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JAMES RANDOLPH NEWTON DO
NPI 1073008561
Emergency Medicine in Wheeling, WV

Active since June 27, 2018PECOS EnrolledAccepts Medicare Assignment
89.3/100
CMS Quality Rating
2000 EOFF ST, WHEELING, WV 26003(304) 234-0123 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2021, Jun 27, 2018 (2 updates tracked since 2018).

About James Randolph Newton Do NPPES

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

JAMES RANDOLPH NEWTON DO (NPI 1073008561) is an individual emergency medicine provider in Wheeling, West Virginia, licensed in Virginia (0102206457) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Lewisgale Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1073008561
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES RANDOLPH NEWTONCredential: DO
Location Address2000 EOFF STWheeling, WV 26003-3823
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 896-9698
Phone(304) 234-0123
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 27, 2018
Last NPPES UpdateAugust 12, 20212 updates tracked since enumeration
NPPES CertifiedAugust 12, 2021
✔ NPI 1073008561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in VA · 0102206457
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2000 EOFF ST, Wheeling, WV 26003
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

James Randolph Newton Do 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 ID7911259908
PECOS Enrollment IDI20210816003579
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
397 services387 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
343 services314 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
119 services116 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
50 services50 patients

Hospital Affiliations CMS Care Compare

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

Lewisgale Medical Center

Acute Care Hospitals · Salem, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490048
Location1900 Electric RoadSalem, VA 24153 · Salem City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

89.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.55
Improvement Activities40
Cost100

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. KELLY ANNE KLOCEK D.O.
Emergency Medicine
2000 EOFF ST
WHEELING, WV 26003
Ohio County (304) 234-8177
DANIEL L GILLESPIE MSW
Social Worker
2000 EOFF ST, SUITE 704
WHEELING, WV 26003
Ohio County (304) 234-8596
VINCENT LINBERG D.O.
Emergency Medicine
2000 EOFF ST, OHIO VALLEY MEDICAL CENTER
WHEELING, WV 26003
Ohio County (304) 234-8177
SARESTELLE DELONG MSW
Social Worker (Clinical)
2000 EOFF ST
WHEELING, WV 26003
Ohio County (304) 234-1850
DR. DANIEL JOHN SUDERS DO
Emergency Medicine
2000 EOFF ST
WHEELING, WV 26003
Ohio County (304) 234-0123
SASHA RIHTER D.O.
Emergency Medicine
2000 EOFF ST
WHEELING, WV 26003
Ohio County (304) 234-8177
EMERGENCY MEDICINE PHYSICIANS OF OHIO COUNTY, PLLC
Emergency Medicine
2000 EOFF ST
WHEELING, WV 26003
Ohio County (330) 493-4443
DR. SHVETA HOODA MD
Pathology (Anatomic Pathology & Clinical Pathology)
2000 EOFF ST
WHEELING, WV 26003
Ohio County (304) 234-8101

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 James Newton's NPI number?

The NPI number for James Newton is 1073008561. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Where is James Newton located?

James Newton practices at 2000 Eoff St, Wheeling, WV 26003. The listed phone number is (304) 234-0123.

What is James Newton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Newton enrolled in Medicare?

Yes. James 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 James Newton accept?

Health plans from Oscar Insurance Company list James 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.

Is James Newton affiliated with any hospitals?

According to CMS data, James Newton is affiliated with Lewisgale Medical Center.

When was this NPI record last updated?

The NPPES record for James Newton was last updated on August 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.