158 physical medicine & rehabilitation physician records in Kentucky.
All 158 in Kentucky → Every provider in Lexington → Physical Medicine & Rehabilitation Physician nationwide →
The 8 physical medicine & rehabilitation physician records with the nearest ZIP codes
- Clay Guynn, D.O.Lexington, KY 405361699180398
- Cecil Hollen, D.O.Lexington, KY 405361821433970
- Robert Nickerson, MDLexington, KY 405361932136041
- Raechel Percy, D.O.Lexington, KY 405361467896019
- Andrew Savoie, D.O.Lexington, KY 405361225443187
- Sierra Catiller, PT, DPTLexington, KY 405171902790637
- Paul Ilkanich, MDLexington, KY 405171639674500
- Kathleen Binder, M.D.Lexington, KY 405111528142874
Common questions
What is Susan Marie McDowell, MD's NPI number?
Susan Marie McDowell, MD's National Provider Identifier (NPI) is 1770676694, issued on Oct 2, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Susan Marie McDowell, MD located?
The NPPES record lists a practice address at 740 S Limestone, Lexington, KY, 40536. Phone: (859) 257-4888. Providers update this record themselves, so call before visiting.
How can I verify Susan Marie McDowell, MD's license?
NPPES lists Kentucky license number 28110, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Susan Marie McDowell, MD prescribe under Medicare Part D?
In 2024, Susan Marie McDowell, MD had 557 Medicare Part D claims for 60 beneficiaries; the average among physical medicine & rehabilitation physician prescribers was 727. Part D covers Medicare prescriptions only.
What is Susan Marie McDowell, MD's MIPS final score?
The 2023 MIPS final score is 100 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.