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DR. MICHAEL MCDOWELL MD
NPI 1740252105
Otolaryngology in Orange Park, FL

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment
1825 KINGSLEY AVE STE 250, ORANGE PARK, FL 32073(904) 276-2549(904) 276-9235 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 21, 2022, Nov 11, 2022, Oct 1, 2020 (3 updates tracked since 2020).

About Dr. Michael Mcdowell Md NPPES

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

DR. MICHAEL MCDOWELL MD (NPI 1740252105) is an individual otolaryngology provider in Orange Park, Florida, licensed in Florida (ME153243) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1740252105
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. MICHAEL MCDOWELLCredential: MD
Location Address1825 KINGSLEY AVE STE 250Orange Park, FL 32073-4478
Mailing Address2853 Grande Oaks WayFleming Island, FL 32003-3769 · (401) 239-7211
Phone(904) 276-2549
Fax(904) 276-9235
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2000
Enumeration DateFebruary 1, 2006
Last NPPES UpdateDecember 21, 20223 updates tracked since enumeration
NPPES CertifiedDecember 21, 2022
✔ NPI 1740252105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in FL · ME153243✔ Licensed in MA · 282387✔ Licensed in VA · 0101232142
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1825 KINGSLEY AVE STE 250, Orange Park, FL 32073
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1620 John Paul Jones CirPortsmouth, VA 23708-2111 · Phone (757) 953-2800
Location 2299 Faunce Corner RdNorth Dartmouth, MA 02747-6244 · Phone (508) 995-0700 · Fax (508) 973-1355

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Taro Health.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

Dr. Michael Mcdowell Md 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 ID8628135001
PECOS Enrollment IDI20200831001277, I20220404002567
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

4

Medicare enrollment records show Michael Mcdowell reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Florida Jacksonville Physicians Inc
13 mi
Neurological Surgery
580 W 8TH ST, UFJP NEUROSURGERY
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 1,456 clinicians in this Medicare group
NPI 1225298599 (904) 244-3660
Lakeland Regional Health Systems, Inc.
146 mi
Multi-Specialty
1324 LAKELAND HILLS BLVD, FINANCE DEPARTMENT
Lakeland, FL 33805
  • Reassigned Medicare billing, Florida enrollment
  • 740 clinicians in this Medicare group
NPI 1497748743 (863) 687-7251
Breathe Free Sinus & Allergy Centers Of Florida LLC
326 mi
Otolaryngology
4601 SPANISH TRL
Pensacola, FL 32504
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
NPI 1952978124 (850) 990-9407
Southcoast Physicians Group, Inc.
997 mi
Family Medicine
200 MILL ROAD, SUITE 180
Fairhaven, MA 02719
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,144 clinicians in this Medicare group
NPI 1336137629 (508) 973-2000

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

Hospital Affiliations CMS Care Compare 2

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32073 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 1740252105. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Michael Mcdowell located?

Michael Mcdowell practices at 1825 Kingsley Ave Ste 250, Orange Park, FL 32073. The listed phone number is (904) 276-2549.

What is Michael Mcdowell's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

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 4 organizations: University Of Florida Jacksonville Physicians Inc (Jacksonville, FL), Lakeland Regional Health Systems, Inc. (Lakeland, FL), Breathe Free Sinus & Allergy Centers Of Florida LLC (Pensacola, FL) and Southcoast Physicians Group, Inc. (Fairhaven, MA). 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 Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Taro Health 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.

Is Michael Mcdowell affiliated with any hospitals?

According to CMS data, Michael Mcdowell is affiliated with Shands Jacksonville and Southcoast Hospitals Group.

When was this NPI record last updated?

The NPPES record for Michael Mcdowell was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.