DR. MICHAEL J NEWTON M.D.
NPI 1255443370
Ophthalmology in New York, NY

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
92.87/100
CMS Quality Rating
799 PARK AVE, NEW YORK, NY 10021(212) 861-0146 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Michael J Newton M.d. NPPES

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

DR. MICHAEL J NEWTON M.D. (NPI 1255443370) is an individual ophthalmology provider in New York, New York, licensed in New York (113154) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (1971).

NPPES Registry Identity

NPI1255443370
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MICHAEL J NEWTONCredential: M.D.
Location Address799 PARK AVENew York, NY 10021-3275
Mailing Address799 Park AveNew York, NY 10021-3275 · (212) 861-0146
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 1971
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1255443370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NY · 113154
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

799 PARK AVE, New York, NY 10021

Other Identifiers 2

Medicare ID-Type Unspecified01A551NY
Medicare UPINCO4468NY

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. Michael J 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 ID3779797998
PECOS Enrollment IDI20120127000030
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 12

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.

Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
172 services114 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
151 services141 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
139 services131 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
116 services110 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
73 services73 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
67 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

92.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost76.24

Other Providers at the Same Location NPPES 9

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

Ophthalmology
799 PARK AVE
NEW YORK, NY 10021
Ophthalmology
799 PARK AVE
NEW YORK, NY 10021
Ophthalmology
799 PARK AVE
NEW YORK, NY 10021
Otolaryngology (Facial Plastic Surgery)
799 PARK AVE
NEW YORK, NY 10021
Clinic/Center (Primary Care)
799 PARK AVE
NEW YORK, NY 10021
Nurse Practitioner (Family)
799 PARK AVE
NEW YORK, NY 10021
Legal Medicine
799 PARK AVE
NEW YORK, NY 10021
Plastic Surgery
799 PARK AVE
NEW YORK, NY 10021

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 Newton's NPI number?

The NPI number for Michael Newton is 1255443370. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Michael Newton located?

Michael Newton practices at 799 Park Ave, New York, NY 10021. The listed phone number is (212) 861-0146.

What is Michael Newton's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Michael Newton enrolled in Medicare?

Yes. Michael 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.

When was this NPI record last updated?

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