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GEORGE DOWNEY D.O.
NPI 1245692532
Internal Medicine in Macon, GA

Active since March 24, 2016PECOS EnrolledAccepts Medicare Assignment
77.82/100
CMS Quality Rating
777 HEMLOCK ST, MSC 69, MACON, GA 31201(478) 633-1700(478) 633-7032 Get Directions Write a Review

NPPES record last updated: February 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 23, 2018, Mar 28, 2016, Mar 24, 2016 (3 updates tracked since 2016).

About George Downey D.o. NPPES

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

GEORGE DOWNEY D.O. (NPI 1245692532) is an individual internal medicine provider in Macon, Georgia, licensed in Georgia (008441) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and is a graduate of Philadelphia College Of Osteopathic Medicine (2016).

NPPES Registry Identity

NPI1245692532
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGEORGE DOWNEYCredential: D.O.
Location Address777 HEMLOCK ST, MSC 69Macon, GA 31201-2102
Mailing Address777 Hemlock St, Msc 69Macon, GA 31201-2102 · (478) 633-1700 · Fax (478) 633-7032
Phone(478) 633-1700
Fax(478) 633-7032
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2016
Enumeration DateMarch 24, 2016
Last NPPES UpdateFebruary 23, 20183 updates tracked since enumeration
✔ NPI 1245692532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 008441
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
777 HEMLOCK ST, Macon, GA 31201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

George Downey D.o. 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 ID8224392931
PECOS Enrollment IDI20190912003304
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
228 services86 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
58 services26 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
57 services56 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

77.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.04
Promoting Interoperability92
Improvement Activities40
Cost60.7

Other Providers at the Same Location NPPES 20

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

LAUREN WAGNER D.O.
Pediatrics
777 HEMLOCK ST, MSC 42
MACON, GA 31201
Bibb County (478) 633-7600
AMELIA CATHERINE LLERENA
Obstetrics & Gynecology
777 HEMLOCK ST
MACON, GA 31201
Bibb County (478) 633-6701
JO BETH ROBERTS NP
Nurse Practitioner (Pediatrics)
777 HEMLOCK ST
MACON, GA 31201
Bibb County (478) 633-6706
RONALD KNIGHTS PHRAM. D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
777 HEMLOCK ST
MACON, GA 31201
Bibb County (478) 633-1434
MRS. DENA D MCKENNA PAAA
Anesthesiologist Assistant
777 HEMLOCK ST, MSC10
MACON, GA 31201
Bibb County (478) 633-1000
LOWELL CLARK MD
Pediatrics (Pediatric Critical Care Medicine)
777 HEMLOCK ST, MSC 83
MACON, GA 31201
Bibb County (478) 633-7140
RICHARD A SCHERER CRNA
Nurse Anesthetist, Certified Registered
777 HEMLOCK ST
MACON, GA 31201
Bibb County (866) 507-5244
DEMETRA D MCGLOTHIN CRNA
Nurse Anesthetist, Certified Registered
777 HEMLOCK ST
MACON, GA 31201
Bibb County (866) 507-5244

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 George Downey's NPI number?

The NPI number for George Downey is 1245692532. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is George Downey located?

George Downey practices at 777 Hemlock St Msc 69, Macon, GA 31201. The listed phone number is (478) 633-1700.

What is George Downey's specialty?

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

Is George Downey enrolled in Medicare?

Yes. George Downey 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 George Downey accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list George Downey 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.

Is George Downey affiliated with any hospitals?

According to CMS data, George Downey is affiliated with Au Medical Center.

When was this NPI record last updated?

The NPPES record for George Downey was last updated on February 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.