Kelly R. Downey

  • Moreno Valley, CA
  • Hospitalist
NPI1891059523PAC ID5395040935
Medicare services, 2024
277
Medicare patients, 2024
134
Part D claims, 2024
176
Publications
2
MIPS score, 2024
97
Practice address
26520 Cactus Ave, Moreno Valley, CA 92555
Practice phone
Call (951) 486-4458
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Riverside University Medical Center

Moreno Valley, California

See all 4 affiliations

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Kelly R. Downey is a hospitalist in Moreno Valley, California

Kelly Downey practices at Riverside University Medical Center in Moreno Valley, California.

Kelly Downey's NPI, 1891059523, was assigned on June 27, 2012. Kelly Downey graduated from Ross University School of Medicine in 2012. Kelly Downey holds California license A148018.

NPI and contact details
Medicare PAC ID
5395040935
NPI enumeration date
June 27, 2012
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(951) 486-4458
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
44
Medical school graduation
2012

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Kelly R. Downey practices at Riverside University Medical Center in Moreno Valley, California

Kelly Downey's primary practice is Riverside University Medical Center, at 26520 Cactus Ave, Moreno Valley, CA 92555 in Riverside County. The practice phone is (951) 486-4458.

  • Riverside University Medical Center
    26520 Cactus Ave, Moreno Valley, CA 92555 · Riverside CountyPhone(951) 486-4458

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Kelly R. Downey is affiliated with 2 sites of care and 2 medical groups

Kelly Downey's primary practice is Riverside University Medical Center in Moreno Valley, California. Kelly Downey is also affiliated with Riverside University Health System - Medical Center. The medical group on file is Indio Community Health Center. Dmand AI also links Kelly Downey to 1 more medical group, named with a free account.

See all 4 affiliations for Kelly Downey

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Kelly R. Downey's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Kelly Downey practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Riverside University Medical CenterAvailable with a free account
+1 more site and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Kelly R. Downey is one of 3,186 hospitalists in California

Hospitalist is Kelly Downey's primary specialty in the NPI Registry, under taxonomy code 208M00000X. Kelly Downey is board certified in hospice and palliative medicine by the American Board of Internal Medicine. Dmand AI has Kelly Downey's licenses on file in 3 states: California, Pennsylvania and Michigan.

Specialties and state licenses

  • Hospitalist, CaliforniaPrimaryLicense A148018 · 2017 to 2026 · taxonomy 208M00000X
  • Pennsylvania license2015 to 2018
  • Michigan license2012 to 2015

Clinical focus

Dmand AI lists cardiac arrhythmia, circulation problems, congestive heart failure, electrolyte disorders, kidney failure, lung disease: COPD, asthma or bronchitis, pneumonia and respiratory infection and sepsis among the conditions Kelly Downey treats.

Hospitalists near Kelly Downey

Counts of hospitalists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Kelly R. Downey billed Medicare for 277 services in 2024

CMS data shows 277 Medicare services from Kelly Downey across 5 procedure codes in 2024, for 134 Medicare patients. Medicare paid $24,317 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024277
Medicare patients134
Paid by Medicare$24,317
Procedure codes5

Kelly Downey's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 2102024: 27732%

Kelly Downey compared with the California median for hospitalists, 2024

  • Kelly Downey
  • California median
Medicare services
277vs 43036% below
Medicare patients
134vs 20133% below
Part D claims
14vs 6980% below

Medians across 2,991 hospitalists in California with Dmand AI profiles that report each measure.

Kelly Downey's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Kelly Downey

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Kelly R. Downey treated 134 Medicare patients in 2024, average age 70

CMS counts 134 Medicare patients who saw Kelly Downey in 2024. The largest group is 65 to 74, with 53 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 79% are also on Medicaid. Their average risk score is 3.09, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Kelly Downey's median patient age at 62, with 46% women.

Medicare patients, 2024134
Average age70
Average risk score3.09
Also on Medicaid79%

Kelly Downey's Medicare patients by age, 2024

Kelly Downey's Medicare patients by sex, 2024

  • Women7153%
  • Men6347%

Chronic conditions among Kelly Downey's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Diabetes61%
  4. Heart failure53%
  5. Chronic kidney disease52%
  6. Arthritis51%
  7. Mood disorders49%
  8. Anxiety43%

Share of Medicare patients with each condition. A patient can have several.

Kelly Downey's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 62

Patient panel by sex, all payers

  • Women46%
  • Men54%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Kelly R. Downey wrote 176 Medicare Part D claims in 2024

In 2024, Kelly Downey wrote 176 Medicare Part D claims for 71 patients. 85% of them were for generic drugs. CMS names the drug for 14 of them, across 1 drug with 11 or more claims each, at $58 in total drug cost. In 2022, CMS named 17 claims across 1 drug.

Part D claims, 2024176
Drugs named by CMS1
Total drug cost$58
Part D patients71

Kelly Downey's Part D claims by kind of drug, 2024

  • Generic150 claims85%
  • Brand-name and other26 claims15%

Kelly Downey's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Kelly Downey's Part D claims, 2024

  • Antibiotics14%24 of 176 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2022 to 2024

  • 2022
  • 2024
Claims for drugs CMS names
2022: 172024: 1418%

Drugs named by CMS: 1 in 2024, 1 in 2022.

