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DR. SETH LOUIS NEWMAN M.D.
NPI 1295727683
Surgery in Abington, PA

Active since August 22, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1245 HIGHLAND AVE, SUITE 600, ABINGTON, PA 19001(215) 887-3990(215) 887-1140 Get Directions Write a Review

NPPES record last updated: January 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Seth Louis Newman M.d. NPPES

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

DR. SETH LOUIS NEWMAN M.D. (NPI 1295727683) is an individual surgery provider in Abington, Pennsylvania, licensed in Pennsylvania (MD071113L) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Abington Memorial Hospital, and is a graduate of Temple University School Of Medicine (1997).

NPPES Registry Identity

NPI1295727683
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. SETH LOUIS NEWMANCredential: M.D.
Location Address1245 HIGHLAND AVE, SUITE 600Abington, PA 19001-3714
Mailing Address1245 Highland Ave, Suite 600Abington, PA 19001-3714 · (215) 887-3990 · Fax (215) 887-1140
Phone(215) 887-3990
Fax(215) 887-1140
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1997
Enumeration DateAugust 22, 2005
Last NPPES UpdateJanuary 28, 2014
✔ NPI 1295727683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MD071113L
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1245 HIGHLAND AVE, Abington, PA 19001
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Other Identifiers 1

Medicare PIN039429PA

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. Seth Louis Newman 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 ID3173657368
PECOS Enrollment IDI20100810000117
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 9

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
103 services103 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
76 services50 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
54 services53 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.
47 services38 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.
41 services39 patients
Repair of groin hernia (5 years or older) 49505
Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.
37 services37 patients

Hospital Affiliations CMS Care Compare

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

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390231
Location1200 Old York RoadAbington, PA 19001 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19001 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability95
Improvement Activities40

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.

NANCY DEANGELIS CRNP
Nurse Practitioner (Psychiatric/Mental Health)
1245 HIGHLAND AVE, SUITE #308
ABINGTON, PA 19001
Montgomery County (215) 481-5450
ABINGTON MEMORIAL HOSPITAL
Surgery (Pediatric Surgery)
1245 HIGHLAND AVE, SUITE 105
ABINGTON, PA 19001
Montgomery County (215) 481-6300
MRS. BETH ANNE KELLY PA-C
Physician Assistant
1245 HIGHLAND AVE, SUITE 401
ABINGTON, PA 19001
Montgomery County (215) 481-6070
DR. THEODORE ROBERT SULLIVAN M.D.
Surgery (Vascular Surgery)
1245 HIGHLAND AVE, SUITE 600
ABINGTON, PA 19001
Montgomery County (215) 887-3990
MR. MICHAEL LYNN NUSSBAUM M.D.
Surgery
1245 HIGHLAND AVE, SUITE 600
ABINGTON, PA 19001
Montgomery County (215) 887-3990
DR. WALTER J. SCOTT M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1245 HIGHLAND AVE, SUITE 401
ABINGTON, PA 19001
Montgomery County (215) 481-6070
KENNETH H EINHORN M.D.
Otolaryngology
1245 HIGHLAND AVE, SUITE 502
ABINGTON, PA 19001
Montgomery County (215) 886-1482
DR. STEPHEN GEORGE WHITTAKER O.T., CLVT
Occupational Therapist (Low Vision)
1245 HIGHLAND AVE
ABINGTON, PA 19001
Montgomery County (610) 544-0500

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 Seth Newman's NPI number?

The NPI number for Seth Newman is 1295727683. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Seth Newman located?

Seth Newman practices at 1245 Highland Ave Suite 600, Abington, PA 19001. The listed phone number is (215) 887-3990.

What is Seth Newman's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Seth Newman enrolled in Medicare?

Yes. Seth Newman 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 Seth Newman affiliated with any hospitals?

According to CMS data, Seth Newman is affiliated with Abington Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Seth Newman was last updated on January 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.