Thomas Andrew Downing , MS, CCC, A
Audiologist • Houston, TX
18100 Saint John Dr Ste 240
Houston, TX 770583653
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 December 2, 2008; this date does not establish years in practice.
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Published CMS data list 921 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:
- 92557 — Comprehensive hearing and speech recognition test: 289 service units.
- 92587 — Placement of ear probe for computerized measurement of sound with interpretation and report: 287 service units.
- 92550 — Test for eardrum and muscle function: 284 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 5 records in the table · Guide: How to read Medicare Part B data
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More Medicare Part B services than 90% of clinicians listed under Audiologist in Houston, TX (2024, 55 clinicians with data). Median for this group: 251. Middle half: 108 to 474.
More Medicare Part B services than 95% of clinicians listed under Audiologist in Texas (2024, 442 clinicians with data). Median for this group: 210. Middle half: 92 to 413.
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 321 in 2020 to 921 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
18100 Saint John Dr Ste 240
Houston, TX 770583653
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Houston, TX. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Houston Methodist Specialty Physicians; Tmh Physician Associates Pllc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2002
What Public CMS Data Show
Audiologist: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
301 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 $24,275 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 $17,643 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.
Years since graduation
24 years (graduated 2002)
CMS Doctors and Clinicians data list 2002 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2008
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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)
Thomas Downing 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.
Compared with the same specialty in Houston and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Audiologist in Houston, TX (2024, 55 clinicians with data). Median for this group: 251. Middle half: 108 to 474.
More Medicare Part B services than 95% of clinicians listed under Audiologist in Texas (2024, 442 clinicians with data). Median for this group: 210. Middle half: 92 to 413.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under Audiologist in Houston, TX (2024, 55 clinicians with data). Median for this group: $6,777. Middle half: $2,810 to $12,444.
A higher Medicare-allowed amount than 90% of clinicians listed under Audiologist in Texas (2024, 442 clinicians with data). Median for this group: $6,008. Middle half: $2,566 to $11,938.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Audiologist in Houston, TX (2024, 55 clinicians with data). Median for this group: $5,285. Middle half: $1,860 to $8,909.
A higher Medicare payment amount than 90% of clinicians listed under Audiologist in Texas (2024, 442 clinicians with data). Median for this group: $4,134. Middle half: $1,803 to $8,566.
213 active clinicians are listed under Audiologist with a practice address in Houston, TX (1,478 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Houston
0% of these 213 clinicians have the CMS telehealth indicator.
30.5% of these 213 clinicians are listed by CMS as accepting Medicare assignment.
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 increased 187% from 321 in 2020 to 921 in 2024.
- 2020: 321
- 2021: 555
- 2022: 735
- 2023: 669
- 2024: 921
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Medicare-allowed amount
Medicare-allowed amount increased 168% from $9,070 in 2020 to $24,275 in 2024.
- 2020: $9,070
- 2021: $15,999
- 2022: $20,704
- 2023: $18,229
- 2024: $24,275
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Paid by Medicare
Paid by Medicare increased 176% from $6,400 in 2020 to $17,643 in 2024.
- 2020: $6,400
- 2021: $11,971
- 2022: $14,449
- 2023: $13,112
- 2024: $17,643
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
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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92557
Comprehensive hearing and speech recognition test
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289 | 289 | $99.00 | $36.09 |
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92587
Placement of ear probe for computerized measurement of sound with interpretation and report
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287 | 287 | $89.00 | $21.37 |
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92550
Test for eardrum and muscle function
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284 | 284 | $47.00 | $21.49 |
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92567
Test to assess middle ear function
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32 | 28 | $37.00 | $16.27 |
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92552
Test for hearing various pitches using earphone
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29 | 25 | $67.00 | $37.50 |
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.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 231H00000X
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - QUALIFIED AUDIOLOGIST
I20090401000362
TX
7719044098
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Tmh Physician Associates Pllc
7575 San Felipe St, Houston, TX 770631777
Phone: 7132669955
Tmh Physician Associates Pllc
18100 Houston Methodist Dr, Houston, TX 770583653
Phone: 8327831170
Tmh Physician Associates Pllc
16605 Southwest Fwy 400 Mob3, Sugar Land, TX 774793500
Phone: 2812750800
Tmh Physician Associates Pllc
16605 Sw Fwy 410, Sugar Land, TX 774793500
Phone: 2812740148
Houston Methodist Specialty Physicians
6445 Main St, Houston, TX 770301502
Phone: 7134413150
Tmh Physician Associates Pllc
16605 Southwest Fwy, Sugar Land, TX 774793500
Phone: 2812750800
Secondary Practice Locations
18100 Saint John Dr, Suite 240
Houston, TX 770583631
Phone: 2813357755
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Otolaryngology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
NPI status registered as active in NPPES database
Registered at 18100 SAINT JOHN DR STE 240, HOUSTON, TX 770583653 (Tel: (281) 335-7755)
Registered at 18100 SAINT JOHN DR STE 240, HOUSTON, TX 770583653 (Tel: (281) 335-7755)
Recorded as THOMAS DOWNING, M.S., CCC/A
Audiologist (license number reported to NPPES: TX 51637)
NPI status registered as active in NPPES database
Registered at 18100 SAINT JOHN DR, SUITE 240, HOUSTON, TX 770583631 (Tel: 2813357755)
Registered at PO BOX 580451, HOUSTON, TX 772580451 (Tel: 2813357755)
Recorded as THOMAS DOWNING, M.S., CCC/A
Audiologist (license number reported to NPPES: TX 51637)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Audiologists in Houston
- Dr. Nancy Mclellan, AuD
- Ashley Schilling, MA, CCC-A
- Dr. Ashley Vrabel, AuD
- Jan Gilden, MA
- Dr. Lauren Noriega, AuD
- Dr. Jasmin Anzures, AuD
Mailing Address
18100 Saint John Dr Ste 240
Houston, TX 770583653
Phone: 2813357755