PETER D NEWCOMER MD
NPI 1386605756
Internal Medicine in Madison, WI

Q: What is Peter Newcomer's NPI number?

The NPI number for Peter Newcomer is 1386605756. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Q: What is Peter Newcomer's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Newcomer was last updated on January 14, 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.

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment

451 JUNCTION RD, MADISON, WI 53717(608) 265-1600(608) 265-7642 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Peter D Newcomer Md NPPES

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

PETER D NEWCOMER MD (NPI 1386605756) is an individual internal medicine provider in Madison, Wisconsin, licensed in Wisconsin (41966) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of University Of Wisconsin School Of Medicine (1995).

NPPES Registry Identity

NPI1386605756

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NamePETER D NEWCOMERCredential: MD

Location Address451 JUNCTION RDMadison, WI 53717

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531

Phone(608) 265-1600

Fax(608) 265-7642

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1995

Enumeration DateMarch 28, 2006

Last NPPES UpdateJanuary 14, 2021

NPPES CertifiedJanuary 14, 2021

✔ NPI 1386605756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WI · 41966

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

451 JUNCTION RD, Madison, WI 53717

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan.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

Peter D Newcomer 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 ID2365579307

PECOS Enrollment IDI20100422000453

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 2

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 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.

33 services33 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.

18 services18 patients

Hospital Affiliations CMS Care Compare

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

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number520098

Location600 Highland AvenueMadison, WI 53792 · Dane County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53717 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 7

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

7 suppliers14 claims34 services$5.82 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

1 supplier13 claims13 services$36.24 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

2 suppliers11 claims28 services$34.28 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

2 suppliers11 claims11 services$48.13 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

3 suppliers17 claims17 services$18.06 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers16 claims96 services$2.09 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. TERESA LYNN WOLFE PA

Physician Assistant (Medical)

451 JUNCTION RD
MADISON, WI 53717

Dane County (608) 265-7670

DR. MARIAH A. QUINN M.D.

Internal Medicine

451 JUNCTION RD
MADISON, WI 53717

Dane County (608) 265-7550

DR. YEW-XIN TEH MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

451 JUNCTION RD
MADISON, WI 53717

Dane County (608) 263-5010

ABIGAIL M BALES MD

Internal Medicine

451 JUNCTION RD
MADISON, WI 53717

Dane County (608) 265-1600

UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY

Pharmacy

451 JUNCTION RD, SUITE 9901, ROOM 1191
MADISON, WI 53717

Dane County (608) 265-7070

ANNA HABERMEYER CNM

Nurse Practitioner

451 JUNCTION RD
MADISON, WI 53717

Dane County (608) 265-7601

MRS. SHERRY XIONG NP

Nurse Practitioner

451 JUNCTION RD
MADISON, WI 53717

Dane County (608) 263-7577

DANIELA C CONSTANTINESCU MD

Internal Medicine

451 JUNCTION RD
MADISON, WI 53717

Dane County (608) 265-7550

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 Peter Newcomer's NPI number?

The NPI number for Peter Newcomer is 1386605756. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Peter Newcomer located?

Peter Newcomer practices at 451 Junction Rd, Madison, WI 53717. The listed phone number is (608) 265-1600.

What is Peter Newcomer's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Peter Newcomer enrolled in Medicare?

Yes. Peter Newcomer 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 Peter Newcomer accept?

Health plans from Aspirus Health Plan list Peter Newcomer 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 Peter Newcomer affiliated with any hospitals?

According to CMS data, Peter Newcomer is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Peter Newcomer was last updated on January 14, 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.