BENJAMIN JAMES NEWTON M.D.
NPI 1093986697
Family Medicine in Chevy Chase, MD

Q: What is Benjamin Newton's NPI number?

The NPI number for Benjamin Newton is 1093986697. It was assigned to this individual provider in the NPPES registry on March 22, 2008.

Q: What is Benjamin Newton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Benjamin Newton was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 March 22, 2008PECOS EnrolledAccepts Medicare Assignment

88.66/100

CMS Quality Rating

5550 FRIENDSHIP BLVD STE 450, CHEVY CHASE, MD 20815(301) 215-4154(703) 642-1876 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2021, Jul 10, 2019, Jul 23, 2018 and 1 more (4 updates tracked since 2016).

On this page

About Benjamin James Newton M.d. NPPES

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

BENJAMIN JAMES NEWTON M.D. (NPI 1093986697) is an individual family medicine provider in Chevy Chase, Maryland, licensed in Maryland (D81412) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1093986697

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameBENJAMIN JAMES NEWTONCredential: M.D.

Location Address5550 FRIENDSHIP BLVD STE 450Chevy Chase, MD 20815

Mailing Address11350 Mccormick Rd, Executive Plaza 1, Ste. 501Hunt Valley, MD 21031 · (410) 329-1071 · Fax (410) 329-1054

Phone(301) 215-4154

Fax(703) 642-1876

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateMarch 22, 2008

Last NPPES UpdateJuly 26, 20214 updates tracked since enumeration

NPPES CertifiedJuly 26, 2021

✔ NPI 1093986697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MD · D81412✔ Licensed in VA · 0101260188

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.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 0101260188 (VA), D81412 (MD)

5550 FRIENDSHIP BLVD STE 450, Chevy Chase, MD 20815

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Accepted Insurance

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

Benjamin James Newton 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 ID7517193709

PECOS Enrollment IDI20160719000273, I20240419000966, I20250703002128

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 25

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.

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

4,649 services3,272 patients

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481

A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.

1,910 services1,348 patients

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg J3304

Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.

1,568 services14 patients

A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.

1,200 services857 patients

Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg J7322

Hymovis is a treatment involving the injection of a substance called hyaluronan into a joint. This substance, naturally found in the body, helps lubricate and cushion your joints. The treatment can help reduce joint pain and improve mobility.

1,154 services25 patients

A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.

1,026 services858 patients

A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.

996 services817 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

299 services21 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.

225 services124 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

136 services63 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

76 services24 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

74 services41 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

64 services12 patients

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.

52 services42 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

40 services40 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

39 services23 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

35 services25 patients

Injection into tendon at attachment to bone or muscle 20551

This procedure involves injecting medicine into a tendon where it attaches to bone or muscle. It's done to alleviate pain or inflammation. The injection may contain a local anesthetic or a corticosteroid to reduce swelling. It's a common treatment for various orthopedic conditions.

31 services17 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484

This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.

31 services22 patients

Injection of anesthetic agent and/or steroid into other nerve or branch 64450

This procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.

22 services13 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

21 services17 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

20 services13 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

18 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20815 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

88.66/100

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

Individually scored

Quality

79.39

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

85%260 patients4/55-star benchmark: 100%

Controlling High Blood Pressure

84%146 patients4/55-star benchmark: 98%

Overuse of Imaging for the Evaluation of Primary Headache

Lower rates are better for this measure.

0%30 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

77%771 patients3/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

34%740 patients2/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

52%1,369 patients3/55-star benchmark: 100%

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

Patients screened: 68% · 404 patients

67%404 patients

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Patients combinedPopulations: 85% · 404 patients

Patients screened: 93% · 404 patients

72%106 patients

Provide Patients Electronic Access to Their Health Information

98%417 patients4/55-star benchmark: 100%

Tobacco Use and Help with Quitting Among Adolescents

92%25 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.

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Other Providers at the Same Location NPPES

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

PHYSICAL MEDICINE ASSOCIATES, LTD

Pain Medicine (Interventional Pain Medicine)

5550 FRIENDSHIP BLVD STE 450
CHEVY CHASE, MD 20815

Montgomery County (301) 215-4154

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 Benjamin Newton's NPI number?

The NPI number for Benjamin Newton is 1093986697. It was assigned to this individual provider in the NPPES registry on March 22, 2008.

Where is Benjamin Newton located?

Benjamin Newton practices at 5550 Friendship Blvd Ste 450, Chevy Chase, MD 20815. The listed phone number is (301) 215-4154.

What is Benjamin Newton's specialty?

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

Is Benjamin Newton enrolled in Medicare?

Yes. Benjamin 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 Benjamin Newton accept?

Health plans from CareSource list Benjamin 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.

When was this NPI record last updated?

The NPPES record for Benjamin Newton was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.