Dr. Thomas Watson Downes , MD
Surgery • Boaz, AL
2525 Us Highway 431, Suite 170
Boaz, AL 359575934
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on January 15, 2007; this date does not establish years in practice.
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Published CMS data list 246 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 84 service units.
- 99203 — New patient outpatient office visit: 51 service units.
- 99213 — Established patient outpatient office visit: 35 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 7 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 245 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) — 111 prescription fills, including refills.
- Gavilyte-G (Peg3350/Sod Sulf,bicarb,cl/Kcl) — 26 prescription fills, including refills.
- Peg-3350 And Electrolytes (Peg3350/Sod Sulf,bicarb,cl/Kcl) — 19 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 9 records in the table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Surgery in Alabama (2024, 262 clinicians with data). Median for this group: 241. Middle half: 114 to 402.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 481 in 2020 to 246 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
2525 Us Highway 431
Suite 170
Boaz, AL 359575934
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
258 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $38,047 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $27,032 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
245 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,858 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2024
All general payments: $992.18 across 8 records.
By nature of payment
- Travel and Lodging: $711.27 across 2 records.
- Food and Beverage: $143.00 across 5 records.
- Education: $137.91 across 1 record.
Reporting-company totals
- INTUITIVE SURGICAL, INC.: $932.48 across 7 records.
- Medtronic, Inc.: $59.70 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Downes has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Downes as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Boaz and Alabama
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Surgery in Alabama (2024, 262 clinicians with data). Median for this group: 241. Middle half: 114 to 402.
Too few clinicians listed under Surgery in Boaz have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 60% of clinicians listed under Surgery in Alabama (2024, 262 clinicians with data). Median for this group: $27,730. Middle half: $12,581 to $48,415.
Too few clinicians listed under Surgery in Boaz have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 60% of clinicians listed under Surgery in Alabama (2024, 262 clinicians with data). Median for this group: $21,212. Middle half: $9,421 to $37,171.
Too few clinicians listed under Surgery in Boaz have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 70% of clinicians listed under Surgery in Alabama (2024, 274 clinicians with data). Median for this group: 116. Middle half: 53 to 255.
Too few clinicians listed under Surgery in Boaz have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 60% of clinicians listed under Surgery in Alabama (2024, 274 clinicians with data). Median for this group: $1,026. Middle half: $329 to $4,875.
Too few clinicians listed under Surgery in Boaz have Medicare Part D data for 2024 to compare.
3 active clinicians are listed under Surgery with a practice address in Boaz, AL (445 in Alabama).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 49% from 481 in 2020 to 246 in 2024.
- 2020: 481
- 2021: 606
- 2022: 420
- 2023: 292
- 2024: 246
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Medicare-allowed amount
Medicare-allowed amount decreased 38% from $61,315 in 2020 to $38,047 in 2024.
- 2020: $61,315
- 2021: $86,995
- 2022: $60,127
- 2023: $36,202
- 2024: $38,047
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Paid by Medicare
Paid by Medicare decreased 42% from $46,431 in 2020 to $27,032 in 2024.
- 2020: $46,431
- 2021: $65,305
- 2022: $43,842
- 2023: $26,971
- 2024: $27,032
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 48% from 165 in 2020 to 245 in 2024.
- 2020: 165
- 2021: 198
- 2022: 166
- 2023: 203
- 2024: 245
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30-day fills
30-day fills increased 48% from 165 in 2020 to 245 in 2024.
- 2020: 165
- 2021: 198
- 2022: 175
- 2023: 203
- 2024: 245
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Part D drug cost
Part D drug cost increased 34% from $1,391 in 2020 to $1,858 in 2024.
- 2020: $1,391
- 2021: $2,123
- 2022: $1,206
- 2023: $2,012
- 2024: $1,858
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $121.73 in 2019 to $992.18 in 2024.
- 2019: $121.73
- 2020: $12.27
- 2023: $12.69
- 2024: $992.18
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $992.18.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
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Da Vinci Surgical System | General | $705.27 |
| INTUITIVE SURGICAL, INC. |
Education
In-kind items and services
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Da Vinci Surgical System | General | $137.91 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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V-LOC 180 | General | $59.70 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
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Da Vinci Surgical System | General | $28.98 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
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Da Vinci Surgical System | General | $20.36 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
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Da Vinci Surgical System | General | $16.99 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
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Da Vinci Surgical System | General | $16.97 |
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
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Da Vinci Surgical System | General | $6.00 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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84 | 73 | $176.56 | $113.01 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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51 | 51 | $153.82 | $98.85 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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35 | 29 | $131.14 | $79.80 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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29 | 29 | $201.52 | $150.52 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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21 | 21 | $260.10 | $157.32 |
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47562
Removal of gallbladder using an endoscope
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13 | 13 | $2891.00 | $579.67 |
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49505
Repair of groin hernia (5 years or older)
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13 | 13 | $1659.00 | $424.23 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 111 | 345 | $429.18 | 101 |
| Gavilyte-G | Peg3350/Sod Sulf,bicarb,cl/Kcl | 26 | 27 | $464.43 | 24 |
| Peg-3350 And Electrolytes | Peg3350/Sod Sulf,bicarb,cl/Kcl | 19 | 21 | $326.79 | 19 |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 18 | 120 | $132.20 | 16 |
| Ondansetron Hcl | Ondansetron Hcl | 16 | 33 | $31.90 | 16 |
| Lidocaine-Prilocaine | Lidocaine/Prilocaine | 14 | 332 | $180.46 | 12 |
| Ketorolac Tromethamine | Ketorolac Tromethamine | 14 | 97 | $133.61 | 14 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 14 | 108 | $105.90 | — |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 13 | 56 | $53.66 | 13 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL SURGERY
I20110201000103
AL
4385735380
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine - Pulmonary Disease
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner - Acute Care
Certified Registered Nurse Practitioner
Internal Medicine - Cardiovascular Disease
Doctor of Osteopathic Medicine (D.O.)
Obstetrics & Gynecology
Doctor of Medicine (M.D.)
Internal Medicine - Interventional Cardiology
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Certified Registered Nurse Practitioner
Career & Practice History
NPI enumerated January 15, 2007.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Mailing Address
2525 Us Highway 431, Suite 170
Boaz, AL 359575934
Phone: 2565931611