See all prescribing by Kelly Downey

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Kelly R. Downey scored 97 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 97 out of 100 for Kelly Downey for performance year 2024, reported as part of a group. Kelly Downey accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Kelly Downey's MIPS scores, performance year 2024

  • 97of 100Final score
  • 84.1of 100Quality
  • 96of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 77of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Kelly R. Downey has 2 publications on record

Dmand AI links 2 papers to Kelly Downey, published from 2023 to 2025. Kelly Downey's most frequent co-authors are Robert Andalon, MD, Mariam Mourad Gilmore, DO and Jennifer Phuong-Vy Ngo, DO.

Papers2
Years published2023 to 2025

Kelly Downey's most frequent co-authors

Recent publications by Kelly Downey

See all 2 publications and co-authors

See who Kelly Downey researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Kelly Downey works with, so you can find a warm path to the right hospitalists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Kelly R. Downey received $280 in industry payments from 2016 to 2022

CMS Open Payments shows 3 general payments to Kelly Downey from 3 drug and device companies from 2016 to 2022. Food and beverage make up the largest share, 100% of the total. AstraZeneca Pharmaceuticals LP paid the most, $100.

General payments to Kelly Downey by program year, 2016 to 2022

Companies that paid Kelly Downey the most, 2016 to 2022

Share is of all general payments to this clinician.

See all payments to Kelly Downey

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Kelly R. Downey graduated from Ross University School of Medicine

Kelly Downey graduated from Ross University School of Medicine in 2012.

  1. Medical schoolRoss University School of Medicine
  2. Board certified in hospice and palliative medicineAmerican Board of Internal Medicine
  3. Board certified in internal medicineAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Kelly R. Downey accepts plans from 1 insurance carrier

Kelly Downey is in network with 1 carrier, including CMS Medicare. Medicare plans come from the most carriers, 1. Check the plan with the practice before a visit.

  • CMS Medicare

Source: Dmand AI Insurance Network Data

Sources for Kelly R. Downey's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Kelly R. Downey

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Kelly R. Downey's NPI number?

Kelly R. Downey's NPI number is 1891059523. It was assigned on June 27, 2012, and it is active in the NPI Registry.

What does Kelly R. Downey specialize in?

Kelly R. Downey is a hospitalist in Moreno Valley, California. The primary specialty in the NPI Registry is Hospitalist Physician (taxonomy code 208M00000X).

Where does Kelly R. Downey practice?

Kelly Downey practices at 26520 Cactus Ave, Moreno Valley, CA 92555. Kelly Downey's primary practice is Riverside University Medical Center in Moreno Valley, California. Dmand AI also links Kelly Downey to 1 medical group.

What is Kelly R. Downey's office phone number?

The practice phone on file for Kelly Downey is (951) 486-4458.

What is Kelly R. Downey's medical license number?

Kelly Downey holds California license A148018, one of the licenses on file in 3 states.

Which states has Kelly R. Downey been licensed in?

Dmand AI has state licenses on file for Kelly Downey in California (2017 to 2026), Pennsylvania (2015 to 2018) and Michigan (2012 to 2015).

Which hospitals is Kelly R. Downey affiliated with?

Kelly Downey is affiliated with Riverside University Health System - Medical Center.

What medical group is Kelly R. Downey part of?

Kelly Downey is linked to Indio Community Health Center. Dmand AI links Kelly Downey to 1 more medical group.

Does Kelly R. Downey accept Medicare?

Yes. CMS data shows Kelly Downey billed Medicare for 277 services in 2024, and Kelly Downey accepts Medicare assignment.

What is Kelly R. Downey's MIPS score?

Kelly Downey's MIPS final score for performance year 2024 is 97 out of 100, reported as part of a group.

Show 10 more questionsShow fewer questions

How many Medicare patients does Kelly R. Downey see?

CMS counts 134 Medicare patients who saw Kelly Downey in 2024, with an average age of 70.

Is Kelly R. Downey board certified?

Yes. Kelly Downey is board certified in hospice and palliative medicine by the American Board of Internal Medicine.

What services does Kelly R. Downey bill to Medicare?

In 2024, Kelly Downey's most billed Medicare services were hospital inpatient care (99233), hospital inpatient care (99232) and hospital inpatient care (99239).

Where did Kelly R. Downey go to medical school?

Kelly Downey graduated from Ross University School of Medicine in 2012.

What drugs does Kelly R. Downey prescribe most?

In 2024 Medicare Part D data, Kelly Downey's most prescribed drugs by claims were Atorvastatin Calcium.

Has Kelly R. Downey received payments from drug or device companies?

CMS Open Payments shows $280 in general payments to Kelly Downey from 3 companies from 2016 to 2022. The largest total came from AstraZeneca Pharmaceuticals LP.

How long has Kelly R. Downey been practicing?

Kelly Downey graduated from medical school in 2012, 14 years ago.

Does Kelly R. Downey do research?

Dmand AI links 2 publications to Kelly Downey, published from 2023 to 2025.

Who does Kelly R. Downey publish with?

Kelly Downey's most frequent co-authors are Robert Andalon, MD (1 shared paper), Mariam Mourad Gilmore, DO (1 shared paper) and Jennifer Phuong-Vy Ngo, DO (1 shared paper).

What insurance does Kelly R. Downey accept?

Kelly Downey is in network with 1 carrier, including CMS Medicare. Medicare plans come from the most carriers, 1. Check the plan with the practice before a visit.

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