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DR. ERIKA H NEWTON M.D.
NPI 1154359495
Emergency Medicine in Stony Brook, NY

Active since June 28, 2006PECOS Enrolled
98.52/100
CMS Quality Rating
UNIVERSITY HOSPITAL, L4, STONY BROOK, NY 11794(631) 444-2499 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Erika H Newton M.d. NPPES

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

DR. ERIKA H NEWTON M.D. (NPI 1154359495) is an individual emergency medicine provider in Stony Brook, New York, licensed in New York (187282) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154359495
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. ERIKA H NEWTONCredential: M.D.
Location AddressUNIVERSITY HOSPITAL, L4Stony Brook, NY 11794-0001
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-2499
Phone(631) 444-2499
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154359495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 187282
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
UNIVERSITY HOSPITAL, L4, Stony Brook, NY 11794
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Other Identifiers 4

Other5486144NY · Aetna
Medicare ID-Type Unspecified29M153NY
Medicare UPING04356NY
Medicaid02359020NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Erika H Newton M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
276 services272 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
86 services85 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

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.

DR. CHRISTOPHER CARLEO M.D.
Emergency Medicine
UNIVERSITY HOSPITAL, L4
STONY BROOK, NY 11794
Suffolk County (631) 444-2499
DR. ANDREA LIBUTTI M.D.
Emergency Medicine
UNIVERSITY HOSPITAL, L4
STONY BROOK, NY 11794
Suffolk County (631) 444-2499
DR. FREDERICK SCHIAVONE M.D.
Emergency Medicine
UNIVERSITY HOSPITAL, L4
STONY BROOK, NY 11794
Suffolk County (631) 444-2499
DR. LESTER KALLUS M.D.
Emergency Medicine
UNIVERSITY HOSPITAL, L4
STONY BROOK, NY 11794
Suffolk County (631) 444-2499
DR. MARK HENRY M.D.
Emergency Medicine
UNIVERSITY HOSPITAL, L4
STONY BROOK, NY 11794
Suffolk County (631) 444-2499
MR. SCOTT MARCHINI P.A.
Physician Assistant
UNIVERSITY HOSPITAL, L4
STONY BROOK, NY 11794
Suffolk County (631) 444-2499
DR. ZENGMIN YAN M.D.
Radiology (Neuroradiology)
UNIVERSITY HOSPITAL, L4
STONY BROOK, NY 11794
Suffolk County (631) 444-6919
DR. SHERI FORD
Radiology (Diagnostic Radiology)
UNIVERSITY HOSPITAL, L4
STONY BROOK, NY 11794
Suffolk County (631) 444-6919

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 Erika Newton's NPI number?

The NPI number for Erika Newton is 1154359495. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Erika Newton located?

Erika Newton practices at University Hospital, L4, Stony Brook, NY 11794. The listed phone number is (631) 444-2499.

What is Erika Newton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Erika Newton enrolled in Medicare?

Yes. Erika Newton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Erika Newton was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.