BENJAMIN JAMES NEWBERRY PA C
NPI 1376944777
Physician Assistant in Muskegon, MI

Q: What is Benjamin Newberry's NPI number?

The NPI number for Benjamin Newberry is 1376944777. It was assigned to this individual provider in the NPPES registry on September 5, 2014.

Q: What is Benjamin Newberry'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 Benjamin Newberry was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 September 05, 2014PECOS EnrolledAccepts Medicare Assignment

376 E APPLE AVE, MUSKEGON, MI 49442(231) 734-1335 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 22, 2020, Apr 17, 2017 (2 updates tracked since 2017).

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About Benjamin James Newberry Pa C NPPES

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

BENJAMIN JAMES NEWBERRY PA C (NPI 1376944777) is an individual physician assistant in Muskegon, Michigan and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Muskegon Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1376944777

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameBENJAMIN JAMES NEWBERRYCredential: PA C

Location Address376 E APPLE AVEMuskegon, MI 49442-3466

Mailing Address2700 Baker St Fl 3Muskegon, MI 49444-2157

Phone(231) 734-1335

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 5, 2014

Last NPPES UpdateJanuary 22, 20202 updates tracked since enumeration

✔ NPI 1376944777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

376 E APPLE AVE, Muskegon, MI 49442

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Accepted Insurance

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

Benjamin James Newberry Pa C 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 ID2860613841

PECOS Enrollment IDI20141015001961

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.

Hospital Affiliations CMS Care Compare

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

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230066

Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49442 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

2 suppliers12 claims22 services$6.58 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 20

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

MRS. REBECA JOSEPHINE GASKIN RN

Registered Nurse (Psychiatric/Mental Health)