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

Q: 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.

Q: What is Nicole Newingham's specialty?

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

Q: Is Nicole Newingham enrolled in Medicare?

No. Nicole Newingham has opted out of Medicare through April 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Nicole Newingham was last updated on November 15, 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.

Active since June 13, 2016Opted out of Medicare · through Apr 30, 2028

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: August 16, 2026.

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

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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 has opted out of Medicare through April 30, 2028 and remains eligible to order and refer, 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

ⓘ

Opted out of Medicare

Nicole Newingham D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 30, 2026 through April 30, 2028.

Opt-Out Effective DateApril 30, 2026

Opt-Out In Effect ThroughApril 30, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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?

No. Nicole Newingham has opted out of Medicare through April 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

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 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.