Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. J MICHAEL NEWTON MD, PHD
NPI 1689871543
Obstetrics & Gynecology - Maternal & Fetal Medicine in Nashville, TN

Active since July 02, 2007PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 322-3000 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2021, Oct 15, 2020, Mar 21, 2019 (3 updates tracked since 2019).

About Dr. J Michael Newton Md, Phd NPPES

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

DR. J MICHAEL NEWTON MD, PHD (NPI 1689871543) is an individual maternal & fetal medicine provider in Nashville, Tennessee, licensed in Arizona (42012) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1689871543
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameDR. J MICHAEL NEWTONCredential: MD, PHD
Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-0001
Mailing Address5301 E Grant RdTucson, AZ 85712-2805
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 2, 2007
Last NPPES UpdateJune 30, 20263 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
NPI 1689871543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Licenses Licensed in AZ · 42012 Licensed in TN · MD48596
Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MD48596 (TN), 76624 (AZ)
3601 THE VANDERBILT CLINIC, Nashville, TN 37232

Secondary Practice Locations 4

Location 13601 TvcNashville, TN 37232-0001 · Phone (615) 322-3000
Location 2719 Thompson LnNashville, TN 37204-3609 · Phone (615) 322-3000
Location 32200 Childrens WayNashville, TN 37232-0005 · Phone (615) 936-2000
Location 45301 E Grant RdTucson, AZ 85712-2874 · Phone (520) 795-8188

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. J Michael Newton Md, Phd 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 ID9931364445
PECOS Enrollment IDI20120709000393
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
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.

Pediatrics (Pediatric Cardiology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Nurse Practitioner (Acute Care)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Nurse Practitioner (Pediatrics)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Internal Medicine (Pulmonary Disease)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Family Medicine
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Psychologist (Clinical Child & Adolescent)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Nurse Practitioner
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Surgery (Surgical Oncology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232

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 J Newton's NPI number?

The NPI number for J Newton is 1689871543. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is J Newton located?

J Newton practices at 3601 The Vanderbilt Clinic, Nashville, TN 37232. The listed phone number is (615) 322-3000.

What is J Newton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is J Newton enrolled in Medicare?

Yes. J 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 J Newton accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee and Oscar Insurance Company list J 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 J Newton was last updated on June 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.