KIRSTEN NEWHAMS MD
NPI 1588923932
Surgery in Pittsburgh, PA

Active since May 04, 2012PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
4815 LIBERTY AVE STE 439, PITTSBURGH, PA 15224(724) 260-7300(724) 260-7310 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2020, Mar 17, 2018, Aug 17, 2017 (3 updates tracked since 2017).

About Kirsten Newhams Md NPPES

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

KIRSTEN NEWHAMS MD (NPI 1588923932) is an individual surgery provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD461997) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Allegheny Valley Hospital, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1588923932
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameKIRSTEN NEWHAMSCredential: MD
Location Address4815 LIBERTY AVE STE 439Pittsburgh, PA 15224-2156
Mailing Address4815 Liberty Ave Ste 439Pittsburgh, PA 15224-2156 · (724) 260-7300 · Fax (724) 260-7310
Fax(724) 260-7310
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2012
Enumeration DateMay 4, 2012
Last NPPES UpdateDecember 9, 20203 updates tracked since enumeration
NPPES CertifiedDecember 9, 2020
NPI 1588923932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in PA · MD461997
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4815 LIBERTY AVE STE 439, Pittsburgh, PA 15224

Secondary Practice Location 1

Location 1925 Seneca St, H8-GMESeattle, WA 98101-2742 · Phone (206) 583-6079 · Fax (206) 583-2307

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

Kirsten Newhams 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 ID8022254168
PECOS Enrollment IDI20170925002524
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 9

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.
80 services74 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
74 services67 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.
42 services40 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
30 services26 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
25 services19 patients
Study of esophagus to assess movement 91010
This procedure, known as esophageal manometry, involves studying the esophagus or food pipe to evaluate its movement and pressure. It helps understand how well the esophagus can move food to the stomach. Involving a thin, flexible tube, it's a safe, minimally invasive test.
25 services25 patients

Hospital Affiliations CMS Care Compare 5

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

Allegheny Valley Hospital

Acute Care Hospitals · Natrona, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390032
Location1301 Carlisle StNatrona, PA 15065 · Allegheny County
Emergency services

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390090
Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County
Emergency services Birthing friendly

Canonsburg General Hospital

Acute Care Hospitals · Canonsburg, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390160
Location100 Medical BoulevardCanonsburg, PA 15317 · Washington County
Emergency services

Acmh Hospital

Acute Care Hospitals · Kittanning, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390163
LocationOne Nolte DriveKittanning, PA 16201 · Armstrong County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15224 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
4815 LIBERTY AVE STE 439
PITTSBURGH, PA 15224
Surgery
4815 LIBERTY AVE STE 439
PITTSBURGH, PA 15224
Speech-Language Pathologist
4815 LIBERTY AVE STE 439, SUITE 211
PITTSBURGH, PA 15224
Nurse Practitioner (Family)
4815 LIBERTY AVE STE 439
PITTSBURGH, PA 15224
Psychiatry & Neurology (Neurology)
4815 LIBERTY AVE STE 439
PITTSBURGH, PA 15224
Psychiatry & Neurology (Neurology)
4815 LIBERTY AVE STE 439
PITTSBURGH, PA 15224
Psychiatry & Neurology (Neurology)
4815 LIBERTY AVE STE 439
PITTSBURGH, PA 15224
Physician Assistant (Surgical)
4815 LIBERTY AVE STE 439
PITTSBURGH, PA 15224

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 Kirsten Newhams's NPI number?

The NPI number for Kirsten Newhams is 1588923932. It was assigned to this individual provider in the NPPES registry on May 4, 2012.

Where is Kirsten Newhams located?

Kirsten Newhams practices at 4815 Liberty Ave Ste 439, Pittsburgh, PA 15224. The listed phone number is (724) 260-7300.

What is Kirsten Newhams's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kirsten Newhams enrolled in Medicare?

Yes. Kirsten Newhams 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.

Is Kirsten Newhams affiliated with any hospitals?

According to CMS data, Kirsten Newhams is affiliated with Allegheny Valley Hospital, Allegheny General Hospital, West Penn Hospital, Canonsburg General Hospital and Acmh Hospital.

When was this NPI record last updated?

The NPPES record for Kirsten Newhams was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.