Ramie Anita Dowell , PA-C
Physician Assistant โข Killeen, TX
2405 Clear Creek Rd
Killeen, TX 765495775
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 October 3, 2022; this date does not establish years in practice.
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Published CMS data list 359 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 โ Established patient outpatient office visit: 204 service units.
- 99214 โ Established patient outpatient office visit: 155 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 892 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Gabapentin โ 225 prescription fills, including refills.
- Pregabalin โ 201 prescription fills, including refills.
- Duloxetine Hcl โ 102 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 13 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Killeen, TX (2024, 22 clinicians with data). Median for this group: 310. Middle half: 163 to 542.
More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 93 in 2023 to 359 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023โ2024.
Practice Location & Contact Primary Location
2405 Clear Creek Rd
Killeen, TX 765495775
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 3 distinct additional practice-address records in Houston, TX; Pasadena, TX. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Scott And White Clinic. 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
2022
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
248 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 โ by Provider, 2024.
Medicare-allowed amount
About $23,037 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 โ by Provider and Service, 2024.
Paid by Medicare
About $16,868 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 โ by Provider and Service, 2024.
30-day fills
995 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
$15,034 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 โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $90.19 across 4 records.
By nature of payment
- Food and Beverage: $90.19 across 4 records.
Reporting-company totals
- Globus Medical, Inc.: $68.93 across 3 records.
- Boston Scientific Corporation: $21.26 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 2025 (published June 30, 2026).
Years since graduation
4 years (graduated 2022)
CMS Doctors and Clinicians data list 2022 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
2022
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, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Ramie Dowell 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 Ramie Dowell 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 Killeen and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Killeen, TX (2024, 22 clinicians with data). Median for this group: 310. Middle half: 163 to 542.
More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.
Medicare-allowed amount
Close to the middle for clinicians listed under Physician Assistant in Killeen, TX (2024, 22 clinicians with data). Median for this group: $19,990. Middle half: $11,580 to $38,052.
A higher Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $15,434. Middle half: $6,111 to $35,691.
Paid by Medicare
Close to the middle for clinicians listed under Physician Assistant in Killeen, TX (2024, 22 clinicians with data). Median for this group: $14,605. Middle half: $8,413 to $27,661.
A higher Medicare payment amount than 60% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $11,276. Middle half: $4,395 to $26,238.
Medicare Part D prescriptions
More Part D prescriptions than 65% of clinicians listed under Physician Assistant in Killeen, TX (2024, 29 clinicians with data). Median for this group: 388. Middle half: 142 to 1,334.
More Part D prescriptions than 70% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: 261. Middle half: 73 to 938.
Part D drug cost
Close to the middle for clinicians listed under Physician Assistant in Killeen, TX (2024, 29 clinicians with data). Median for this group: $4,979. Middle half: $1,226 to $64,838.
Close to the middle for clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: $7,999. Middle half: $749 to $103,240.
48 active clinicians are listed under Physician Assistant with a practice address in Killeen, TX (11,008 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Killeen
25% of these 48 clinicians have the CMS telehealth indicator.
56.2% of these 48 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 286% from 93 in 2023 to 359 in 2024.
- 2023: 93
- 2024: 359
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Medicare-allowed amount
Medicare-allowed amount increased 310% from $5,612 in 2023 to $23,037 in 2024.
- 2023: $5,612
- 2024: $23,037
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Paid by Medicare
Paid by Medicare increased 277% from $4,475 in 2023 to $16,868 in 2024.
- 2023: $4,475
- 2024: $16,868
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 975% from 83 in 2023 to 892 in 2024.
- 2023: 83
- 2024: 892
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30-day fills
30-day fills increased 976% from 93 in 2023 to 995 in 2024.
- 2023: 93
- 2024: 995
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Part D drug cost
Part D drug cost increased 731% from $1,810 in 2023 to $15,034 in 2024.
- 2023: $1,810
- 2024: $15,034
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $257.26 in 2023 to $90.19 in 2025.
- 2023: $257.26
- 2024: $258.22
- 2025: $90.19
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท 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 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $90.19.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
OMNIA | General | $26.31 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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OMNIA | General | $23.06 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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WaveWriter Alpha Prime 16 | General | $21.26 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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OMNIA | General | $19.56 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ2023 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 โ by Provider and Service data, 2023โ2024; 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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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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204 | 162 | $142.00 | $53.26 |
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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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155 | 130 | $209.00 | $78.53 |
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 |
|---|---|---|---|---|---|
| Gabapentin | Gabapentin | 225 | 7,501 | $3,431.94 | 100 |
| Pregabalin | Pregabalin | 201 | 6,694 | $3,856.91 | 90 |
| Duloxetine Hcl | Duloxetine Hcl | 102 | 3,540 | $2,040.95 | 42 |
| Tizanidine Hcl | Tizanidine Hcl | 79 | 2,743 | $1,217.15 | 46 |
| Methocarbamol | Methocarbamol | 64 | 1,886 | $979.11 | 40 |
| Tramadol Hcl | Tramadol Hcl | 60 | 1,638 | $444.83 | 26 |
| Diazepam | Diazepam | 34 | 34 | $30.78 | 29 |
| Meloxicam | Meloxicam | 31 | 974 | $84.33 | 14 |
| Lidocaine | Lidocaine | 27 | 859 | $1,982.80 | 17 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 22 | 515 | $281.95 | โ |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 18 | 510 | $212.25 | โ |
| Celecoxib | Celecoxib | 16 | 554 | $296.60 | โ |
| Baclofen | Baclofen | 13 | 405 | $174.71 | โ |
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
Self-certified to NPPES: 2025-08-29NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20230725002074
TX
4385005206
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
Scott And White Clinic
810 W U Ave, Temple, TX 765080001
Phone: 2547242585
Scott And White Clinic
239 W Business, Copperas Cove, TX 765222912
Phone: 2545429000
Scott And White Clinic
1605 S 31st St, Temple, TX 765080001
Phone: 2542150100
Scott And White Clinic
2401 S 31st St Bldg, Temple, TX 765080001
Phone: 2547242663
Scott And White Clinic
2401 S 31st St, Temple, TX 765080001
Phone: 2547242459
Secondary Practice Locations
3315 Burke Rd
Pasadena, TX 775041827
Phone: 7139442324
11524 Space Center Blvd Ste 100
Houston, TX 770593648
Phone: 2814870555
11035 Resource Pkwy
Houston, TX 770896071
Phone: 2814846060
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
PAS
Nurse Practitioner
Advanced Practice Registered Nurse
Audiologist
Audiologist
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Otolaryngology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Recorded as RAMIE DOWELL, PA-C
Registered at 2405 CLEAR CREEK RD, KILLEEN, TX 765495775 (Tel: 2548294506)
Registered at PO BOX 844658, DALLAS, TX 752844658
Physician Assistant (license number reported to NPPES: TX PA16125)
NPI status registered as active in NPPES database
Registered at 3315 BURKE RD, PASADENA, TX 775041827 (Tel: 7139442324)
Registered at 3315 BURKE RD, PASADENA, TX 775041827
Recorded as RAMIE BYERS, PA-C
Physician Assistant
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Killeen
- Laura Janecek, PA
- Alvin Guerra
- Nichole Gudgeon, PA-C
- Samone Smith, PA-C
- Scarlett Foster, MPAS, PA-C
- Kane Mata
Mailing Address
Po Box 844658
Dallas, TX 752844658