EILEENA NEWTON
NPI 1275996407
Psychiatry & Neurology - Vascular Neurology in Scarborough, ME

Active since April 04, 2016PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
92 CAMPUS DR STE B, SCARBOROUGH, ME 04074(207) 883-1414(207) 883-1010 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 13, 2024, Jul 3, 2023, May 17, 2021 and 1 more (4 updates tracked since 2019).

About Eileena Newton NPPES

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

EILEENA NEWTON (NPI 1275996407) is an individual vascular neurology provider in Scarborough, Maine, licensed in Maine (MD26956) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1275996407
Entity TypeIndividualFemale
Primary Taxonomy2084V0102X
Provider Legal NameEILEENA NEWTON
Location Address92 CAMPUS DR STE BScarborough, ME 04074-7229
Mailing Address92 Campus Dr Ste BScarborough, ME 04074-7229 · (207) 883-1414 · Fax (207) 883-1010
Fax(207) 883-1010
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 4, 2016
Last NPPES UpdateSeptember 13, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
NPI 1275996407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Vascular NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084V0102X
Licenses Licensed in ME · MD26956 Licensed in MD · D0090856
Definition

Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.

92 CAMPUS DR STE B, Scarborough, ME 04074

Accepted Insurance

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

Eileena Newton 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 ID6507125598
PECOS Enrollment IDI20230807000189
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.

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.
62 services60 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
56 services56 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
33 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Memorial Hospital, The

Critical Access Hospitals · North Conway, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301307
Location3073 White Mountain HighwayNorth Conway, NH 03860 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04074 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

Psychiatry & Neurology (Neurology)
92 CAMPUS DR STE B
SCARBOROUGH, ME 04074
Nurse Practitioner (Gerontology)
92 CAMPUS DR STE B
SCARBOROUGH, ME 04074
Psychiatry & Neurology (Neurology)
92 CAMPUS DR STE B
SCARBOROUGH, ME 04074
Psychiatry & Neurology (Neurology)
92 CAMPUS DR STE B
SCARBOROUGH, ME 04074
Psychiatry & Neurology (Neurology)
92 CAMPUS DR STE B
SCARBOROUGH, ME 04074
Psychiatry & Neurology (Neurology)
92 CAMPUS DR STE B
SCARBOROUGH, ME 04074
Psychiatry & Neurology (Neurology)
92 CAMPUS DR STE B
SCARBOROUGH, ME 04074
Psychiatry & Neurology (Neurocritical Care)
92 CAMPUS DR STE B
SCARBOROUGH, ME 04074

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 Eileena Newton's NPI number?

The NPI number for Eileena Newton is 1275996407. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Eileena Newton located?

Eileena Newton practices at 92 Campus Dr Ste B, Scarborough, ME 04074. The listed phone number is (207) 883-1414.

What is Eileena Newton's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Vascular Neurology, with taxonomy code 2084V0102X.

Is Eileena Newton enrolled in Medicare?

Yes. Eileena 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.

What insurance does Eileena Newton accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Eileena Newton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Eileena Newton affiliated with any hospitals?

According to CMS data, Eileena Newton is affiliated with Maine Medical Center and Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Eileena Newton was last updated on September 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.