DANIEL H NEWTON M.D.
NPI 1255692877
Surgery - Vascular Surgery in Richmond, VA

Active since May 30, 2012PECOS EnrolledAccepts Medicare Assignment
81.88/100
CMS Quality Rating
417 N 11TH ST, RICHMOND, VA 23298(804) 828-7749(804) 828-0191 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2019, Aug 4, 2017, Jun 23, 2017 (3 updates tracked since 2017).

About Daniel H Newton M.d. NPPES

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

DANIEL H NEWTON M.D. (NPI 1255692877) is an individual vascular surgery provider in Richmond, Virginia, licensed in Virginia (0101262651) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1255692877
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDANIEL H NEWTONCredential: M.D.
Location Address417 N 11TH STRichmond, VA 23298-5002
Mailing AddressPo Box 91734Richmond, VA 23291-1734 · (804) 358-6100 · Fax (804) 342-7619
Fax(804) 828-0191
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 30, 2012
Last NPPES UpdateSeptember 10, 20193 updates tracked since enumeration
NPI 1255692877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in VA · 0101262651
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License 0101262651 (VA)
417 N 11TH ST, Richmond, VA 23298

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

Daniel H 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 ID5799925020
PECOS Enrollment IDI20191023002379
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 25

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.

Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
218 services205 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
177 services164 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
115 services111 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
57 services56 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
49 services48 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
48 services41 patients

Hospital Affiliations CMS Care Compare 4

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

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490022
Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County
Emergency services Birthing friendly

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Vcu Health Tappahannock Hospital

Acute Care Hospitals · Tappahannock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490084
Location618 Hospital RoadTappahannock, VA 22560 · Essex County
Emergency services

Community Memorial Hospital

Acute Care Hospitals · South Hill, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490098
Location1755 North Mecklenburg AvenueSouth Hill, VA 23970 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23298 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
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.

81.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.91
Promoting Interoperability100
Improvement Activities40
Cost64.69

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.

Nurse Practitioner (Acute Care)
417 N 11TH ST
RICHMOND, VA 23298
Internal Medicine
417 N 11TH ST
RICHMOND, VA 23298
Student in an Organized Health Care Education/Training Program
417 N 11TH ST
RICHMOND, VA 23298
Anesthesiology
417 N 11TH ST
RICHMOND, VA 23298
Internal Medicine
417 N 11TH ST
RICHMOND, VA 23298
Anesthesiology
417 N 11TH ST
RICHMOND, VA 23298
Internal Medicine
417 N 11TH ST
RICHMOND, VA 23298
Orthopaedic Surgery
417 N 11TH ST
RICHMOND, VA 23298

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 Daniel Newton's NPI number?

The NPI number for Daniel Newton is 1255692877. It was assigned to this individual provider in the NPPES registry on May 30, 2012.

Where is Daniel Newton located?

Daniel Newton practices at 417 N 11th St, Richmond, VA 23298. The listed phone number is (804) 828-7749.

What is Daniel Newton's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Daniel Newton enrolled in Medicare?

Yes. Daniel 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 Daniel Newton affiliated with any hospitals?

According to CMS data, Daniel Newton is affiliated with Mary Washington Hospital, Medical College Of Virginia Hospitals, Vcu Health Tappahannock Hospital and Community Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Newton was last updated on September 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.