TROY MICHAEL NEWMAN M.D.
NPI 1427156637
Ophthalmology in Jackson, MS

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
59.32/100
CMS Quality Rating
1200 N STATE ST, SUITE 330, JACKSON, MS 39202(601) 353-2020(601) 714-5110 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 8, 2021, Oct 8, 2018 (2 updates tracked since 2018).

About Troy Michael Newman M.d. NPPES

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

TROY MICHAEL NEWMAN M.D. (NPI 1427156637) is an individual ophthalmology provider in Jackson, Mississippi, licensed in Mississippi (18981) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Med Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1427156637
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameTROY MICHAEL NEWMANCredential: M.D.
Location Address1200 N STATE ST, SUITE 330Jackson, MS 39202-2000
Mailing Address1501 Lakeland Dr Ste 100Jackson, MS 39216-4869 · (601) 355-1085 · Fax (601) 984-5042
Fax(601) 714-5110
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 20, 2006
Last NPPES UpdateNovember 8, 20212 updates tracked since enumeration
NPPES CertifiedNovember 8, 2021
NPI 1427156637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MS · 18981
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.
1200 N STATE ST, Jackson, MS 39202

Other Identifiers 4

OtherP00412425Medicare Railroad
Medicaid118619AL
Medicaid04106554MS
Other51105809AL · Bcbs Of Al

Accepted 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

Troy Michael 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 ID5890895825
PECOS Enrollment IDI20070705000307
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 15

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.
592 services325 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
192 services189 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.
166 services154 patients
Exam of visual field with intermediate testing 92082
An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.
150 services148 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
131 services125 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.
121 services75 patients

Hospital Affiliations CMS Care Compare

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

University Of Mississippi Med Center

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number250001
Location2500 N State StJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39202 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

59.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.56
Improvement Activities40
Cost19.65

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.

Neuromusculoskeletal Medicine & OMM
1200 N STATE ST, SUITE 420
JACKSON, MS 39202
Internal Medicine
1200 N STATE ST, SUITE 500
JACKSON, MS 39202
Internal Medicine
1200 N STATE ST, SUITE 500
JACKSON, MS 39202
Physical Therapist
1200 N STATE ST, SUITE 500
JACKSON, MS 39202
Specialist
1200 N STATE ST, SUITE 480
JACKSON, MS 39202
Internal Medicine
1200 N STATE ST, SUITE 480
JACKSON, MS 39202
Nurse Practitioner (Family)
1200 N STATE ST, SUITE 420
JACKSON, MS 39202
Internal Medicine (Infectious Disease)
1200 N STATE ST, SUITE 500
JACKSON, MS 39202

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 Troy Newman's NPI number?

The NPI number for Troy Newman is 1427156637. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Troy Newman located?

Troy Newman practices at 1200 N State St Suite 330, Jackson, MS 39202. The listed phone number is (601) 353-2020.

What is Troy Newman's specialty?

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

Is Troy Newman enrolled in Medicare?

Yes. Troy 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.

What insurance does Troy Newman accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Troy Newman 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 Troy Newman affiliated with any hospitals?

According to CMS data, Troy Newman is affiliated with University Of Mississippi Med Center.

When was this NPI record last updated?

The NPPES record for Troy Newman was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.