THOMAS JEFFREY NEWMAN CRNA
NPI 1457547051
Nurse Anesthetist, Certified Registered in Tulsa, OK

NPI Status: Active since September 18, 2007

Contact Information

7912 E 31ST CT
STE. 210
TULSA, OK
ZIP 74145
Phone: (918) 392-4456
Fax: (918) 392-4465

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Areas of Expertise
Quality Reporting
Hospital Affiliations - Privileges
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Years of Experience 11
Nurse Anesthetist, Certified Registered
Accepts Insurance
Accepts Medicare Approved Payment
Medicare Quality Reporting

About THOMAS NEWMAN

This page provides the complete NPI Profile along with additional information for Thomas Newman, a provider established in Tulsa, Oklahoma with a medical specialization in Nurse Anesthetist, Certified Registered and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1457547051 assigned on September 2007. The practitioner's primary taxonomy code is 367500000X with license number 200729 (NC). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI: 1457547051
Provider Name: THOMAS JEFFREY NEWMAN CRNA
Gender: Male
Entity Type: Individual
Location Address: 7912 E 31ST CT STE. 210 TULSA, OK 74145
Location Phone: (918) 392-4456
Location Fax: (918) 392-4465
Mailing Address: 8801 S 101ST EAST AVE TULSA, OK 74133
Mailing Phone: (918) 294-4915
Mailing Fax: (918) 392-4465
Medical School Name: OTHER
Graduation Year: 2015
Is Sole Proprietor?: No
Enumeration Date: 09-18-2007
Last Update Date: 01-15-2009
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Nurse Anesthetist, Certified Registered
Taxonomy Code: 367500000X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: 200729
License State: NC
Taxonomy Description: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Blue Cross and Blue Shield of Oklahoma

Blue Advantage Bronze PPO? 202 - PPO
Blue Advantage Bronze PPO? 203 - PPO
Blue Advantage Bronze PPO? Standard - PPO
Blue Advantage Gold PPO? 309 - PPO
Blue Advantage Gold PPO? 604 - PPO
Blue Advantage Gold PPO? Standard - PPO
Blue Advantage Silver PPO? 204 - PPO
Blue Advantage Silver PPO? 501 - PPO
Blue Advantage Silver PPO? Standard - PPO
Blue Preferred Bronze PPO? Standard - PPO
Blue Preferred Gold PPO? Standard - PPO
Blue Preferred Security PPO? 200 - PPO
Blue Preferred Silver PPO? Standard - PPO
MyBlue Bronze HMO? 902 - HMO
MyBlue Bronze HMO? 904 - HMO
MyBlue Bronze HMO? Standard - HMO
MyBlue Gold HMO? 704 - HMO
MyBlue Gold HMO? 804 - HMO
MyBlue Gold HMO? Standard - HMO
MyBlue Silver HMO? 705 - HMO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
P00449818	OTHER (01)	NC	RAILROAD-MEDICARE
2619824	MEDICARE PIN (08)	NC
8052958	MEDICAID (05)	NC

Medicare Participation & PECOS Enrollment Status

Thomas Newman is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

PECOS PAC ID: 42305302
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20090316000557
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for other procedure on large bowel using an endoscope
Anesthesia for other procedure on upper abdomen

Physician Visit Costs

The typical physician office visit costs for Medicare beneficiaries in this area are: $30.76 for a new patient copayment and $16.62 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 74145 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

Average New Patient Price $123.06
Minimum New Patient Price $53
Maximum New Patient Price $162.61

Average New Patient Copayment $30.76
Minimum New Patient Copayment $13.25
Maximum New Patient Copayment $40.65

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $66.48
Minimum Established Patient Price $16.68
Maximum Established Patient Price $132.4

Average Established Patient Copayment $16.62
Minimum Established Patient Copayment $4.17
Maximum Established Patient Copayment $33.1

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure	Performance	Number of Patients
Participation in an AHRQ-listed patient safety organization.	Yes	N/A
Participation in an AHRQ-listed patient safety organization.
Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)	100%	385
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of care elements is utilized
Use of QCDR data for ongoing practice assessment and improvements	Yes	N/A
Use of QCDR data, for ongoing practice assessment and improvements in patient safety.
Use of QCDR to promote standard practices, tools and processes in practice for improvement in care coordination	Yes	N/A
Participation in a Qualified Clinical Data Registry, demonstrating performance of activities that promote use of standard practices, tools and processes for quality improvement (e.g., documented preventative screening and vaccinations that can be shared across MIPS eligible clinician or groups).

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Thomas Newman is affiliated with the following medical facilities:

Hospital Name	Address	Phone	Hospital Type	Overall Rating
HILLCREST HOSPITAL SOUTH	8801 SOUTH 101ST EAST AVENUE TULSA, OK 74133	(918) 294-4000	Acute Care Hospitals

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	4	5	7	5	4	7	0	5	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	4	10	7	10	4	14	0	10
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 1 + 0 + 4 + 1 + 4 + 0 + 1 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 1									1

The NPI number 1457547051 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

DR. JAMES RAY HIGGINS M.D.

Internal Medicine

(Cardiovascular Disease)

7912 E 31ST CT
SUITE 320
TULSA, OK
ZIP 74145

About THOMAS NEWMAN

Location Map

Specialty - Primary Taxonomy

Nurse Anesthetist, Certified Registered

Insurance Plans Accepted

Additional Identifiers

Medicare Participation & PECOS Enrollment Status

PECOS PAC ID: 42305302

PECOS Enrollment ID: I20090316000557

Accepts Medicare Assignment? Yes

Areas of Expertise

Anesthesia for other procedure on large bowel using an endoscope

Anesthesia for other procedure on upper abdomen