MEGAN E NEWNAM DO
NPI 1275028755
Emergency Medicine in Hanover, PA

Q: What is Megan Newnam's NPI number?

The NPI number for Megan Newnam is 1275028755. It was assigned to this individual provider in the NPPES registry on June 26, 2018.

Q: What is Megan Newnam's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Megan Newnam was last updated on September 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 26, 2018PECOS EnrolledAccepts Medicare Assignment

90.11/100

CMS Quality Rating

300 HIGHLAND AVE, HANOVER, PA 17331(717) 988-0000(717) 782-5716 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2021, May 21, 2021, Jun 26, 2018 (3 updates tracked since 2018).

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About Megan E Newnam Do NPPES

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

MEGAN E NEWNAM DO (NPI 1275028755) is an individual emergency medicine provider in Hanover, Pennsylvania, licensed in Pennsylvania (OS021179) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Geisinger-lewistown Hospital, and maintains a secondary practice location in York.

NPPES Registry Identity

NPI1275028755

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameMEGAN E NEWNAMCredential: DO

Location Address300 HIGHLAND AVEHanover, PA 17331-2297

Mailing Address300 Highland AveHanover, PA 17331-2297 · (717) 988-0000 · Fax (717) 782-5716

Phone(717) 988-0000

Fax(717) 782-5716

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 26, 2018

Last NPPES UpdateSeptember 7, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2021

✔ NPI 1275028755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in PA · OS021179✔ Licensed in PA · OT018838

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

300 HIGHLAND AVE, Hanover, PA 17331

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Secondary Practice Location 1

Location 11001 S George StYork, PA 17403-3676 · Phone (717) 851-2311

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

Megan E Newnam Do 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 ID244584704

PECOS Enrollment IDI20210526001600

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 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

164 services160 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

47 services47 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

39 services38 patients

Hospital Affiliations CMS Care Compare 3

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

Geisinger-Lewistown Hospital

Acute Care Hospitals · Lewistown, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390048

Location400 Highland AvenueLewistown, PA 17044 · Mifflin County

Emergency services Birthing friendly

Penn Highlands Huntingdon

Acute Care Hospitals · Huntingdon, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390056

Location1225 Warm Springs AveHuntingdon, PA 16652 · Huntingdon County

Emergency services

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390086

Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17331 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

90.11/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

88.9

Improvement Activities

Cost

70.34

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.

UPMC HANOVER

Clinical Medical Laboratory