Timothy Joseph Downey, M.D.
Otolaryngology Physician · West Grove, PA
Timothy Joseph Downey, M.D. is an otolaryngology physician with a practice address in West Grove, Pennsylvania, and NPI 1225124043, issued on Oct 5, 2006. Check the license (Pennsylvania MD436393, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Timothy Joseph Downey
- Credential
- M.D.
- Primary taxonomy
- Otolaryngology Physician 207Y00000X
- License number
- MD436393 PA
Self-reported in NPPES; status is on the state search - Practice location
- 1 Commerce Blvd Ste 201, West Grove, PA 19390
- Phone
- (610) 345-0977
- Enumerated
- Oct 5, 2006
- Record last updated
- Dec 3, 2009 (not updated in 17 years: call before relying on the address or phone)
- Fax
- (610) 345-0986
- Medicare enrollment
- Enrolled (PECOS I20091201000586); accepts Medicare assignment
- Medical or professional school
- Creighton University School Of Medicine, 1996
- Entity
- Type 1 · individual
8 nearest otolaryngology physician records → All 531 in Pennsylvania → Look up another NPI →
Verify Timothy Joseph Downey in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MD436393Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
51% more Medicare Part D claims than the average otolaryngology physician in 2024
816 Medicare Part D claims for 377 beneficiaries, against an average of 541 among the 8,339 providers of this specialty who prescribed in Part D. Brand-name drugs were 1% of claims.
Most prescribed
- Ipratropium Bromide346 claims
- Prednisone75 claims
- Azelastine Hcl54 claims
- Fluocinolone Acetonide Oil37 claims
- Meclizine Hcl28 claims
- Montelukast Sodium27 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): 95.8 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).
Bills Medicare through 2 group practices
- Agape Physical Therapy And Sports Rehabilitation LPForest Hill, MD
- Pinnacle Ent Alliance LLCExton, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Timothy Joseph Downey among 531 otolaryngology physician records in Pennsylvania
Timothy Joseph Downey, M.D. is one of 531 otolaryngology physician records with a practice address in Pennsylvania. 82% 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 10% of them.
- NPI issued2006 · 10% of these records are older, 53% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 67% of these records are
- Graduated1996 · median 2002 among the 355 with a school on file
- Record last updated2009 · 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 207Y00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Otolaryngology Physician providers in Pennsylvania
There are 531 otolaryngology physician records in Pennsylvania.
All 531 in Pennsylvania → Every provider in West Grove → Otolaryngology Physician nationwide →
The 8 otolaryngology physician records with the nearest ZIP codes
- Mark Beaugard, M.D.West Chester, PA 193801013092519
- Jenny MaWest Chester, PA 193801114424553
- Alan Berger, MDNorristown, PA 194011750465266
- Staci LevickNorristown, PA 194011669556171
- Alan Miller, M.D.Norristown, PA 194011932162930
- Lana Patitucci, D.O.East Norriton, PA 194011427287531
- Warren Zager, M.D.Norristown, PA 194011316900897
- Bhupendra Krishna, MDKennett Square, PA 193481790980621
Common questions
What is Timothy Joseph Downey, M.D.'s NPI number?
Timothy Joseph Downey, M.D.'s National Provider Identifier (NPI) is 1225124043, issued on Oct 5, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Timothy Joseph Downey, M.D. located?
The NPPES record lists a practice address at 1 Commerce Blvd Ste 201, West Grove, PA, 19390. Phone: (610) 345-0977. Providers update this record themselves, so call before visiting.
How can I verify Timothy Joseph Downey, M.D.'s license?
NPPES lists Pennsylvania license number MD436393, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Timothy Joseph Downey, M.D. prescribe under Medicare Part D?
In 2024, Timothy Joseph Downey, M.D. had 816 Medicare Part D claims for 377 beneficiaries; the average among otolaryngology physician prescribers was 541. Part D covers Medicare prescriptions only.
What is Timothy Joseph Downey, M.D.'s MIPS final score?
The 2023 MIPS final score is 95.8 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.