DR. WILLIAM MARK NEWTON MD
NPI 1518075522
Emergency Medicine in Augusta, GA

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
3651 WHEELER ROAD, AUGUSTA, GA 30909(706) 651-2369(706) 651-2364 Get Directions Write a Review

NPPES record last updated: October 4, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. William Mark Newton Md NPPES

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

DR. WILLIAM MARK NEWTON MD (NPI 1518075522) is an individual emergency medicine provider in Augusta, Georgia, licensed in Georgia (032265) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (1988).

NPPES Registry Identity

NPI1518075522
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. WILLIAM MARK NEWTONCredential: MD
Location Address3651 WHEELER ROADAugusta, GA 30909
Mailing AddressP.o. Box 3638, 1125 Troupe StreetAugusta, GA 30914-3638 · (706) 737-4575 · Fax (706) 731-5289
Fax(706) 651-2364
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1988
Enumeration DateAugust 29, 2006
Last NPPES UpdateOctober 4, 2007
NPI 1518075522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in GA · 032265
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 032265 (GA)
Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License 032265 (GA)
Also ListedEmergency Medicine · Sports MedicineTaxonomy 207PS0010X · License 032265 (GA)
Also ListedFamily MedicineTaxonomy 207Q00000X · License 032265 (GA)
Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X · License 032265 (GA)
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 032265 (GA)
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License 032265 (GA)
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 032265 (GA)
3651 WHEELER ROAD, Augusta, GA 30909

Other Identifiers 9

Other00022092Nhc Health Benefit Plan
Other10062877Amerigroup
Other7086040Aetna
Other1447352778Npi - Csra Emergency Phys
Medicaid00413113UGA
MedicaidG32265SC
Other345497Wellcare Of Ga
Medicare PIN93BDVKLGA
Medicare PINP00046269GA

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. William Mark Newton Md 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 ID4183709413
PECOS Enrollment IDI20080311000618
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 16

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 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.
295 services208 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
256 services256 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
230 services80 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
206 services131 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.
172 services131 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
150 services52 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30909 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
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

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…
100%83 patients5/55-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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
3651 WHEELER ROAD
AUGUSTA, GA 30909
Emergency Medicine
3651 WHEELER ROAD
AUGUSTA, GA 30909
Emergency Medicine
3651 WHEELER ROAD
AUGUSTA, GA 30909
Emergency Medicine
3651 WHEELER ROAD
AUGUSTA, GA 30909
Emergency Medicine
3651 WHEELER ROAD, ER DEPT.
AUGUSTA, GA 30909
Emergency Medicine
3651 WHEELER ROAD
AUGUSTA, GA 30909
Nurse Anesthetist, Certified Registered
3651 WHEELER ROAD
AUGUSTA, GA 30909

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 William Newton's NPI number?

The NPI number for William Newton is 1518075522. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is William Newton located?

William Newton practices at 3651 Wheeler Road, Augusta, GA 30909. The listed phone number is (706) 651-2369.

What is William Newton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is William Newton enrolled in Medicare?

Yes. William Newton 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 William Newton accept?

Health plans from Alliant Health Plans, Inc. and BlueCross BlueShield of South Carolina list William Newton 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 William Newton was last updated on October 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.