ILENE NEWMAN M.D.
NPI 1396856928
Obstetrics & Gynecology in San Jose, CA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
83.56/100
CMS Quality Rating
227 N JACKSON AVE, SAN JOSE, CA 95116(408) 871-3400 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 3, 2020, Aug 22, 2019 (2 updates tracked since 2019).

About Ilene Newman M.d. NPPES

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

ILENE NEWMAN M.D. (NPI 1396856928) is an individual obstetrics & gynecology provider in San Jose, California, licensed in California (G54610) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of New York Medical College (1981).

NPPES Registry Identity

NPI1396856928
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameILENE NEWMANCredential: M.D.
Location Address227 N JACKSON AVESan Jose, CA 95116-1603
Mailing Address227 N Jackson AveSan Jose, CA 95116-1603 · (408) 871-3400
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1981
Enumeration DateAugust 31, 2006
Last NPPES UpdateDecember 3, 20202 updates tracked since enumeration
NPPES CertifiedDecember 3, 2020
NPI 1396856928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in CA · G54610
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
227 N JACKSON AVE, San Jose, CA 95116

Other Identifiers 1

Medicaid00G546100CA

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

Ilene Newman M.d. 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 ID2668545880
PECOS Enrollment IDI20080722000344
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.

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.
30 services30 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.
30 services30 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.
23 services18 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.
20 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95116 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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.

83.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.75
Promoting Interoperability100
Improvement Activities40
Cost61.45

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.

Internal Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116
Family Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116
Internal Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116
Internal Medicine (Gastroenterology)
227 N JACKSON AVE
SAN JOSE, CA 95116
Specialist
227 N JACKSON AVE
SAN JOSE, CA 95116
Non-Pharmacy Dispensing Site
227 N JACKSON AVE
SAN JOSE, CA 95116
Internal Medicine (Pulmonary Disease)
227 N JACKSON AVE
SAN JOSE, CA 95116
Internal Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116

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 Ilene Newman's NPI number?

The NPI number for Ilene Newman is 1396856928. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Ilene Newman located?

Ilene Newman practices at 227 N Jackson Ave, San Jose, CA 95116. The listed phone number is (408) 871-3400.

What is Ilene Newman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Ilene Newman enrolled in Medicare?

Yes. Ilene Newman 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.

When was this NPI record last updated?

The NPPES record for Ilene Newman was last updated on December 3, 2020. 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.