Kenneth Michael Downes, MD
NPI 1215226014ActiveIndividual· Ophthalmology· Albuquerque, NM
Ophthalmology (MD) in Albuquerque, New Mexico, trained at University of New Mexico School of Medicine (class of 2011). Their prescriptions cost Medicare Part D more than their services did: $529,312 for 2,257 claims, against $286,771 paid for services in 2024. Alcon Vision LLC was the largest of 12 companies reporting payments in 2025, $1,038 in all, mostly food and beverage.
Overview
| NPI | 1215226014 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 1, 2011 |
| Last updated in NPPES | Jul 19, 2024 |
| Certified by provider | Jul 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | MD2017-0187 | NM |
| Ophthalmology | 207W00000X | A123717 | CA |
| Ophthalmology | 207W00000X | MD176549 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Ophthalmology (NM) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,061 |
|---|---|
| Services billed | 3,042 across 49 procedure codes |
| Paid by Medicare | $286,771 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,257 · 3,606 30-day fills |
|---|---|
| Patients | 670 |
| Total drug cost | $529,312 |
| Generic share | 50% of claims |
Education and affiliations
| Medical school | University of New Mexico School of Medicine |
|---|---|
| Graduation year | 2011 |
| Medicare specialty | Ophthalmology |
| Telehealth | Offers telehealth |
Medical group
- Southwest Eyecare Specialists P CAlbuquerque, NM · 7 clinicians
Hospital affiliation
- Unm HospitalAlbuquerque, NM
Industry payments (Open Payments)
- 2025$1,038 · 42 payments from 12 companies
- 2024$1,368 · 46 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alcon Vision LLC | $186.79 | 6 |
| Glaukos Corporation | $158.71 | 3 |
| Abbvie Inc. | $152.31 | 13 |
| Tarsus Pharmaceuticals, Inc. | $150.72 | 7 |
| Lensar, Inc. | $116.15 | 1 |
What the 2025 payments were for
- Food and Beverage$1,038 · 42 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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