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NEWTON P. ALLEN JR. M.D.
NPI 1063452399
Internal Medicine in Nashville, TN

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
4230 HARDING RD, SUITE 400, NASHVILLE, TN 37205(615) 297-2700(615) 269-4584 Get Directions Write a Review

NPPES record last updated: May 7, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Newton P. Allen Jr. M.d. NPPES

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

NEWTON P. ALLEN JR. M.D. (NPI 1063452399) is an individual internal medicine provider in Nashville, Tennessee, licensed in Tennessee (018482) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Saint Thomas Hospital, and is a graduate of Vanderbilt University School Of Medicine (1987).

NPPES Registry Identity

NPI1063452399
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNEWTON P. ALLEN JR.Credential: M.D.
Location Address4230 HARDING RD, SUITE 400Nashville, TN 37205-2013
Mailing Address104 Woodmont Blvd, Suite Ll50Nashville, TN 37205-2245 · (615) 386-2300 · Fax (615) 386-2399
Phone(615) 297-2700
Fax(615) 269-4584
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1987
Enumeration DateJune 7, 2006
Last NPPES UpdateMay 7, 2015
✔ NPI 1063452399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 018482
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4230 HARDING RD, Nashville, TN 37205
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Other Identifiers 15

Other1100309310TN · Usa Ppo/geha
Medicaid1506504TN
Other1876919TN · Coventry
Other104690TN · United Healthcare
Other110217662TN · Medicare Rr
Other4082078TN · Aetna
Other633757TN · Usa Managed Care
Medicare PIN103I119226TN
Other12541398TN · Multiplan/phcs
Other3164282TN · Blue Cross Of Tn
Other2569462TN · Cigna-ppo, Pos
Medicaid64796097KY
Other10074038TN · Amerigroup-tenncare
MedicaidQ006394TN
Medicare PIN3045637TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

Newton P. Allen Jr. 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 ID3375626971
PECOS Enrollment IDI20100318000723
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 9

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 services176 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
142 services142 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
141 services141 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
139 services139 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
132 services132 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.
55 services43 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440082
Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37205 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers36 claims94 services$6.33 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers16 claims21 services$0.80 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers20 claims20 services$197.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

DR. MICHAEL PETRACEK M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4230 HARDING RD, STE 450
NASHVILLE, TN 37205
Davidson County (615) 385-4781
DR. JOHN LEA IV M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4230 HARDING RD, STE 202
NASHVILLE, TN 37205
Davidson County (615) 385-4781
THE CONSULTANT GROUP PC
Specialist
4230 HARDING RD, SUITE 709
NASHVILLE, TN 37205
Davidson County (615) 347-2703
STANLEY O SNYDER JR. M.D., R.V.T
Surgery
4230 HARDING RD, SUITE 525
NASHVILLE, TN 37205
Davidson County (615) 385-1547
RAYMOND S. MARTIN III M.D.
Surgery
4230 HARDING RD, SUITE 525
NASHVILLE, TN 37205
Davidson County (615) 385-1547
MS. DANA LEA DE MOSS APN
Nurse Practitioner (Women's Health)
4230 HARDING RD, STE 201 WEST
NASHVILLE, TN 37205
Davidson County (615) 222-5200
BRUCE L WOLF M.D.
Allergy & Immunology
4230 HARDING RD, STE 307
NASHVILLE, TN 37205
Davidson County (615) 292-8299
MS. NANCY J. DELBOY M.D.
Anesthesiology (Critical Care Medicine)
4230 HARDING RD, SUITE 435
NASHVILLE, TN 37205
Davidson County (615) 385-3704

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 Newton Allen's NPI number?

The NPI number for Newton Allen is 1063452399. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Newton Allen located?

Newton Allen practices at 4230 Harding Rd Suite 400, Nashville, TN 37205. The listed phone number is (615) 297-2700.

What is Newton Allen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Newton Allen enrolled in Medicare?

Yes. Newton Allen 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 Newton Allen accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Newton Allen 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.

Is Newton Allen affiliated with any hospitals?

According to CMS data, Newton Allen is affiliated with Ascension Saint Thomas Hospital.

When was this NPI record last updated?

The NPPES record for Newton Allen was last updated on May 7, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.