Dr Sean Michael Downes, MD - Medicare Family Practice in Cleveland, OH

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Dr Sean Michael Downes, MD is a medicare enrolled "Family Medicine" physician in Cleveland, Ohio. He graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Ohio Physician Professional Corporation, The Metrohealth System and his current practice location is 2500 Metrohealth Dr, Cleveland, Ohio. You can reach out to his office (for appointments etc.) via phone at (216) 778-7800.

Dr Sean Michael Downes is licensed to practice in Ohio (license number 35.124553) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225395452.

Contact Information

Dr Sean Michael Downes, MD
2500 Metrohealth Dr,
Cleveland, OH 44109-1900
(216) 778-7800
Not Available

Map and Direction




Physician's Profile

Full NameDr Sean Michael Downes
GenderMale
SpecialityFamily Practice
Experience16 Years
Location2500 Metrohealth Dr, Cleveland, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sean Michael Downes graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1225395452
  • Provider Enumeration Date: 04/12/2012
  • Last Update Date: 12/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4284876848
  • Enrollment ID: I20150702001374

Medical Identifiers

Medical identifiers for Dr Sean Michael Downes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225395452NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 35.124553 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aultman HospitalCanton, OHHospital
Metrohealth SystemCleveland, OHHospital
Alliance Community HospitalAlliance, OHHospital
Aultman Orrville HospitalOrrville, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ohio Physician Professional Corporation2668406059111
The Metrohealth System86289829491029

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sean Michael Downes allows following entities to bill medicare on his behalf.
Entity NameThe Metrohealth System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053353896
PECOS PAC ID: 8628982949
Enrollment ID: O20031119000355
Entity NameHospitalist Medicine Physicians Of Richland County, Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639119027
PECOS PAC ID: 4284538430
Enrollment ID: O20031120000557
Entity NameInpatient Medical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093756314
PECOS PAC ID: 6406753045
Enrollment ID: O20031212000790
Entity NameOrrville Hospital Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891718375
PECOS PAC ID: 7911890546
Enrollment ID: O20040206000004
Entity NameOhio Physician Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417016973
PECOS PAC ID: 2668406059
Enrollment ID: O20050925000062
Entity NameHospitalist Medicine Physicians Of Ohio, Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043572290
PECOS PAC ID: 3779749197
Enrollment ID: O20120730000162
Entity Name4m Hospitalist Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508288531
PECOS PAC ID: 0446480966
Enrollment ID: O20140303000908
Entity NameHospitalist Medicine Physicians Of Ohio-tcg, Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750860235
PECOS PAC ID: 3072864099
Enrollment ID: O20181001001695
Entity NameHospitalist Medicine Physicians Of Ohio - Youngstown
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780163832
PECOS PAC ID: 5991057812
Enrollment ID: O20181004000058
Entity NameHospitalist Medicine Physicians Of Ohio - Akron, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780229419
PECOS PAC ID: 0042647638
Enrollment ID: O20200220000606
Entity NameAultman Now Urgent Care, Llc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1225662927
PECOS PAC ID: 7719318633
Enrollment ID: O20200509000328

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sean Michael Downes is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Sean Michael Downes, MD
2500 Metrohealth Dr,
Cleveland, OH 44109-1900

Ph: (216) 778-7800		Dr Sean Michael Downes, MD
2500 Metrohealth Dr,
Cleveland, OH 44109-1900

Ph: (216) 778-7800

Reviews and Comments


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Kelly A Richter, MD
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Dr. John Michael Surso, M.D.
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Mary Evelyn Massie-story, MD
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Mr. Wilfrido Reyes, MD
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Patricia H Moore, MD
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Rochele M Beachy, MD
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Dr. Ann B Reichsman, M.D.
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Practice Location: 3569 Ridge Road, Cleveland, OH 44102
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.