GRETCHEN GABRIELLA NEWMAN DO
NPI 1154882728
Emergency Medicine in Charleston, WV
About Gretchen Gabriella Newman Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRETCHEN GABRIELLA NEWMAN DO (NPI 1154882728) is an individual emergency medicine provider in Charleston, West Virginia, licensed in Kentucky (05355) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Uofl Health - Shelbyville Hospital, and maintains a secondary practice location in Lexington.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Gretchen Gabriella Newman Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Gretchen Newman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Maysville, KY 41056
- Reassigned Medicare billing, Kentucky enrollment
- 828 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Uofl Health - Shelbyville Hospital
Acute Care Hospitals · Shelbyville, KYJewish Hospital & St Mary's Healthcare
Acute Care Hospitals · Louisville, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 25304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
CHARLESTON, WV 25304
CHARLESTON, WV 25304
CHARLESTON, WV 25304
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 Gretchen Newman's NPI number?
The NPI number for Gretchen Newman is 1154882728. It was assigned to this individual provider in the NPPES registry on March 27, 2019. The provider is also known as Gretchen Gabriella Lussi.
Where is Gretchen Newman located?
Gretchen Newman practices at 3200 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 388-5432.
What is Gretchen Newman's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Gretchen Newman enrolled in Medicare?
Yes. Gretchen Newman 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.
Which organization bills Medicare for Gretchen Newman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gretchen Newman reassigns Medicare benefits to Southeastern Emergency Physicians LLC (Maysville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gretchen Newman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Gretchen Newman affiliated with any hospitals?
According to CMS data, Gretchen Newman is affiliated with UofL Health - Shelbyville Hospital and Jewish Hospital & St Mary's Healthcare.
When was this NPI record last updated?
The NPPES record for Gretchen Newman was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Gretchen Gabriella Newman, DO · NPI 1154882728
Emergency Medicine physician in Charleston, West Virginia. Individual provider, active in the CMS NPPES registry since March 27, 2019.
## Identity
- **NPI:** 1154882728 (Entity type: Individual)
- **Enumerated:** March 27, 2019
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 05355 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 3200 MACCORKLE AVE SE, Charleston, WV 25304-1227
- **Phone:** (304) 388-5432
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southeastern Emergency Physicians LLC (NPI 1356379382, Maysville, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia School Of Osteopathic Medicine, class of 2019
## Record status
- **NPPES last updated:** June 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1154882728) · Data from the CMS NPPES public registry.