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ROBINS J NEWTON M.D.
NPI 1013001148
Psychiatry & Neurology - Neurology in Birmingham, AL

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
73.32/100
CMS Quality Rating
2700 10TH AVE S STE 400, BIRMINGHAM, AL 35205(205) 918-0507(205) 930-2716 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robins J Newton M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBINS J NEWTON M.D. (NPI 1013001148) is an individual neurology provider in Birmingham, Alabama, licensed in Alabama (15331) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1989).

NPPES Registry Identity

NPI1013001148
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameROBINS J NEWTONCredential: M.D.
Location Address2700 10TH AVE S STE 400Birmingham, AL 35205
Mailing Address2700 10th Ave S Ste 400Birmingham, AL 35205-1250 · (205) 918-0507 · Fax (205) 930-2716
Phone(205) 918-0507
Fax(205) 930-2716
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1989
Enumeration DateOctober 3, 2006
Last NPPES UpdateJune 19, 2018
✔ NPI 1013001148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in AL · 15331
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2700 10TH AVE S STE 400, Birmingham, AL 35205
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Other Identifiers 2

Medicaid000088833AL
Other051088833AL · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robins J Newton M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860480274
PECOS Enrollment IDI20100420000456
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
289 services194 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
129 services91 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
76 services76 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
58 services58 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
48 services46 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
43 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality55.86
Promoting Interoperability92
Improvement Activities40

Reported Quality Measures

Advance Care Plan
1%794 patients1/55-star benchmark: 100%
Chlamydia Screening for Women
0%20 patients
Closing the Referral Loop: Receipt of Specialist Report
31%219 patients2/55-star benchmark: 87%
Dementia: Cognitive Assessment
0%91 patients
Documentation of Current Medications in the Medical Record
99%3,025 patients4/55-star benchmark: 100%
e-Prescribing
99%737 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
13%1,546 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
1%3,025 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 959 patients
0%959 patients
Provide Patients Electronic Access to Their Health Information
74%691 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
74%77 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 812 patients
Patients totalRate: 1% · 812 patients
1%812 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WESLEY KING MD
Psychiatry & Neurology (Neurology)
2700 10TH AVE S STE 400
BIRMINGHAM, AL 35205
Jefferson County (205) 918-0507

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robins Newton's NPI number?

The NPI number for Robins Newton is 1013001148. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Robins Newton located?

Robins Newton practices at 2700 10th Ave S Ste 400, Birmingham, AL 35205. The listed phone number is (205) 918-0507.

What is Robins Newton's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Robins Newton enrolled in Medicare?

Yes. Robins Newton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Robins Newton accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Robins Newton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robins Newton was last updated on June 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.