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DR. CARL WADE NEWTON O.D.
NPI 1548257074
Optometrist - Sports Vision in Cherokee, OK

Active since September 30, 2005PECOS EnrolledAccepts Medicare Assignment
1504 S GRAND AVE, POB 264, CHEROKEE, OK 73728(580) 596-3573(580) 596-3937 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Carl Wade Newton O.d. NPPES

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

DR. CARL WADE NEWTON O.D. (NPI 1548257074) is an individual sports vision provider in Cherokee, Oklahoma, licensed in Oklahoma (1056) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1548257074
Entity TypeIndividualMale
Primary Taxonomy152WS0006X
Provider Legal NameDR. CARL WADE NEWTONCredential: O.D.
Location Address1504 S GRAND AVE, POB 264Cherokee, OK 73728-4529
Mailing Address1504 S Grand Ave, Pob 264Cherokee, OK 73728-4529 · (580) 596-3573 · Fax (580) 596-3937
Phone(580) 596-3573
Fax(580) 596-3937
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateSeptember 30, 2005
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1548257074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyOptometrist · Sports VisionEye and Vision Services Providers
Taxonomy Code152WS0006X
License✔ Licensed in OK · 1056
Definition
An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the prevention of sports-related injuries; vision enhancement - which may include vision therapy and techniques to improve visual skills specific to the athlete's sport.
Also ListedOptometristTaxonomy 152W00000X · License 1056 (OK)
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 1056 (OK)
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 1056 (OK)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 1056 (OK)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 1056 (OK)
Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X · License 1056 (OK)
1504 S GRAND AVE, Cherokee, OK 73728
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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. Carl Wade Newton O.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 ID2365527967
PECOS Enrollment IDI20100329001136
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 6

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 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.
219 services219 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.
123 services94 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
64 services64 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
48 services42 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).
47 services44 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.
41 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73728 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
97%67 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%44 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
12%33 patients1/55-star benchmark: 96%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
90%455 patients4/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
89%455 patients4/55-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.

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 Carl Newton's NPI number?

The NPI number for Carl Newton is 1548257074. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Carl Newton located?

Carl Newton practices at 1504 S Grand Ave Pob 264, Cherokee, OK 73728. The listed phone number is (580) 596-3573.

What is Carl Newton's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Sports Vision, with taxonomy code 152WS0006X.

Is Carl Newton enrolled in Medicare?

Yes. Carl 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 Carl Newton accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Carl 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 Carl Newton was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.