MICHAEL NEWAN MD
NPI 1114033453
Internal Medicine - Pulmonary Disease in St Petersburg, FL

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1075 9TH AVE N, ST PETERSBURG, FL 33705(727) 895-5864(727) 896-9598 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Newan Md NPPES

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

MICHAEL NEWAN MD (NPI 1114033453) is an individual pulmonary disease provider in St Petersburg, Florida, licensed in Florida (ME0081503) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth North Pinellas, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1984).

NPPES Registry Identity

NPI1114033453
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMICHAEL NEWANCredential: MD
Location Address1075 9TH AVE NSt Petersburg, FL 33705-1255
Mailing Address1075 9th Ave NSt Petersburg, FL 33705-1255 · (727) 895-5864 · Fax (727) 896-9598
Fax(727) 896-9598
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1984
Enumeration DateAugust 21, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1114033453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in FL · ME0081503
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

1075 9TH AVE N, St Petersburg, FL 33705

Other Identifiers 11

OtherN188582Healthease
Medicare UPINE60433
Other290014717Railroad Medicare
Other5918436Aetna
Medicaid261165100FL
OtherN188582Wellcare
Medicare ID-Type Unspecified58895AFL
Other220817Amerigroup
OtherN188582Staywell
Other58895Bcbs
Other279351Avmed

Accepted 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

Michael Newan Md 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 ID3274603535
PECOS Enrollment IDI20080529000766
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 14

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.

Injection, omalizumab, 5 mg J2357
Omalizumab is a medication given via injection. It's used to treat severe allergic asthma and chronic hives when other treatments fail. The 5mg dose is determined by your doctor based on your weight and condition.
11,771 services21 patients
Injection, tezepelumab-ekko, 1 mg J2356
Tezepelumab-ekko is a medication given via injection to help manage severe asthma. It works by blocking a specific protein in your body that triggers asthma symptoms. This injection is typically administered under medical supervision.
5,670 services11 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
1,272 services65 patients
Injection, benralizumab, 1 mg J0517
Benralizumab is a medication given via injection to help manage severe asthma. It works by reducing the number of eosinophils, a type of white blood cell that can contribute to asthma symptoms.
900 services11 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
880 services22 patients
Test for exercise-induced lung stress 94618
An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.
622 services153 patients

Hospital Affiliations CMS Care Compare 3

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

Adventhealth North Pinellas

Acute Care Hospitals · Tarpon Springs, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100055
Location1395 S Pinellas AveTarpon Springs, FL 34689 · Pinellas County
Emergency services

St Anthonys Hospital

Acute Care Hospitals · Saint Petersburg, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100067
Location1200 Seventh Ave NSaint Petersburg, FL 33705 · Pinellas County
Emergency services

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33705 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%262 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
85%26 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%1,447 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%499 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%966 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 403 patients
Patients screened: 100% · 403 patients
100%178 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 23

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers76 claims76 services$31.97 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers53 claims53 services$72.64 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers46 claims112 services$29.35 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
8 suppliers83 claims445 services$17.04 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers50 claims220 services$12.15 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
10 suppliers135 claims136 services$46.16 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 3

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

Acupuncturist
1075 9TH AVE N
ST PETERSBURG, FL 33705
Internal Medicine (Pulmonary Disease)
1075 9TH AVE N
SAINT PETERSBURG, FL 33705
Clinic/Center
1075 9TH AVE N
SAINT PETERSBURG, FL 33705

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 Michael Newan's NPI number?

The NPI number for Michael Newan is 1114033453. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Michael Newan located?

Michael Newan practices at 1075 9th Ave N, St Petersburg, FL 33705. The listed phone number is (727) 895-5864.

What is Michael Newan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Michael Newan enrolled in Medicare?

Yes. Michael Newan 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 Michael Newan accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Wellpoint list Michael Newan 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 Michael Newan affiliated with any hospitals?

According to CMS data, Michael Newan is affiliated with Adventhealth North Pinellas, St Anthonys Hospital and St Josephs Hospital.

When was this NPI record last updated?

The NPPES record for Michael Newan was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.