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TARA J. NEWSOME MD
NPI 1306919311
Family Medicine in Harold, KY

Active since November 16, 2006PECOS EnrolledAccepts Medicare Assignment
246 KY ROUTE 979, HAROLD, KY 41635(606) 478-2200(866) 310-9947 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tara J. Newsome Md NPPES

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

TARA J. NEWSOME MD (NPI 1306919311) is an individual family medicine provider in Harold, Kentucky, licensed in Kentucky (41205) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Highlands Arh Regional Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1306919311
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTARA J. NEWSOMECredential: MD
Location Address246 KY ROUTE 979Harold, KY 41635-9046
Mailing Address1709 Ky Route 321Prestonsburg, KY 41653-9097 · (606) 886-8546 · Fax (606) 886-8548
Phone(606) 478-2200
Fax(866) 310-9947
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2005
Enumeration DateNovember 16, 2006
Last NPPES UpdateSeptember 12, 2024
NPPES CertifiedSeptember 12, 2024
✔ NPI 1306919311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 41205
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.
246 KY ROUTE 979, Harold, KY 41635
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Secondary Practice Locations 4

Location 17629 Ky Route 979Grethel, KY 41631-6304 · Phone (606) 587-2200
Location 223 Willow DrAuxier, KY 41602-9259 · Phone (606) 886-8997
Location 350 Weddington Branch Rd Ste BPikeville, KY 41501-3296 · Phone (606) 637-6377
Location 4450 S Mayo TrlPaintsville, KY 41240-1220 · Phone (606) 887-6145

Other Identifiers 1

Medicaid7100004770KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Tara J. Newsome Md 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 ID446357883
PECOS Enrollment IDI20070521000319
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 7

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.

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.
96 services47 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
75 services35 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
56 services37 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
40 services18 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
19 services18 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
18 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Highlands Arh Regional Medical Center

Acute Care Hospitals · Prestonsburg, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180005
Location5000 Kentucky Route 321Prestonsburg, KY 41653 · Floyd County
Emergency services Birthing friendly

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180044
Location911 Bypass RoadPikeville, KY 41501 · Pike County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41635 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 10

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
8 suppliers29 claims91 services$5.83 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers13 claims27 services$0.98 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
8 suppliers52 claims52 services$20.88 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
4 suppliers28 claims28 services$8.06 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
9 suppliers74 claims74 services$112.80 avg. paid by Medicare
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims720 services$6.60 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 3

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

JENNY G COLLINS PA-C
Physician Assistant
246 KY ROUTE 979
HAROLD, KY 41635
Floyd County (606) 478-2200
BIG SANDY HEALTH CARE INC
Clinic/Center (Federally Qualified Health Center (FQHC))
246 KY ROUTE 979
HAROLD, KY 41635
Floyd County (606) 478-2200
BRITTANY MICHELLE MARTIN VARNEY OD
Optometrist
246 KY ROUTE 979
HAROLD, KY 41635
Floyd County (606) 487-2200

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 Tara Newsome's NPI number?

The NPI number for Tara Newsome is 1306919311. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Tara Newsome located?

Tara Newsome practices at 246 Ky Route 979, Harold, KY 41635. The listed phone number is (606) 478-2200.

What is Tara Newsome's specialty?

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

Is Tara Newsome enrolled in Medicare?

Yes. Tara Newsome 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 Tara Newsome accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Tara Newsome 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 Tara Newsome affiliated with any hospitals?

According to CMS data, Tara Newsome is affiliated with Highlands Arh Regional Medical Center and Pikeville Medical Center.

When was this NPI record last updated?

The NPPES record for Tara Newsome was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.