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GEORGE A DOWNHAM DO
NPI 1295316933
Family Medicine in Conroe, TX

Active since April 15, 2021PECOS EnrolledAccepts Medicare Assignment
3251 I H 45 N STE 100, CONROE, TX 77304(936) 441-9000 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 19, 2022, May 25, 2021, Apr 15, 2021 (3 updates tracked since 2021).

About George A Downham Do NPPES

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

GEORGE A DOWNHAM DO (NPI 1295316933) is an individual family medicine provider in Conroe, Texas, licensed in Texas (T8804) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with St Luke's The Woodlands Hospital, and is a graduate of Alabama College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1295316933
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGEORGE A DOWNHAMCredential: DO
Location Address3251 I H 45 N STE 100Conroe, TX 77304-2185
Mailing Address3251 Interstate 45 N Ste 100Conroe, TX 77304-2185 · (936) 441-9000
Phone(936) 441-9000
Sole ProprietorNo
Medical School CMSAlabama College Of Osteopathic MedicineGraduated 2021
Enumeration DateApril 15, 2021
Last NPPES UpdateAugust 19, 20253 updates tracked since enumeration
NPPES CertifiedAugust 19, 2025
✔ NPI 1295316933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · T8804
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3251 I H 45 N STE 100, Conroe, TX 77304
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 A Downham 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 ID941609010
PECOS Enrollment IDI20240119000969
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.

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.
80 services62 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.
16 services13 patients

Hospital Affiliations CMS Care Compare 3

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

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450862
Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County
Emergency services Birthing friendly

Chi St Lukes Lakeside Hospital

Acute Care Hospitals · The Woodlands, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number670059
Location17400 St Lukes WayThe Woodlands, TX 77384 · Montgomery County
Emergency services

Aspire Hospital

Acute Care Hospitals · Conroe, TX
OwnershipPhysician
CMS Certification Number670093
Location2006 South Loop 336 West, Suite 500Conroe, TX 77304 · Montgomery County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77304 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES

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

COLE ATKINSON NP
Nurse Practitioner (Family)
3251 I H 45 N STE 100
CONROE, TX 77304
Montgomery County (936) 414-9000

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 Downham's NPI number?

The NPI number for George Downham is 1295316933. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Where is George Downham located?

George Downham practices at 3251 I H 45 N Ste 100, Conroe, TX 77304. The listed phone number is (936) 441-9000.

What is George Downham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is George Downham enrolled in Medicare?

Yes. George Downham 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 Downham accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list George Downham 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 Downham affiliated with any hospitals?

According to CMS data, George Downham is affiliated with St Luke's The Woodlands Hospital, Chi St Lukes Lakeside Hospital and Aspire Hospital.

When was this NPI record last updated?

The NPPES record for George Downham was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.