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MICHAEL DONALD MCDOWELL JR. DO
NPI 1285165357
Pediatrics - Pediatric Pulmonology in Dallas, TX

Active since March 21, 2017PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 590-8000 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 17, 2026, Apr 22, 2024, Jun 22, 2017 and 1 more (4 updates tracked since 2017).

About Michael Donald Mcdowell Jr. Do NPPES

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

MICHAEL DONALD MCDOWELL JR. DO (NPI 1285165357) is an individual pediatric pulmonology provider in Dallas, Texas, licensed in Texas (S5700) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1285165357
Entity TypeIndividualMale
Primary Taxonomy2080P0214X
Provider Legal NameMICHAEL DONALD MCDOWELL JR.Credential: DO
Location Address5323 HARRY HINES BLVDDallas, TX 75390-7201
Mailing Address6431 Fannin StHouston, TX 77030-1501 · (713) 500-5650
Phone(214) 590-8000
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 21, 2017
Last NPPES UpdateAugust 17, 20264 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1285165357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License✔ Licensed in TX · S5700
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Also ListedPediatricsTaxonomy 208000000X · License 2017017626 (MO), S5700 (TX)
5323 HARRY HINES BLVD, Dallas, TX 75390
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Secondary Practice Location 1

Location 16410 Fannin StHouston, TX 77030-3000 · Phone (832) 325-6516

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Donald Mcdowell Jr. Do 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 ID4880965821
PECOS Enrollment IDI20230601002740
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Mcdowell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Texas Southwestern Medical Center At Dallas
Same address
Anatomic Pathology & Clinical Pathology
5323 HARRY HINES BLVD
Dallas, TX 75390
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1104891050 (214) 645-0624
Ut Physicians
230 mi
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
NPI 1033157821 (832) 325-7325

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

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.

MRS. TANYA MARIE PLETIN PA-C
Physician Assistant
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-6400
BENJAMIN SETH MARTINEZ MD
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3111
LEE M. LUNSFORD MD
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-8000
TING-YI CHEN M.D.
Internal Medicine (Infectious Disease)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-2800
DR. STEPHANIE C JONES MD
Pain Medicine (Interventional Pain Medicine)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-9374
DR. ALECIA CURLENE NERO M.D.
Internal Medicine (Hematology)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-4180
DR. KATHERINE ANNA JOHNSON MD
Pediatrics
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 456-0771
ALEX KOYFMAN M.D.
Emergency Medicine
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-0624

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 Michael Mcdowell's NPI number?

The NPI number for Michael Mcdowell is 1285165357. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Michael Mcdowell located?

Michael Mcdowell practices at 5323 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 590-8000.

What is Michael Mcdowell's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Michael Mcdowell enrolled in Medicare?

Yes. Michael Mcdowell 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.

Which organizations bill Medicare for Michael Mcdowell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Mcdowell reassigns Medicare benefits to 2 organizations: University Of Texas Southwestern Medical Center At Dallas (Dallas, TX) and Ut Physicians (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Mcdowell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Mcdowell accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Michael Mcdowell 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 Michael Mcdowell was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.