James B. Downey, MD
NPI 1184648305ActiveIndividual· Surgery· Highlands Ranch, CO
Surgery (MD) in Highlands Ranch, Colorado, trained at University of Colorado School of Medicine, Denver (class of 1992). In 2024 Medicare paid $32,879 for 114 patients, and Part D covered 59 of their prescriptions, 86% of them generic. Tela Bio, Inc. was the largest of 2 companies reporting payments in 2025, $241.35 in all, mostly food and beverage.
Overview
| NPI | 1184648305 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 27, 2006 |
| Last updated in NPPES | Jan 16, 2025 |
| Certified by provider | Jan 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 36210 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 114 |
|---|---|
| Services billed | 191 across 44 procedure codes |
| Paid by Medicare | $32,879 |
Part D prescriptions in 2024
| Prescriptions (claims) | 59 · 59 30-day fills |
|---|---|
| Patients | 22 |
| Total drug cost | $2,730 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | University of Colorado School of Medicine, Denver |
|---|---|
| Graduation year | 1992 |
| Medicare specialty | General Surgery |
Medical group
- Poudre Valley Medical Group LLCDenver, CO · 2,440 clinicians
Hospital affiliations
- Uchealth Highlands Ranch HospitalHighlands Ranch, CO
- University of Colorado Hospital AuthorityAurora, CO
Industry payments (Open Payments)
- 2025$241.35 · 3 payments from 2 companies
- 2024$3,260 · 5 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Tela Bio, Inc. | $203.25 | 2 |
| Stryker Corporation | $38.10 | 1 |
What the 2025 payments were for
- Food and Beverage$241.35 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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