1. Home
  2. Directory
  3. Kentucky
  4. Columbia
  5. Optometrist
  6. NPI Profile

DR. MAX MITCHELL DOWNEY OD
NPI 1689675159
Optometrist in Columbia, KY

Active since August 09, 2005PECOS Enrolled
301 BURKESVILLE ST, COLUMBIA, KY 42728(270) 384-6043(270) 384-0672 Get Directions Write a Review

NPPES record last updated: September 16, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Max Mitchell Downey Od NPPES

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

DR. MAX MITCHELL DOWNEY OD (NPI 1689675159) is an individual optometrist in Columbia, Kentucky, licensed in Kentucky (979DT) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689675159
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MAX MITCHELL DOWNEYCredential: OD
Location Address301 BURKESVILLE STColumbia, KY 42728-1921
Mailing Address301 Burkesville StColumbia, KY 42728-1921 · (270) 384-6043 · Fax (270) 384-0672
Phone(270) 384-6043
Fax(270) 384-0672
Sole ProprietorYes
Enumeration DateAugust 9, 2005
Last NPPES UpdateSeptember 16, 2011
✔ NPI 1689675159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in KY · 979DT
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedEyewear SupplierTaxonomy 332H00000X · License KY979DT (KY)
301 BURKESVILLE ST, Columbia, KY 42728
Open in Google Maps ↗

Other Identifiers 7

Medicare ID-Type Unspecified9168401KY
Medicaid77904126KY
Other0738910001KY · Jurisdiction B Dmemac
Medicare ID-Type Unspecified9801KY · Group
Other1841253424KY · Group Npi
Medicaid77009793KY
Medicare UPINT54669KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Max Mitchell Downey Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Max Downey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Danville Eye Center, PLLC
46 mi
Optometrist
104 SMOKY WAY,, STE. 100
Danville, KY 40422
  • Reassigned Medicare billing, Kentucky enrollment
  • 10 clinicians in this Medicare group
NPI 1619019213 (859) 236-8644

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42728 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
65%488 patients2/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%895 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
88%1,572 patients4/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
97%1,572 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
39%1,572 patients3/55-star benchmark: 59%
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 3

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

SARAI WILLIAMS O.D.
Optometrist
301 BURKESVILLE ST
COLUMBIA, KY 42728
Adair County (270) 384-6043
JEREMIA 17:14 FAMILY MEDICINE
Clinic/Center (Rural Health)
301 BURKESVILLE ST
COLUMBIA, KY 42728
Adair County (270) 384-9934
HOMETOWN CONNECT INC
Family Medicine
301 BURKESVILLE ST
COLUMBIA, KY 42728
Adair County (270) 789-4663

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 Max Downey's NPI number?

The NPI number for Max Downey is 1689675159. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Max Downey located?

Max Downey practices at 301 Burkesville St, Columbia, KY 42728. The listed phone number is (270) 384-6043.

What is Max Downey's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Max Downey enrolled in Medicare?

Yes. Max Downey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Max Downey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Max Downey reassigns Medicare benefits to Danville Eye Center, PLLC (Danville, KY). The 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 Max Downey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Max Downey accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Max 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.

When was this NPI record last updated?

The NPPES record for Max Downey was last updated on September 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.