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NICOLE NEWINGHAM D.O.
NPI 1083063895
Family Medicine in Warminster, PA

Active since June 13, 2016PECOS EnrolledAccepts Medicare Assignment
225 NEWTOWN RD, WARMINSTER, PA 18974(215) 441-6650(215) 441-6830 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 15, 2021, Aug 21, 2019, Jun 13, 2016 (3 updates tracked since 2016).

About Nicole Newingham D.o. NPPES

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

NICOLE NEWINGHAM D.O. (NPI 1083063895) is an individual family medicine provider in Warminster, Pennsylvania, licensed in Pennsylvania (OS019068) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Lansdale Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2016).

NPPES Registry Identity

NPI1083063895
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNICOLE NEWINGHAMCredential: D.O.
Location Address225 NEWTOWN RDWarminster, PA 18974-5221
Mailing Address1101 S Broad StLansdale, PA 19446-5393 · (215) 361-5010 · Fax (215) 362-3414
Phone(215) 441-6650
Fax(215) 441-6830
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2016
Enumeration DateJune 13, 2016
Last NPPES UpdateNovember 15, 20213 updates tracked since enumeration
NPPES CertifiedNovember 15, 2021
✔ NPI 1083063895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS019068
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

225 NEWTOWN RD, Warminster, PA 18974
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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

Nicole Newingham D.o. 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 ID9133412869
PECOS Enrollment IDI20190724001194
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 7

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.
463 services284 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.
212 services212 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
99 services98 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
96 services95 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.
28 services25 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.
27 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Lansdale Hospital

Acute Care Hospitals · Lansdale, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390012
Location100 Medical Campus DriveLansdale, PA 19446 · Montgomery County
Emergency services

Grand View Health

Acute Care Hospitals · Sellersville, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390057
Location700 Lawn AvenueSellersville, PA 18960 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18974 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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
9 suppliers23 claims55 services$6.33 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims11 services$1.12 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 suppliers12 claims12 services$185.34 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.

MRS. STEPHANIE ANN HARRIS CRNP
Nurse Practitioner (Family)
225 NEWTOWN RD
WARMINSTER, PA 18974
Bucks County (215) 441-6650
JENNIFER HAMILTON M.D.
Family Medicine
225 NEWTOWN RD, 1ST FLOOR
WARMINSTER, PA 18974
Bucks County (215) 441-7580
ABINGTON MEMORIAL HOSPITAL
Internal Medicine (Hospice and Palliative Medicine)
225 NEWTOWN RD, 4TH FLOOR
WARMINSTER, PA 18974
Bucks County (215) 481-6839
AMANDA THOMAS RD, LDN
Dietitian, Registered
225 NEWTOWN RD, 2ND FLOOR
WARMINSTER, PA 18974
Bucks County (215) 441-6800
SOLIS HEALTHCARE, LP
Clinic/Center (Ambulatory Surgical)
225 NEWTOWN RD
WARMINSTER, PA 18974
Bucks County (215) 441-6600
SOLIS HEALTHCARE, LP
Psychiatric Unit
225 NEWTOWN RD
WARMINSTER, PA 18974
Bucks County (214) 441-6600
MARGARET ANN FOLEY
Dietitian, Registered (Nutrition, Metabolic)
225 NEWTOWN RD, 2ND FLOOR
WARMINSTER, PA 18974
Bucks County (215) 441-6800
JONATHAN P. ANDREWS M.D.
Family Medicine
225 NEWTOWN RD
WARMINSTER, PA 18974
Bucks County (215) 441-6650

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 Nicole Newingham's NPI number?

The NPI number for Nicole Newingham is 1083063895. It was assigned to this individual provider in the NPPES registry on June 13, 2016.

Where is Nicole Newingham located?

Nicole Newingham practices at 225 Newtown Rd, Warminster, PA 18974. The listed phone number is (215) 441-6650.

What is Nicole Newingham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicole Newingham enrolled in Medicare?

Yes. Nicole Newingham 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.

Is Nicole Newingham affiliated with any hospitals?

According to CMS data, Nicole Newingham is affiliated with Lansdale Hospital and Grand View Health.

When was this NPI record last updated?

The NPPES record for Nicole Newingham was last updated on November 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.