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DR. MICHAEL WAYNE DOWNEY D.P.M.
NPI 1932467396
Podiatrist - Foot & Ankle Surgery in Southlake, TX

Active since April 23, 2012PECOS EnrolledAccepts Medicare Assignment
50.85/100
CMS Quality Rating
245 WEST STATE HIGHWAY 114, SUITE 300, SOUTHLAKE, TX 76092(972) 438-4636(682) 477-4314 Get Directions Write a Review

NPPES record last updated: January 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael Wayne Downey D.p.m. NPPES

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

DR. MICHAEL WAYNE DOWNEY D.P.M. (NPI 1932467396) is an individual foot & ankle surgery provider in Southlake, Texas, licensed in Texas (2157) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Southlake, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2012).

NPPES Registry Identity

NPI1932467396
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. MICHAEL WAYNE DOWNEYCredential: D.P.M.
Location Address245 WEST STATE HIGHWAY 114, SUITE 300Southlake, TX 76092
Mailing Address245 West State Highway 114, Suite 300Southlake, TX 76092 · (972) 438-4636 · Fax (682) 477-4314
Phone(972) 438-4636
Fax(682) 477-4314
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2012
Enumeration DateApril 23, 2012
Last NPPES UpdateJanuary 17, 2022
NPPES CertifiedJanuary 13, 2022
✔ NPI 1932467396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in TX · 2157
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
245 WEST STATE HIGHWAY 114, Southlake, TX 76092
Open in Google Maps ↗

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

Dr. Michael Wayne Downey 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 ID5890004402
PECOS Enrollment IDI20160630000404
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 11

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
245 services144 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.
123 services79 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
110 services69 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.
78 services78 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.
62 services42 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
60 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Texas Health Harris Methodist Hospital Southlake

Acute Care Hospitals · Southlake, TX
OwnershipGovernment - State
CMS Certification Number450888
Location1545 E Southlake BlvdSouthlake, TX 76092 · Tarrant County
Emergency services

Medical City Alliance

Acute Care Hospitals · Fort Worth, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670103
Location3101 North Tarrant ParkwayFort Worth, TX 76177 · Tarrant County
Emergency services Birthing friendly

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.

50.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability0
Improvement Activities40
Cost19.5

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$26.00 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$7.67 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier19 claims19 services$218.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Downey's NPI number?

The NPI number for Michael Downey is 1932467396. It was assigned to this individual provider in the NPPES registry on April 23, 2012.

Where is Michael Downey located?

Michael Downey practices at 245 West State Highway 114 Suite 300, Southlake, TX 76092. The listed phone number is (972) 438-4636.

What is Michael Downey's specialty?

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

Is Michael Downey enrolled in Medicare?

Yes. Michael Downey 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 Michael Downey 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 6 other insurers list Michael 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.

Is Michael Downey affiliated with any hospitals?

According to CMS data, Michael Downey is affiliated with Texas Health Harris Methodist Hospital Southlake and Medical City Alliance.

When was this NPI record last updated?

The NPPES record for Michael Downey was last updated on January 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.