DR. CALVIN MARK NEWTON M.D.
NPI 1205857653
Internal Medicine - Cardiovascular Disease in Midlothian, VA

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6120 HARBOURSIDE CENTRE LOOP, MIDLOTHIAN, VA 23112(804) 915-1400(804) 608-3502 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Calvin Mark Newton M.d. NPPES

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

DR. CALVIN MARK NEWTON M.D. (NPI 1205857653) is an individual cardiovascular disease provider in Midlothian, Virginia, licensed in Virginia (0101034482) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with John Randolph Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (1981).

NPPES Registry Identity

NPI1205857653
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. CALVIN MARK NEWTONCredential: M.D.
Location Address6120 HARBOURSIDE CENTRE LOOPMidlothian, VA 23112-2170
Mailing Address8001 Franklin Farms Dr, Suite 130Richmond, VA 23229-5108 · (804) 521-5800 · Fax (804) 545-4340
Fax(804) 608-3502
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1981
Enumeration DateJuly 21, 2006
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
NPI 1205857653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in VA · 0101034482
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0101034482 (VA)
6120 HARBOURSIDE CENTRE LOOP, Midlothian, VA 23112

Other Identifiers 17

Other27413300VA · Federal Black Lung
Other56231VA · Southern Health Services
Other276302VA · Anthem/va Healthkeepers
Other311987VA · Mamsi
Other4063640VA · Aetna/us Healthcare
Medicaid6042465VA
Other103801VA · Anthem/va Healthkeepers
Other1563835VA · Cigna
Other785483VA · Aetna/us Healthcare Hmo
Other250011VA · United Healthcare
Other276235VA · Anthem/va Healthkeepers
Other276276VA · Anthem/va Healthkeepers
Other276360VA · Anthem/va Healthkeepers
Other44225VA · Sentara Health/optima
Other56851VA · Anthem/va Healthkeepers
Other276205VA · Anthem/va Healthkeepers
Other60015041VA · Railroad Medicare

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. Calvin Mark 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 ID6608844899
PECOS Enrollment IDI20040924000568
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 32

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
1,882 services219 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
1,525 services185 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
1,372 services193 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.
1,170 services716 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
531 services427 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
429 services141 patients

Hospital Affiliations CMS Care Compare 3

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

John Randolph Medical Center

Acute Care Hospitals · Hopewell, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490020
Location411 West Randolph RoadHopewell, VA 23860 · Hopewell City County
Emergency services

Cjw Medical Center

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number490112
Location7101 Jahnke RoadRichmond, VA 23235 · Chesterfield County
Emergency services

Henrico Doctors' Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490118
Location1602 Skipwith RoadRichmond, VA 23229 · Henrico County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23112 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Pneumatic compressor, segmental home model without calibrated gradient pressure E0651
DME-Other DME · category DE000N
1 supplier21 claims21 services$756.42 avg. paid by Medicare
Segmental pneumatic appliance for use with pneumatic compressor, full leg E0667
DME-Other DME · category DE000N
1 supplier22 claims43 services$266.53 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.

Internal Medicine (Cardiovascular Disease)
6120 HARBOURSIDE CENTRE LOOP
MIDLOTHIAN, VA 23112
Internal Medicine (Cardiovascular Disease)
6120 HARBOURSIDE CENTRE LOOP
MIDLOTHIAN, VA 23112
Internal Medicine (Cardiovascular Disease)
6120 HARBOURSIDE CENTRE LOOP
MIDLOTHIAN, VA 23112

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 Calvin Newton's NPI number?

The NPI number for Calvin Newton is 1205857653. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Calvin Newton located?

Calvin Newton practices at 6120 Harbourside Centre Loop, Midlothian, VA 23112. The listed phone number is (804) 915-1400.

What is Calvin Newton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Calvin Newton enrolled in Medicare?

Yes. Calvin 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.

Is Calvin Newton affiliated with any hospitals?

According to CMS data, Calvin Newton is affiliated with John Randolph Medical Center, Cjw Medical Center and Henrico Doctors' Hospital.

When was this NPI record last updated?

The NPPES record for Calvin Newton was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.