Kelly R. Downey
- 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
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Riverside University Medical Center
Moreno Valley, California
Find Kelly Downey's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
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
- 1891059523NPI Registry (opens in a new tab)
- 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
- Get email
- Mobile number
- Get number
- 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 Center26520 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.
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.
| Site | EHR vendor and product |
|---|---|
| Riverside University Medical Center | Available with a free account |
| +1 more site and 1 medical group | Available 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, CaliforniaPrimary
- Pennsylvania license
- Michigan license
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.
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.
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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.
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
- High blood pressure75%
- High cholesterol75%
- Diabetes61%
- Heart failure53%
- Chronic kidney disease52%
- Arthritis51%
- Mood disorders49%
- 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.
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.
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.
Kelly Downey's most frequent co-authors
- Robert Andalon, MD1 shared paper
- Mariam Mourad Gilmore, DO1 shared paper
- Jennifer Phuong-Vy Ngo, DO1 shared paper
Recent publications by Kelly Downey
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.
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.
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.
- Medical school
- Board certified in hospice and palliative medicine
- Board certified in 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
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare 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 percentiles | Doctors 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-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand 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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