JAMES EDWARD NEWBY II M.D.
NPI 1265524813
Family Medicine in Norfolk, VA

Q: What is James Newby's NPI number?

The NPI number for James Newby is 1265524813. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Q: What is James Newby'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 James Newby was last updated on October 20, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment

930 MAJESTIC AVE, SUITE 220, NORFOLK, VA 23504(757) 627-6892(757) 627-5809 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About James Edward Newby Ii M.d. NPPES

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

JAMES EDWARD NEWBY II M.D. (NPI 1265524813) is an individual family medicine provider in Norfolk, Virginia, licensed in Virginia (0101036297) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of Eastern Virginia Medical School (1981).

NPPES Registry Identity

NPI1265524813

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJAMES EDWARD NEWBY IICredential: M.D.

Location Address930 MAJESTIC AVE, SUITE 220Norfolk, VA 23504

Mailing Address930 Majestic Ave, Suite 220Norfolk, VA 23504 · (757) 627-6892 · Fax (757) 627-5809

Phone(757) 627-6892

Fax(757) 627-5809

Sole ProprietorNo

Medical School CMSEastern Virginia Medical SchoolGraduated 1981

Enumeration DateSeptember 29, 2006

Last NPPES UpdateOctober 20, 2011

✔ NPI 1265524813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101036297

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.

930 MAJESTIC AVE, Norfolk, VA 23504

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Other Identifiers 5

OtherVAA103561Fnp Primary Care-individual Ptan

Medicare UPINB07640VA

Medicare ID-Type Unspecified080002863VA

Medicaid5657300VA

Other098411VA · Blue Cross Blus Shield

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

James Edward Newby Ii 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 ID8527162833

PECOS Enrollment IDI20100831000978

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 14

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 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.

439 services230 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.

268 services172 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

246 services118 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

206 services114 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.

175 services175 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

172 services172 patients

Cholesterol level 82465

A cholesterol level test is a blood test that helps evaluate your risk of heart disease. It measures the amount of different types of cholesterol in your blood, including "good" (HDL) and "bad" (LDL) cholesterol. High cholesterol can lead to blockages in your blood vessels, so regular testing is important for maintaining heart health.

121 services106 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

54 services49 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

44 services44 patients

Urine microalbumin (protein) analysis 82044

Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.

31 services30 patients

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.

23 services18 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

20 services13 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

20 services17 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490007

Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County

Emergency services Birthing friendly

Sentara Obici Hospital

Acute Care Hospitals · Suffolk, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490044

Location2800 Godwin BoulevardSuffolk, VA 23439 · Suffolk City County

Emergency services Birthing friendly

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490046

Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County

Birthing friendly

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490119

Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County

Birthing friendly

Chesapeake General Hospital

Acute Care Hospitals · Chesapeake, VA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number490120

Location736 Battlefield Blvd, NorthChesapeake, VA 23320 · Chesapeake City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23504 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

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

18 suppliers75 claims164 services$6.04 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

5 suppliers25 claims25 services$2.94 avg. paid by Medicare

Spring-powered device for lancet, each A4258

DME-Other DME · category DE000N

5 suppliers11 claims11 services$1.85 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

9 suppliers44 claims62 services$1.10 avg. paid by Medicare

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038

DME-Other DME · category DE000N

1 supplier22 claims22 services$6.16 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers42 claims42 services$188.07 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 12

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

OLIVIA MARIE NEWBY F.N.P.

Nurse Practitioner (Family)

930 MAJESTIC AVE, SUITE 220
NORFOLK, VA 23504

Norfolk City (757) 627-6892

MARECHAL-NEIL BROOKS,M.D.,P.C.

Internal Medicine (Gastroenterology)

930 MAJESTIC AVE, STE.210
NORFOLK, VA 23504

Norfolk City (757) 627-6038

FORT NORFOLK PLAZA MEDICAL ASSOCIATES, LLC

Family Medicine

930 MAJESTIC AVE, SUITE 220
NORFOLK, VA 23504

Norfolk City (757) 627-6892

STAT GAS SERVICES INCORPORATED

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)

930 MAJESTIC AVE, SUITE 110
NORFOLK, VA 23504

Norfolk City (757) 490-8297

ASSOCIATES IN PEDIATRIC CARE, P.C.

Pediatrics

930 MAJESTIC AVE, SUITE 200
NORFOLK, VA 23504

Norfolk City (757) 627-5705

ALEXANDRA GRACE WORTHINGTON CPNP

Nurse Practitioner (Pediatrics)

930 MAJESTIC AVE, SUITE 200
NORFOLK, VA 23504

Norfolk City (757) 627-5705

MARECHAL-NEIL BROOKS M.D.

Internal Medicine (Gastroenterology)

930 MAJESTIC AVE, STE. 210
NORFOLK, VA 23504

Norfolk City (757) 627-6038

COMMUNITY FAMILY PRACTICE, P.C.

Family Medicine

930 MAJESTIC AVE, SUITE 210
NORFOLK, VA 23504

Norfolk City (757) 622-0453

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 James Newby's NPI number?

The NPI number for James Newby is 1265524813. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is James Newby located?

James Newby practices at 930 Majestic Ave Suite 220, Norfolk, VA 23504. The listed phone number is (757) 627-6892.

What is James Newby's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Newby enrolled in Medicare?

Yes. James Newby 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 James Newby affiliated with any hospitals?

According to CMS data, James Newby is affiliated with Sentara Norfolk General Hospital, Sentara Obici Hospital, Sentara Leigh Hospital, Sentara Princess Anne Hospital and Chesapeake General Hospital.

When was this NPI record last updated?

The NPPES record for James Newby was last updated on October 20, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.