RATNAKUMAR S NEWTON MD
NPI 1215929658
Family Medicine in Buffalo, NY

Q: What is Ratnakumar Newton's NPI number?

The NPI number for Ratnakumar Newton is 1215929658. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Q: What is Ratnakumar 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 Ratnakumar Newton was last updated on February 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 August 22, 2005PECOS EnrolledAccepts Medicare Assignment

50 LAKEFRONT BLVD, SUITE 130, BUFFALO, NY 14202(176) 849-8750(716) 849-8756 Get Directions Write a Review

NPPES record last updated: February 18, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ratnakumar S Newton Md NPPES

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

RATNAKUMAR S NEWTON MD (NPI 1215929658) is an individual family medicine provider in Buffalo, New York, licensed in New York (211553) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Morehouse School Of Medicine (1995).

NPPES Registry Identity

NPI1215929658

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameRATNAKUMAR S NEWTONCredential: MD

Location Address50 LAKEFRONT BLVD, SUITE 130Buffalo, NY 14202-4345

Mailing Address4567 Crossroads Park Dr.Liverpool, NY 13088 · (315) 295-2100 · Fax (315) 295-2125

Phone(176) 849-8750

Fax(716) 849-8756

Sole ProprietorYes

Medical School CMSMorehouse School Of MedicineGraduated 1995

Enumeration DateAugust 22, 2005

Last NPPES UpdateFebruary 18, 2014

✔ NPI 1215929658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NY · 211553✔ Licensed in NH · 13074

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.

50 LAKEFRONT BLVD, Buffalo, NY 14202

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Other Identifiers 5

Medicare PINBB5462NY

Medicare ID-Type UnspecifiedBB5462NY · #

Medicare UPING79433NY

Medicare UPING79433

Medicaid0200920NY

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

Ratnakumar S Newton 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 ID9335197300

PECOS Enrollment IDI20050106000173, I20200901000821

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 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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

287 services48 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

155 services39 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

15 services15 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Wynn Hospital

Acute Care Hospitals · Utica, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330044

Location111 Hospital DriveUtica, NY 13502 · Oneida County

Emergency services Birthing friendly

Oneida Health Hospital

Acute Care Hospitals · Oneida, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330115

Location321 Genesee StreetOneida, NY 13421 · Madison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14202 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%94 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 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers25 claims25 services$12.62 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier14 claims14 services$0.52 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers26 claims26 services$63.83 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 17

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

MS. KEIRA SIOBHAN MCCARTHY NP

Nurse Practitioner (Adult Health)

50 LAKEFRONT BLVD
BUFFALO, NY 14202

Erie County (716) 929-3225

MRS. SHANNON D MARZULLO ANP

Nurse Practitioner (Adult Health)