DR. MICHAEL THORNTON NEWCOMB M.D.
NPI 1093968026
Ophthalmology in Lexington, KY

Q: What is Michael Newcomb's NPI number?

The NPI number for Michael Newcomb is 1093968026. It was assigned to this individual provider in the NPPES registry on November 4, 2008.

Q: What is Michael Newcomb's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Newcomb was last updated on April 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 November 04, 2008PECOS EnrolledAccepts Medicare Assignment

80.89/100

CMS Quality Rating

100 N EAGLE CREEK DR, LEXINGTON, KY 40509(859) 258-5310(859) 258-6123 Get Directions Write a Review

NPPES record last updated: April 6, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Michael Thornton Newcomb M.d. NPPES

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

DR. MICHAEL THORNTON NEWCOMB M.D. (NPI 1093968026) is an individual ophthalmology provider in Lexington, Kentucky, licensed in Kentucky (45025) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Medicine (2008).

NPPES Registry Identity

NPI1093968026

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. MICHAEL THORNTON NEWCOMBCredential: M.D.

Location Address100 N EAGLE CREEK DRLexington, KY 40509-1805

Mailing Address350 Elaine Dr, Suite 204Lexington, KY 40504-2754 · (859) 258-4339 · Fax (859) 258-6122

Phone(859) 258-5310

Fax(859) 258-6123

Sole ProprietorYes

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2008

Enumeration DateNovember 4, 2008

Last NPPES UpdateApril 6, 2012

✔ NPI 1093968026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in KY · 45025✔ Licensed in KY · R1832

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

100 N EAGLE CREEK DR, Lexington, KY 40509

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Other Identifiers 2

Other65923740KY · Lc Medicaid Group Number

Other0169KY · Lc Medicare Group Id Number

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

Dr. Michael Thornton Newcomb 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 ID3173787819

PECOS Enrollment IDI20120611000176

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

960 services882 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

251 services224 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

243 services173 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

157 services157 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

151 services135 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

144 services81 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

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.

80.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

62.29

Promoting Interoperability

100

Improvement Activities

Cost

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

65%77 patients4/55-star benchmark: 87%

Diabetes: Eye Exam

81%1,029 patients4/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%4,403 patients5/55-star benchmark: 100%

e-Prescribing

99%467 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

50%2,492 patients3/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 76% · 3,036 patients

Patients screened: 78% · 3,036 patients

70%198 patients3/55-star benchmark: 100%

Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation

0%201 patients

Provide Patients Electronic Access to Their Health Information

75%1,064 patients3/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 2,506 patients

Patients totalRate: 13% · 2,570 patients

14%2,570 patients3/55-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 20

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

DAVID R. KIELAR M.D.

Ophthalmology