DR. NICHOLAS JOSEPH NEWSUM M.D.
NPI 1619260486
Orthopaedic Surgery - Hand Surgery in Orlando, FL

Active since May 26, 2011PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
801 N ORANGE AVE STE 600, ORLANDO, FL 32801(407) 841-2100(407) 841-5705 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Apr 16, 2019, May 8, 2018 and 3 more (6 updates tracked since 2016).

About Dr. Nicholas Joseph Newsum M.d. NPPES

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

DR. NICHOLAS JOSEPH NEWSUM M.D. (NPI 1619260486) is an individual hand surgery provider in Orlando, Florida, licensed in Florida (ME132115) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619260486
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDR. NICHOLAS JOSEPH NEWSUMCredential: M.D.
Location Address801 N ORANGE AVE STE 600Orlando, FL 32801-5202
Mailing Address801 N Orange Ave Ste 600Orlando, FL 32801-5202 · (407) 841-2100 · Fax (407) 841-5705
Fax(407) 841-5705
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 26, 2011
Last NPPES UpdateMarch 7, 20236 updates tracked since enumeration
NPI 1619260486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in FL · ME132115
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License ME132115 (FL)
801 N ORANGE AVE STE 600, Orlando, FL 32801

Secondary Practice Locations 2

Location 11600 Lakeland Hills BlvdLakeland, FL 33805-3019 · Phone (863) 680-7000 · Fax (866) 264-8519
Location 27940 Via Dellagio Way Ste 142Orlando, FL 32819-5400 · Phone (407) 841-2100 · Fax (407) 841-5705

Other Identifiers 3

Other13851393FL · Caqh Id
Medicaid021811600FL
OtherME132115FL · Fl Medical License

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. Nicholas Joseph Newsum M.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 ID5496997686
PECOS Enrollment IDI20170922002403
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 17

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
902 services271 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.
342 services238 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
279 services188 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
214 services117 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.
180 services139 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
128 services71 patients

Hospital Affiliations CMS Care Compare 3

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Adventhealth Waterman

Acute Care Hospitals · Tavares, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100057
Location1000 Waterman WayTavares, FL 32778 · Lake County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32801 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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.

Orthopaedic Surgery
801 N ORANGE AVE STE 600
ORLANDO, FL 32801
Orthopaedic Surgery
801 N ORANGE AVE STE 600
ORLANDO, FL 32801
Physician Assistant
801 N ORANGE AVE STE 600
ORLANDO, FL 32801
Physician Assistant
801 N ORANGE AVE STE 600
ORLANDO, FL 32801
Orthopaedic Surgery (Hand Surgery)
801 N ORANGE AVE STE 600
ORLANDO, FL 32801
Durable Medical Equipment & Medical Supplies
801 N ORANGE AVE STE 600
ORLANDO, FL 32801
Orthopaedic Surgery
801 N ORANGE AVE STE 600
ORLANDO, FL 32801

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 Nicholas Newsum's NPI number?

The NPI number for Nicholas Newsum is 1619260486. It was assigned to this individual provider in the NPPES registry on May 26, 2011.

Where is Nicholas Newsum located?

Nicholas Newsum practices at 801 N Orange Ave Ste 600, Orlando, FL 32801. The listed phone number is (407) 841-2100.

What is Nicholas Newsum's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Nicholas Newsum enrolled in Medicare?

Yes. Nicholas Newsum 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 Nicholas Newsum accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Nicholas Newsum 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.

Is Nicholas Newsum affiliated with any hospitals?

According to CMS data, Nicholas Newsum is affiliated with Orlando Health, Adventhealth Orlando and Adventhealth Waterman.

When was this NPI record last updated?

The NPPES record for Nicholas Newsum was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.