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DR. NEWTON PETERS M.D.
NPI 1407859556
Ophthalmology in Portsmouth, NH

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
155 BORTHWICK AVE, SUITE 200 EAST, PORTSMOUTH, NH 03801(603) 501-5000(603) 501-5001 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Newton Peters M.d. NPPES

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

DR. NEWTON PETERS M.D. (NPI 1407859556) is an individual ophthalmology provider in Portsmouth, New Hampshire, licensed in New Hampshire (11743) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1995).

NPPES Registry Identity

NPI1407859556
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. NEWTON PETERSCredential: M.D.
Location Address155 BORTHWICK AVE, SUITE 200 EASTPortsmouth, NH 03801-7156
Mailing Address155 Borthwick Ave, Suite 200 EastPortsmouth, NH 03801-7156 · (603) 501-5000 · Fax (603) 501-5001
Phone(603) 501-5000
Fax(603) 501-5001
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1995
Enumeration DateMay 23, 2005
Last NPPES UpdateApril 23, 2020
NPPES CertifiedApril 23, 2020
✔ NPI 1407859556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NH · 11743
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedSpecialistTaxonomy 174400000X · License 11743 (NH)
155 BORTHWICK AVE, Portsmouth, NH 03801
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Other Identifiers 1

Medicaid30203963NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care 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

Dr. Newton Peters 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 ID5092739599
PECOS Enrollment IDI20060124000364
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 14

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.

Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
504 services274 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
356 services348 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
320 services198 patients
Insertion of drug delivery implant into tear duct of eye 68841
This procedure involves placing a small implant into your tear duct. The implant slowly releases medication to your eye, helping manage conditions like dry eyes or glaucoma. It's a simple, quick procedure typically performed under local anesthesia.
296 services196 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
287 services284 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.
174 services163 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03801 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
82%261 patients4/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
93%259 patients4/55-star benchmark: 100%
Cataracts: Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
Percentage of patients aged 18 years and older who had cataract surgery and had improvement in visual function achieved within 90 days following the cataract surgery, based on completing a pre-operative and post-operative visual function survey
50%141 patients3/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
69%36 patients2/55-star benchmark: 100%
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.
95%1,724 patients4/55-star benchmark: 100%
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.
6%531 patients1/55-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.
50%1,939 patients3/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
99%175 patients4/55-star benchmark: 100%
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…
49%1,939 patients2/55-star benchmark: 100%
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.

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.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier13 claims13 services$58.57 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.

APPLEDORE MEDICAL GROUP-DIABETES RESOURCE CENTER
Dietitian, Registered
155 BORTHWICK AVE
PORTSMOUTH, NH 03801
Rockingham County (603) 433-5160
DANIEL L DAVIES DO
Internal Medicine
155 BORTHWICK AVE, SUITE 202W
PORTSMOUTH, NH 03801
Rockingham County (603) 433-8434
HNNH LLC
Naturopath
155 BORTHWICK AVE, WEST #102
PORTSMOUTH, NH 03801
Rockingham County (603) 610-7778
AMIRA DIAMOND-BIER ND
Naturopath
155 BORTHWICK AVE
PORTSMOUTH, NH 03801
Rockingham County (603) 610-7778
DR. CHRISTOPHER TURNER O.D.
Optometrist
155 BORTHWICK AVE, SUITE 200 EAST
PORTSMOUTH, NH 03801
Rockingham County (603) 501-7868
DR. STEPHEN P. BRADY M.D.
Dermatology (Dermatopathology)
155 BORTHWICK AVE, SUITE 201 WEST
PORTSMOUTH, NH 03801
Rockingham County (603) 433-9575
TABAREK KADHIM
Optometrist
155 BORTHWICK AVE
PORTSMOUTH, NH 03801
Rockingham County (603) 436-1773
DR. IAN D BIER ND., LAC, PHD
Naturopath
155 BORTHWICK AVE, WEST SUITE 102
PORTSMOUTH, NH 03801
Rockingham County (603) 610-7778

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 Peters's NPI number?

The NPI number for Newton Peters is 1407859556. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Newton Peters located?

Newton Peters practices at 155 Borthwick Ave Suite 200 East, Portsmouth, NH 03801. The listed phone number is (603) 501-5000.

What is Newton Peters's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Newton Peters enrolled in Medicare?

Yes. Newton Peters 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 Peters accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and WellSense Health Plan list Newton Peters 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.

When was this NPI record last updated?

The NPPES record for Newton Peters was last updated on April 23, 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.