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DR. BRIAN W NEWMAN DO
NPI 1649631193
Internal Medicine in Waimea, HI

Active since March 11, 2016PECOS EnrolledAccepts Medicare Assignment
61.05/100
CMS Quality Rating
4643 WAIMEA CANYON DR, WAIMEA, HI 96796(808) 338-9431(083) 389-2108 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 27, 2026, Nov 19, 2024, Oct 24, 2018 (3 updates tracked since 2018).

About Dr. Brian W Newman Do NPPES

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

DR. BRIAN W NEWMAN DO (NPI 1649631193) is an individual internal medicine provider in Waimea, Hawaii, licensed in Hawaii (DOS-2397) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Kauai Veterans Memorial Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1649631193
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BRIAN W NEWMANCredential: DO
Location Address4643 WAIMEA CANYON DRWaimea, HI 96796
Mailing Address264 County Road 1130Willow Springs, MO 65793-3305 · (907) 802-1001
Phone(808) 338-9431
Fax(083) 389-2108
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 11, 2016
Last NPPES UpdateMarch 27, 20263 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1649631193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in HI · DOS-2397✔ Licensed in TX · BP10053707
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 134052 (AK)
4643 WAIMEA CANYON DR, Waimea, HI 96796
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian W Newman Do 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 ID6406154681
PECOS Enrollment IDI20230607002974
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Brian Newman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kauai Veterans Memorial Hospital
Same address
Critical Access
4643 WAIMEA CANYON DRIVE
Waimea, HI 96796
  • Reassigned Medicare billing, Hawaii enrollment
  • 25 clinicians in this Medicare group
NPI 1467510743 (808) 338-9431
Samuel Mahelona Memorial Hospital
Same address
Rural Health
4643 WAIMEA CANYON DR. STE.B
Waimea, HI 96796
  • Reassigned Medicare billing, Hawaii enrollment
  • 66 clinicians in this Medicare group
NPI 1669068680 (808) 338-8311
Pine Ridge Indian Health Service Hospital
3,560 mi
General Acute Care Hospital
EAST HIGHWAY 18
Pine Ridge, SD 57770
  • Reassigned Medicare billing, Texas enrollment
  • 426 clinicians in this Medicare group
NPI 1497786412 (605) 837-3314

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
125 services45 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
83 services42 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
53 services49 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
49 services26 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services22 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
20 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Kauai Veterans Memorial Hospital

Critical Access Hospitals · Waimea, HI
OwnershipGovernment - State
CMS Certification Number121300
Location4643 Waimea Canyon DriveWaimea, HI 96796 · Kauai County
Emergency services Birthing friendly

Samuel Mahelona Memorial Hospital

Critical Access Hospitals · Kapaa, HI
OwnershipGovernment - State
CMS Certification Number121306
Location4800 Kawaihau RoadKapaa, HI 96746 · Kauai County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96796 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
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
Most-billed visit code 99214
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.

61.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality29.19
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

DR. DOUGLAS E CHING M.D.
Orthopaedic Surgery
4643 WAIMEA CANYON DR, STE B
WAIMEA, HI 96796
Kauai County (808) 338-8311
ASHLEY SCOTT RD, LD
Dietitian, Registered
4643 WAIMEA CANYON DR
WAIMEA, HI 96796
Kauai County (808) 338-9426
LUKE POPE PA-C
Physician Assistant
4643 WAIMEA CANYON DR
WAIMEA, HI 96796
Kauai County (808) 338-9431

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 Brian Newman's NPI number?

The NPI number for Brian Newman is 1649631193. It was assigned to this individual provider in the NPPES registry on March 11, 2016.

Where is Brian Newman located?

Brian Newman practices at 4643 Waimea Canyon Dr, Waimea, HI 96796. The listed phone number is (808) 338-9431.

What is Brian Newman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Brian Newman enrolled in Medicare?

Yes. Brian 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.

Which organizations bill Medicare for Brian Newman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Newman reassigns Medicare benefits to 3 organizations: Kauai Veterans Memorial Hospital (Waimea, HI), Samuel Mahelona Memorial Hospital (Waimea, HI) and Pine Ridge Indian Health Service Hospital (Pine Ridge, SD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Newman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Brian Newman affiliated with any hospitals?

According to CMS data, Brian Newman is affiliated with Kauai Veterans Memorial Hospital and Samuel Mahelona Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Brian Newman was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.