ERICA LEIGH NEWTON PA
NPI 1306212311
Physician Assistant in Binghamton, NY

Q: What is Erica Newton's NPI number?

The NPI number for Erica Newton is 1306212311. It was assigned to this individual provider in the NPPES registry on August 13, 2015. The provider is also known as Erica Hill PA.

Q: What is Erica Newton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Erica Newton was last updated on November 11, 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 August 13, 2015PECOS EnrolledAccepts Medicare Assignment

84.63/100

CMS Quality Rating

33 MITCHELL AVE, BINGHAMTON, NY 13903(607) 762-3281(607) 762-3295 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Nov 11, 2021, Oct 18, 2016 (2 updates tracked since 2016).

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About Erica Leigh Newton Pa NPPES

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

ERICA LEIGH NEWTON PA (NPI 1306212311) is an individual physician assistant in Binghamton, New York, licensed in New York (018819) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1306212311

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameERICA LEIGH NEWTONCredential: PA

Location Address33 MITCHELL AVEBinghamton, NY 13903-1642

Mailing Address33 Lewis Rd, 2nd FlBinghamton, NY 13905-1642 · (607) 770-0025 · Fax (607) 729-3982

Phone(607) 762-3281

Fax(607) 762-3295

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 13, 2015

Last NPPES UpdateNovember 11, 20212 updates tracked since enumeration

NPPES CertifiedNovember 11, 2021

✔ NPI 1306212311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 018819

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

33 MITCHELL AVE, Binghamton, NY 13903

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Other Names 1

Former Name (1)Erica Hill Pa

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

Erica Leigh Newton Pa 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 ID6709195811

PECOS Enrollment IDI20151012000804

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.

82 services45 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.

65 services40 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.

31 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330011

Location169 Riverside DriveBinghamton, NY 13905 · Broome County

Emergency services Birthing friendly

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330394

Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13903 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

84.63/100

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

Scored as part of a group practice

Quality

87.96

Promoting Interoperability

100

Improvement Activities

Cost

54.42

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.

DAVID C MAZZINI LMSW

Social Worker (Clinical)

33 MITCHELL AVE, SUITE G-80
BINGHAMTON, NY 13903

Broome County (607) 762-2307

MAIE ABDULLAH MD

Student in an Organized Health Care Education/Training Program