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BRENT FREDRICK NEWBY D.D.S.
NPI 1538420195
Dentist in Lexington, KY

Active since May 30, 2012Opted out of Medicare · through Sep 28, 2027
2572 SUN SEEKER CT, LEXINGTON, KY 40503(859) 388-4591 Get Directions Write a Review

NPPES record last updated: February 3, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Brent Fredrick Newby D.d.s. NPPES

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

BRENT FREDRICK NEWBY D.D.S. (NPI 1538420195) is an individual dentist in Lexington, Kentucky, licensed in Kentucky (9177-D) and active in the NPI registry since May 2012. He has opted out of Medicare through September 28, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1538420195
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameBRENT FREDRICK NEWBYCredential: D.D.S.
Location Address2572 SUN SEEKER CTLexington, KY 40503-2981
Mailing Address2572 Sun Seeker CtLexington, KY 40503-2981 · (859) 388-4591
Phone(859) 388-4591
Sole ProprietorNo
Enumeration DateMay 30, 2012
Last NPPES UpdateFebruary 3, 2015
✔ NPI 1538420195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in KY · 9177-D✔ Licensed in OH · 30-024342
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 9177 (KY)
2572 SUN SEEKER CT, Lexington, KY 40503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Brent Fredrick Newby D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 28, 2021 through September 28, 2027.

Opt-Out Effective DateSeptember 28, 2021
Opt-Out In Effect ThroughSeptember 28, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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 Brent Newby's NPI number?

The NPI number for Brent Newby is 1538420195. It was assigned to this individual provider in the NPPES registry on May 30, 2012.

Where is Brent Newby located?

Brent Newby practices at 2572 Sun Seeker Ct, Lexington, KY 40503. The listed phone number is (859) 388-4591.

What is Brent Newby's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Brent Newby enrolled in Medicare?

No. Brent Newby has opted out of Medicare through September 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Brent Newby accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Brent Newby 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 Brent Newby was last updated on February 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.