What is Mark Downey's specialty?

Mark Downey (NPI 1477507648) is a Medicare-billing provider whose primary specialty is Interventional Pain Management in Birmingham, AL.

Where does Mark Downey practice?

Mark Downey practices in Birmingham, AL, based on the location reported in the CMS Medicare provider datasets for NPI 1477507648.

How much does Medicare pay Mark Downey?

Mark Downey (NPI 1477507648) received approximately $275K in total Medicare Part B payments, serving 445 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1477507648

Mark DowneyMD

PRACTICESPINE GROUP ALABAMA, LLCSee all providers at this practice →

Interventional Pain ManagementBirmingham, ALI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,851

Unique beneficiaries

—

Total services

7,447

Distinct HCPCS

Medicare payment

$246K

Peer benchmark

Total Medicare services vs. 18 Interventional Pain Management providers in AL — above median (cohort median 5,664).

PRESCRIBING · PART D · 2024

Total Rx claims

1,309

Beneficiaries

—

Total drug cost

$13K

Distinct drugs

Brand share

15.8%

Top prescribed drugs

Gabapentin349 claims

Tramadol Hcl246 claims

Hydrocodone/Acetaminophen160 claims

Methocarbamol137 claims

Celecoxib105 claims

QUALITY · MIPS · 2024

Final MIPS score

21.3

Quality

0.0

Cost

71.0

Improvement activities

0.0

Promoting interop.

0.0

Payment adjustment

-6.44%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$542

Payment records

By payment type

Food and Beverage$542

Top paying entities

Food and Beverage$542

REFERRAL NETWORK

Where Mark 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). 25 inbound referrers · 35 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Teddy Sartin Anesthesiology · Birmingham, AL	190	298
Haley Brignac Certified Registered Nurse Anesthetist (CRNA) · Dothan, AL	148	186
Christy Zarzaur Nurse Practitioner · Birmingham, AL	127	185
Isadore Fleisher Anesthesiology · Bessemer, AL	111	157
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	82	153
RUTLEDGE, CATHERINE	81	100
Jeffrey Wade Orthopedic Surgery · Birmingham, AL	78	92
Jane Williams Anesthesiology · Birmingham, AL	77	91
Amanda Perkins Certified Registered Nurse Anesthetist (CRNA) · Hoover, AL	67	97
Paul Judson Anesthesiology · Bessemer, AL	67	100
Elizabeth Henley Certified Registered Nurse Anesthetist (CRNA) · Birmingham, AL	65	109
Janice Conway Certified Registered Nurse Anesthetist (CRNA) · Birmingham, AL	60	88

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Medplex Outpatient Surgery Center Ltd Ambulatory Surgical Center · Hoover, AL	160	300
Gregory Umphrey Anesthesiology · Birmingham, AL	130	209
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	74	128
Jonathan Walden Certified Registered Nurse Anesthetist (CRNA) · Greenville, SC	72	107
BROOKWOOD HEALTH SERVICES, INC.	66	106
Teddy Sartin Anesthesiology · Birmingham, AL	55	87
Haley Brignac Certified Registered Nurse Anesthetist (CRNA) · Dothan, AL	53	59
Vestavia Hills Imaging Center Independent Diagnostic Testing Facility (IDTF) · Vestavia Hills, AL	52	69
Katherine Carroll Certified Registered Nurse Anesthetist (CRNA) · Hoover, AL	49	72
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Tucker, GA	47	106
Isadore Fleisher Anesthesiology · Bessemer, AL	44	56
James Anderson Certified Registered Nurse Anesthetist (CRNA) · Fredericksburg, VA	38	77

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history