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DR. PHILLIP RAY DOWDY JR. D.P.M.
NPI 1255538500
Podiatrist - Foot & Ankle Surgery in Ashland, KY

Active since June 29, 2007PECOS EnrolledAccepts Medicare Assignment
82.94/100
CMS Quality Rating
1000 ASHLAND DR, STE. 105, ASHLAND, KY 41101(606) 833-6260(606) 833-6261 Get Directions Write a Review

NPPES record last updated: March 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Phillip Ray Dowdy Jr. D.p.m. NPPES

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

DR. PHILLIP RAY DOWDY JR. D.P.M. (NPI 1255538500) is an individual foot & ankle surgery provider in Ashland, Kentucky, licensed in Kentucky (00347) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of Barry University School Of Podiatric Medicine (2006).

NPPES Registry Identity

NPI1255538500
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. PHILLIP RAY DOWDY JR.Credential: D.P.M.
Location Address1000 ASHLAND DR, STE. 105Ashland, KY 41101-7084
Mailing AddressPo Box 2379Ashland, KY 41105-2379 · (606) 408-6200 · Fax (606) 408-6612
Phone(606) 833-6260
Fax(606) 833-6261
Sole ProprietorNo
Medical School CMSBarry University School Of Podiatric MedicineGraduated 2006
Enumeration DateJune 29, 2007
Last NPPES UpdateMarch 23, 2020
NPPES CertifiedMarch 23, 2020
✔ NPI 1255538500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in KY · 00347
1000 ASHLAND DR, Ashland, KY 41101
Open in Google Maps ↗

Other Identifiers 3

Other000000674882KY · Anthem Bcbs
Medicaid7100110760KY
Medicaid3110305OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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

Dr. Phillip Ray Dowdy Jr. D.p.m. 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 ID8426197757
PECOS Enrollment IDI20091130000417
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 10

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
903 services329 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
286 services179 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
245 services155 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
101 services101 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
40 services36 patients

Hospital Affiliations CMS Care Compare

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

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.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.01
Promoting Interoperability100
Improvement Activities40
Cost65.57

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%285 patients5/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%133 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
34%446 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
4%417 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
46%169 patients2/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
100%197 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 17

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

TOMIE THOMPSON ARNP
Nurse Practitioner
1000 ASHLAND DR, STE G1
ASHLAND, KY 41101
Boyd County (606) 833-4043
RIVER CITIES BONE AND JOINT CENTRE PSC
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1000 ASHLAND DR, SUITE 103
ASHLAND, KY 41101
Boyd County (606) 324-0097
MICHAEL J GOODWIN M.D.
Orthopaedic Surgery
1000 ASHLAND DR, SUITE 103
ASHLAND, KY 41101
Boyd County (606) 325-0227
WALZ FAMILY MEDICINE, P.S.C
Family Medicine
1000 ASHLAND DR, SUITE 105
ASHLAND, KY 41101
Boyd County (606) 327-0077
WECARE MEDICAL, LLC
Prosthetic/Orthotic Supplier
1000 ASHLAND DR
ASHLAND, KY 41101
Boyd County (606) 833-2131
BELLEFONTE PHYSICIAN SERVICES, INC.
Surgery (Plastic and Reconstructive Surgery)
1000 ASHLAND DR, STE. 303
ASHLAND, KY 41101
Boyd County (606) 325-0753
RIVER CITIES BONE AND JOINT CENTRE PSC
Orthopaedic Surgery
1000 ASHLAND DR, SUITE 103
ASHLAND, KY 41101
Boyd County (606) 324-0097
OUR LADY OF BELLEFONTE HOSPITAL, INC.
Nurse Practitioner
1000 ASHLAND DR, STE G1
ASHLAND, KY 41101
Boyd County (606) 833-4043

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 Phillip Dowdy's NPI number?

The NPI number for Phillip Dowdy is 1255538500. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Phillip Dowdy located?

Phillip Dowdy practices at 1000 Ashland Dr Ste. 105, Ashland, KY 41101. The listed phone number is (606) 833-6260.

What is Phillip Dowdy's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Phillip Dowdy enrolled in Medicare?

Yes. Phillip Dowdy 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 Phillip Dowdy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Phillip Dowdy 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 Phillip Dowdy affiliated with any hospitals?

According to CMS data, Phillip Dowdy is affiliated with King's Daughters' Medical Center.

When was this NPI record last updated?

The NPPES record for Phillip Dowdy was last updated on March 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.