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JOSEPH ROGERS DOWNS III M.D.
NPI 1104910488
Internal Medicine in Opelika, AL

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
87.81/100
CMS Quality Rating
121 N 20TH ST STE 20B, OPELIKA, AL 36801(334) 321-3700(334) 887-7475 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2023, Oct 4, 2023 (2 updates tracked since 2023).

About Joseph Rogers Downs Iii M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH ROGERS DOWNS III M.D. (NPI 1104910488) is an individual internal medicine provider in Opelika, Alabama, licensed in Alabama (9668) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Valley, and is a graduate of Medical College Of Georgia School Of Medicine (1978).

NPPES Registry Identity

NPI1104910488
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSEPH ROGERS DOWNS IIICredential: M.D.
Location Address121 N 20TH ST STE 20BOpelika, AL 36801-5456
Mailing AddressPo Box 2145Opelika, AL 36803-2145 · (334) 321-3700 · Fax (334) 887-7475
Phone(334) 321-3700
Fax(334) 887-7475
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1978
Enumeration DateOctober 3, 2006
Last NPPES UpdateOctober 11, 20232 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
✔ NPI 1104910488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in AL · 9668✔ Licensed in GA · 20690
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 9668 (AL), 20690 (GA)
121 N 20TH ST STE 20B, Opelika, AL 36801
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Secondary Practice Location 1

Location 11 48th StValley, AL 36854-3616 · Phone (334) 756-3126 · Fax (334) 756-3129

Other Identifiers 3

Medicaid000080867AL
Medicaid00221581AGA
Medicaid000009536AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joseph Rogers Downs Iii M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769512052
PECOS Enrollment IDI20100614000010
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
54 services54 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) 93017
An exercise or drug-induced heart stress test with an ECG checks how your heart responds to stress. You'll either exercise on a treadmill or be given medication to stress your heart. An ECG then captures your heart's activity, helping detect any issues.
53 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.98
Promoting Interoperability99
Improvement Activities40
Cost66.2

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers28 claims79 services$4.69 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers12 claims18 services$0.94 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
3 suppliers16 claims489 services$7.26 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers15 claims7,195 services$0.48 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
1 supplier12 claims12 services$12.70 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier34 claims34 services$110.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ORAL AND MAXILLOFACIAL SURGERY OF EAST AL
Dentist (Oral and Maxillofacial Surgery)
121 N 20TH ST STE 20B
OPELIKA, AL 36801
Lee County (334) 749-3436
LAURA ZAMBRANA
Clinical Nurse Specialist
121 N 20TH ST STE 20B
OPELIKA, AL 36801
Lee County (334) 321-3700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Downs's NPI number?

The NPI number for Joseph Downs is 1104910488. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Joseph Downs located?

Joseph Downs practices at 121 N 20th St Ste 20B, Opelika, AL 36801. The listed phone number is (334) 321-3700.

What is Joseph Downs's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Joseph Downs enrolled in Medicare?

Yes. Joseph Downs is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Joseph Downs accept?

Health plans from Blue Cross and Blue Shield of Alabama list Joseph Downs as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joseph Downs was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.