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DR. LUCIAN NEWMAN III M.D.
NPI 1639136716
Surgery in Gadsden, AL

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
419 S 5TH ST, GADSDEN, AL 35901(256) 547-6331(256) 547-1711 Get Directions Write a Review

NPPES record last updated: December 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lucian Newman Iii M.d. NPPES

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

DR. LUCIAN NEWMAN III M.D. (NPI 1639136716) is an individual surgery provider in Gadsden, Alabama, licensed in Alabama (15710) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1988).

NPPES Registry Identity

NPI1639136716
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. LUCIAN NEWMAN IIICredential: M.D.
Location Address419 S 5TH STGadsden, AL 35901-5101
Mailing Address419 S 5th StGadsden, AL 35901-5101 · (256) 547-6331 · Fax (256) 547-1711
Phone(256) 547-6331
Fax(256) 547-1711
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1988
Enumeration DateMay 1, 2006
Last NPPES UpdateDecember 5, 2019
✔ NPI 1639136716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AL · 15710
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.
419 S 5TH ST, Gadsden, AL 35901
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Other Identifiers 4

Medicaid000088801AL
Other51088801AL · Bc & Bs Of Al
Other51536511AL · Bc & Bs Of Al
Medicaid000128500AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama 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. Lucian Newman Iii 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 ID941114334
PECOS Enrollment IDI20110323000605
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

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.
24 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35901 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost29.37

Other Providers at the Same Location NPPES 5

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

ASHLEY E HENDERSON-GASKIN
Physician Assistant
419 S 5TH ST
GADSDEN, AL 35901
Etowah County (256) 547-6331
DR. CHARLES L NEWMAN M.D.
Surgery
419 S 5TH ST
GADSDEN, AL 35901
Etowah County (256) 547-6331
SURGERY CLINIC, LLC
Surgery
419 S 5TH ST
GADSDEN, AL 35901
Etowah County (256) 547-6331
SURGICAL SPECIALIST ETOWAH COUNTY LLC
Surgery
419 S 5TH ST
GADSDEN, AL 35901
Etowah County (256) 547-6331
PAUL JORGEN NORDNESS M.D.
Surgery
419 S 5TH ST
GADSDEN, AL 35901
Etowah County (256) 547-6331

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 Lucian Newman's NPI number?

The NPI number for Lucian Newman is 1639136716. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Lucian Newman located?

Lucian Newman practices at 419 S 5th St, Gadsden, AL 35901. The listed phone number is (256) 547-6331.

What is Lucian Newman's specialty?

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

Is Lucian Newman enrolled in Medicare?

Yes. Lucian Newman 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 Lucian Newman accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Lucian Newman 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 Lucian Newman was last updated on December 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.