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NEWTON W CHISM JR. MD
NPI 1366482507
Specialist in Dublin, GA

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
2400 BELLEVUE RD, #23 ERIN OFFICE PARK, DUBLIN, GA 31021(478) 272-8580(478) 275-0012 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Newton W Chism Jr. Md NPPES

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

NEWTON W CHISM JR. MD (NPI 1366482507) is an individual specialist in Dublin, Georgia, licensed in Georgia (017442) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Fairview Park Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (1974).

NPPES Registry Identity

NPI1366482507
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameNEWTON W CHISM JR.Credential: MD
Location Address2400 BELLEVUE RD, #23 ERIN OFFICE PARKDublin, GA 31021-2885
Mailing Address2400 Bellevue Rd, Ste 23Dublin, GA 31021-2888 · (478) 272-8580 · Fax (478) 275-0012
Phone(478) 272-8580
Fax(478) 275-0012
Sole ProprietorYes
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1974
Enumeration DateJune 7, 2006
Last NPPES UpdateFebruary 1, 2021
NPPES CertifiedFebruary 1, 2021
✔ NPI 1366482507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 017442
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 017442 (GA)
2400 BELLEVUE RD, Dublin, GA 31021
Open in Google Maps ↗

Other Identifiers 2

Medicaid00082233AGA
Medicaid300030912AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Newton W Chism Jr. 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 ID446445845
PECOS Enrollment IDI20101111000227
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 5

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
34 services29 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.
27 services24 patients
Blood count, hemoglobin 85018
A blood count, specifically hemoglobin, is a standard test that measures the amount of hemoglobin in your blood. Hemoglobin is a protein in red blood cells that carries oxygen throughout your body. This test helps assess your overall health and detect a variety of disorders such as anemia or polycythemia.
14 services14 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
12 services12 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Fairview Park Hospital

Acute Care Hospitals · Dublin, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110125
Location200 Industrial BoulevardDublin, GA 31021 · Laurens County
Emergency services Birthing friendly

Memorial Health Meadows Hospital

Acute Care Hospitals · Vidalia, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110128
LocationOne Meadows ParkwayVidalia, GA 30474 · Toombs County
Emergency services

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
75%348 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
89%1,182 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%4,647 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%533 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
76%2,126 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
36%1,413 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 1,078 patients
Patients tobacco: 7% · 60 patients
85%1,078 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%2,126 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%2,126 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
14%2,126 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ANDREW SLATER PA-C
Physician Assistant
2400 BELLEVUE RD
DUBLIN, GA 31021
Laurens County (478) 275-7202
DVA RENAL HEALTHCARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2400 BELLEVUE RD, STE 8
DUBLIN, GA 31021
Laurens County (478) 272-5190
GEORGIA DERMATOLOGY & SKIN CANCER CENTER, LLC
Dermatology
2400 BELLEVUE RD, 16 ERIN OFFICE PARK
DUBLIN, GA 31021
Laurens County (478) 328-0281
KELLY W TOLER PA C
Physician Assistant
2400 BELLEVUE RD, 16 ERIN OFC PARK
DUBLIN, GA 31021
Laurens County (478) 275-2694
HENRY A MANNING PA C
Physician Assistant
2400 BELLEVUE RD, 16 ERIN OFC PARK
DUBLIN, GA 31021
Laurens County (478) 275-7546
KRISTIN WATSON DAVIS PA-C
Dermatology
2400 BELLEVUE RD
DUBLIN, GA 31021
Laurens County (478) 275-2694
MIDDLE GEORGIA INTERNAL MEDICINE LLC
Internal Medicine
2400 BELLEVUE RD, SUITE 19-B ERIN OFFICE PARK
DUBLIN, GA 31021
Laurens County (478) 272-2599
DUBLIN DIALYSIS CENTER LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2400 BELLEVUE RD, SUITE 29A
DUBLIN, GA 31021
Laurens County (478) 304-1501

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 Newton Chism's NPI number?

The NPI number for Newton Chism is 1366482507. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Newton Chism located?

Newton Chism practices at 2400 Bellevue Rd #23 Erin Office Park, Dublin, GA 31021. The listed phone number is (478) 272-8580.

What is Newton Chism's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Newton Chism enrolled in Medicare?

Yes. Newton Chism 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 Newton Chism accept?

Health plans from Alliant Health Plans, Inc. list Newton Chism 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 Newton Chism affiliated with any hospitals?

According to CMS data, Newton Chism is affiliated with Fairview Park Hospital and Memorial Health Meadows Hospital.

When was this NPI record last updated?

The NPPES record for Newton Chism was last updated on February 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.