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PROVIDER PROFILE · NPI 1225124043

Timothy DowneyM.D.

OtolaryngologyWest Grove, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 390100
Hospital
CCN 390111
Hospital
CCN 390179
Hospital
CCN 393025
Inpatient rehabilitation facility
QUALITY · MIPS · 2024
Final MIPS score
79.5
Quality
74.4
Cost
86.5
Improvement activities
40.0
Promoting interop.
65.0
Payment adjustment
0.19%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
703
Beneficiaries
—
Total drug cost
$20K
Distinct drugs
15
Brand share
9.7%
Top prescribed drugs
Ipratropium Bromide346 claims
Prednisone75 claims
Azelastine Hcl54 claims
Fluocinolone Acetonide Oil37 claims
Meclizine Hcl28 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,596
Unique beneficiaries
—
Total services
2,050
Distinct HCPCS
13
Medicare payment
$172K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 404 Otolaryngology providers in PA — top quintile (cohort median 977).
REFERRAL NETWORK

Where Timothy Downey's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 16 inbound referrers · 26 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
CHESTER COUNTY HOSPITAL118319
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
73186
WEST GROVE HOSPITAL COMPANY LLC71157
Tariq Quraishi
Diagnostic Radiology · Wilmington, DE
3580
Mark Lisi
Audiologist · West Grove, PA
3265
Barry Smoger
Diagnostic Radiology · Philadelphia, PA
3164
CALLAHAN, DAVID2988
William Barry
Diagnostic Radiology · West Chester, PA
2636
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
2037
Jeffrey Gramp
Diagnostic Radiology · Radnor, PA
1525
NPI 12058297021430
Karl Zimmerman
Internal Medicine · Kennett Square, PA
1324
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Mark Lisi
Audiologist · West Grove, PA
148229
CHESTER COUNTY HOSPITAL128388
WEST GROVE HOSPITAL COMPANY LLC68165
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
62102
Tariq Quraishi
Diagnostic Radiology · Wilmington, DE
3878
Alexandra Cortese
Audiologist · West Grove, PA
3865
Emily Cossaboon
Audiologist · Rockville, MD
3544
Brookside Clinical Laboratory Inc
Clinical Laboratory · Aston, PA
3486
CALLAHAN, DAVID2973
Barry Smoger
Diagnostic Radiology · Philadelphia, PA
2857
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA2565
Tracey Carmellini
Diagnostic Radiology · West Grove, PA
2240
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.