2026 NPPES data Emergency Medicine Physician NPI 1164527537 M.D.
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WILLIAM DOWNS, M.D.

Emergency Medicine Physician in LIHUE, Hawaii. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
102
Medicare Part D claims · 43 beneficiaries · Emergency Medicine Physician avg: 352
What the federal data reveals: WILLIAM DOWNS, M.D. is a Emergency Medicine Physician ([object Object]) practicing in LIHUE, Hawaii with a Medicare Part D prescribing footprint of 102 claims across 43 beneficiaries .

What stands out: WILLIAM DOWNS, M.D. filed 102 Medicare Part D claims in 2023 across LIHUE, Hawaii. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

WILLIAM DOWNS, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

WILLIAM DOWNS, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 09/13/2006

NPI 1164527537

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

102 71% vs specialty avg

2023 prescription claims

Specialty avg: 352

Specialty distribution in Hawaii

How Emergency Medicine Physician compares to other specialties among Hawaii providers

Hawaii providers

Emergency Medicine Physician share within Hawaii

1. Emergency Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medicine Physician share within Hawaii

Specialty board-certification context

Estimated specialty board-certified rate — Emergency Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Emergency Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Emergency Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Emergency Medicine Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

WILLIAM DOWNS, M.D. is a Emergency Medicine Physician provider practicing in LIHUE, Hawaii, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1164527537. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

WILLIAM DOWNS, M.D. appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding M.D. credentials at 4457 PAHEE ST, LIHUE, HI, 96766, with a listed phone of (808) 245-7277. NPI 1164527537 was issued on 09/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DOWNS most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 102 prescription claims written by this provider, covering 43 Medicare beneficiaries and totaling roughly $19K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

4457 PAHEE ST
LIHUE, HI 96766

Provider Details

NPI 1164527537
Specialty Emergency Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 09/13/2006

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

102
Total Claims
$19K
Total Drug Cost
43
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
107
Total Day Supply
1,870
Generic Drug Cost
$2K
Antibiotic Claims
13

Patient Demographics

Average Patient Age
84.0 years
Avg HCC Risk Score
1.58
Gender Split
63% female / 37% male

Emergency Medicine Physician Overview

How WILLIAM DOWNS, M.D. fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

WILLIAM DOWNS, M.D.'s 102 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Hawaii

Other clinicians with the same primary specialty enrolled in Hawaii, drawn from the same CMS NPPES roster as DOWNS.

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is WILLIAM DOWNS, M.D.'s specialty?
WILLIAM DOWNS, M.D. specializes in Emergency Medicine Physician and practices in LIHUE, Hawaii. Credentials: M.D..
How much does WILLIAM DOWNS, M.D. prescribe under Medicare Part D?
In 2023, WILLIAM DOWNS, M.D. wrote 102 Medicare Part D claims totaling $19K in drug costs for 43 beneficiaries.
Where is WILLIAM DOWNS, M.D. located?
WILLIAM DOWNS, M.D. is located at 4457 PAHEE ST, LIHUE, HI, 96766. Phone: (808) 245-7277.
What is WILLIAM DOWNS, M.D.'s NPI number?
WILLIAM DOWNS, M.D.'s National Provider Identifier (NPI) is 1164527537, issued on 09/13/2006.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
Does WILLIAM DOWNS, M.D. accept Medicare?
WILLIAM DOWNS, M.D. appears in CMS Medicare data with 102 Part D claims and 43 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify WILLIAM DOWNS, M.D.'s credentials?
WILLIAM DOWNS, M.D.'s NPI is 1164527537 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology