DR. JOHN ROBERT NEWMAN M.D.
NPI 1447411715
Otolaryngology in Macon, GA

Active since June 19, 2008PECOS EnrolledAccepts Medicare Assignment
96.44/100
CMS Quality Rating
540 HEMLOCK ST, MACON, GA 31201(478) 743-8953(478) 741-9556 Get Directions Write a Review

NPPES record last updated: August 16, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Robert Newman M.d. NPPES

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

DR. JOHN ROBERT NEWMAN M.D. (NPI 1447411715) is an individual otolaryngology provider in Macon, Georgia, licensed in Georgia (69899) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1447411715
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JOHN ROBERT NEWMANCredential: M.D.
Location Address540 HEMLOCK STMacon, GA 31201-3202
Mailing Address540 Hemlock StMacon, GA 31201-3202 · (478) 743-8953 · Fax (478) 741-9556
Fax(478) 741-9556
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 19, 2008
Last NPPES UpdateAugust 16, 2013
NPI 1447411715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in GA · 69899
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

540 HEMLOCK ST, Macon, GA 31201

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

Dr. John Robert 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 ID4981840774
PECOS Enrollment IDI20130515000155
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 10

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.
321 services223 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
157 services157 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.
128 services120 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
90 services67 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
66 services66 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
64 services47 patients

Hospital Affiliations CMS Care Compare 5

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

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Fairview Park Hospital

Acute Care Hospitals · Dublin, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110125
Location200 Industrial BoulevardDublin, GA 31021 · Laurens County
Emergency services Birthing friendly

Navicent Health Baldwin

Acute Care Hospitals · Milledgeville, GA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number110150
Location821 North Cobb StreetMilledgeville, GA 31061 · Baldwin County
Emergency services Birthing friendly

Atrium Health Navicent Peach

Critical Access Hospitals · Byron, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111310
Location1960 Highway 247 ConnectorByron, GA 31008 · Peach County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

96.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality93.54
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
99%140 patients
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
43%21 patients3/55-star benchmark: 100%
Allergic Rhinitis: Intranasal Corticosteroids or Oral Antihistamines
80%321 patients4/55-star benchmark: 89%
Documentation of Current Medications in the Medical Record
98%2,921 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%1,078 patients4/55-star benchmark: 100%
Surgical Site Infection (SSI)
Lower rates are better for this measure.
0%20 patients
Tobacco Use and Help with Quitting Among Adolescents
48%143 patients1/55-star benchmark: 100%
Unplanned Reoperation within the 30 Day Postoperative Period
Lower rates are better for this measure.
0%20 patients
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.

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.

Audiologist
540 HEMLOCK ST
MACON, GA 31201
Otolaryngology
540 HEMLOCK ST
MACON, GA 31201
Otolaryngology
540 HEMLOCK ST
MACON, GA 31201
Otolaryngology
540 HEMLOCK ST
MACON, GA 31201
Audiologist
540 HEMLOCK ST
MACON, GA 31201
Clinic/Center (Ambulatory Surgical)
540 HEMLOCK ST
MACON, GA 31201
Audiologist
540 HEMLOCK ST
MACON, GA 31201
Nurse Practitioner
540 HEMLOCK ST
MACON, GA 31201

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 John Newman's NPI number?

The NPI number for John Newman is 1447411715. It was assigned to this individual provider in the NPPES registry on June 19, 2008.

Where is John Newman located?

John Newman practices at 540 Hemlock St, Macon, GA 31201. The listed phone number is (478) 743-8953.

What is John Newman's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is John Newman enrolled in Medicare?

Yes. John 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 John Newman accept?

Health plans from Alliant Health Plans, Inc. list John 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 John Newman affiliated with any hospitals?

According to CMS data, John Newman is affiliated with Houston Healthcare, Atrium Health Navicent The Medical Center, Fairview Park Hospital, Navicent Health Baldwin and Atrium Health Navicent Peach.

When was this NPI record last updated?

The NPPES record for John Newman was last updated on August 16, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.