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DR. NICHOLAS D NEWBURY D.O.
NPI 1417214933
Obstetrics & Gynecology in Juneau, AK

Active since April 20, 2012PECOS EnrolledAccepts Medicare Assignment
3268 HOSPITAL DRIVE, SUITE B, JUNEAU, AK 99801(907) 586-1717(907) 586-2677 Get Directions Write a Review

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Nicholas D Newbury D.o. NPPES

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

DR. NICHOLAS D NEWBURY D.O. (NPI 1417214933) is an individual obstetrics & gynecology provider in Juneau, Alaska, licensed in Alaska (107902) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1417214933
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. NICHOLAS D NEWBURYCredential: D.O.
Location Address3268 HOSPITAL DRIVE, SUITE BJuneau, AK 99801-7808
Mailing Address3268 Hospital Dr, Suite BJuneau, AK 99801-7800 · (907) 586-1717 · Fax (907) 586-2677
Phone(907) 586-1717
Fax(907) 586-2677
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateApril 20, 2012
Last NPPES UpdateJune 1, 2016
✔ NPI 1417214933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in AK · 107902✔ Licensed in MI · NOT AVAILABLE
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.
3268 HOSPITAL DRIVE, Juneau, AK 99801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Moda Health Plan, Inc., Mountain Health CO-OP and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicholas D Newbury D.o. 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 ID1153611058
PECOS Enrollment IDI20230414000083
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nicholas Newbury reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South East Alaska Regional Health Consortium
Same address
Nursing Facility/Intermediate Care Facility
2000 SALMON CREEK LANE, 2000 SALMON CREEK LANE
Juneau, AK 99801
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Southeast Alaska Regional Health Consortium
  • 640 clinicians in this Medicare group
NPI 1932312485 (907) 463-8700
Municipality Of Skagway
84 mi
Federally Qualified Health Center (FQHC)
350 14TH AVENUE
Skagway, AK 99840
  • Reassigned Medicare billing, Alaska enrollment
  • 28 clinicians in this Medicare group
NPI 1063574200 (907) 983-2255
Billings Cinic
1,312 mi
General Acute Care Hospital
3905 WELLNESS WAY
Bozeman, MT 59718
  • Reassigned Medicare billing, Montana enrollment
  • Medicare enrollment name: Billings Clinic
  • 1,264 clinicians in this Medicare group
NPI 1215660840 (406) 898-1200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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 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.
28 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99801 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
$168.20 typical visit price
range $71.33 – $222.64
Typical copayment $42.05 (range $17.83 – $55.66)
Most-billed visit code 99204
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
5%105 patients1/55-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)…
60%428 patients
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…
33%411 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: 94% · 280 patients
Patients tobacco: 6% · 33 patients
83%280 patients4/55-star benchmark: 98%
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.

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 Nicholas Newbury's NPI number?

The NPI number for Nicholas Newbury is 1417214933. It was assigned to this individual provider in the NPPES registry on April 20, 2012.

Where is Nicholas Newbury located?

Nicholas Newbury practices at 3268 Hospital Drive Suite B, Juneau, AK 99801. The listed phone number is (907) 586-1717.

What is Nicholas Newbury's specialty?

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

Is Nicholas Newbury enrolled in Medicare?

Yes. Nicholas Newbury 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.

Which organizations bill Medicare for Nicholas Newbury's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Newbury reassigns Medicare benefits to 3 organizations: South East Alaska Regional Health Consortium (Juneau, AK), Municipality Of Skagway (Skagway, AK) and Billings Cinic (Bozeman, MT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Newbury's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Newbury accept?

Health plans from Blue Cross and Blue Shield of Montana, Moda Health Plan, Inc., Mountain Health CO-OP, PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska and 1 other insurer list Nicholas Newbury 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 Nicholas Newbury was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.