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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUSAN M. NEWMAN M.D.
NPI 1700984010
Internal Medicine - Hematology & Oncology in Knoxville, TN

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
95.69/100
CMS Quality Rating
1926 ALCOA HWY, STE 410, KNOXVILLE, TN 37920(865) 305-8780(865) 305-8199 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 12, 2026, Feb 2, 2026 (2 updates tracked since 2026).

About Susan M. Newman M.d. NPPES

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

SUSAN M. NEWMAN M.D. (NPI 1700984010) is an individual hematology & oncology provider in Knoxville, Tennessee, licensed in Tennessee (MD34188) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1700984010
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameSUSAN M. NEWMANCredential: M.D.
Location Address1926 ALCOA HWY, STE 410Knoxville, TN 37920-1545
Mailing AddressPo Box 440509Nashville, TN 37244-0509 · (865) 670-6199 · Fax (865) 670-6198
Phone(865) 305-8780
Fax(865) 305-8199
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1997
Enumeration DateSeptember 20, 2006
Last NPPES UpdateOctober 12, 20262 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1700984010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in TN · MD34188
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1926 ALCOA HWY, Knoxville, TN 37920
Open in Google Maps ↗

Secondary Practice Location 1

Location 11915 White AveKnoxville, TN 37916-2305 · Phone (865) 331-1421 · Fax (865) 374-2190

Other Identifiers 1

Medicaid3883248TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Susan M. Newman 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 ID1557554706
PECOS Enrollment IDI20101020000242
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

2

Medicare enrollment records show Susan Newman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Health System Inc
Same address
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1926 ALCOA HWY STE F210
Knoxville, TN 37920
  • Reassigned Medicare billing, Tennessee enrollment
  • 832 clinicians in this Medicare group
NPI 1306609748 (865) 670-6754
Thompson Oncology Group
1.2 mi
Hematology & Oncology
1915 WHITE AVE
Knoxville, TN 37916
  • Reassigned Medicare billing, Tennessee enrollment
  • 139 clinicians in this Medicare group
NPI 1619975737 (865) 541-1720

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 6

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
264 services93 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.
92 services76 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.
85 services71 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
34 services34 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
33 services31 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
20 services15 patients

Hospital Affiliations CMS Care Compare 5

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

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Morristown Hamblen Hospital Association

Acute Care Hospitals · Morristown, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440030
Location908 W 4th North StMorristown, TN 37814 · Hamblen County
Emergency services Birthing friendly

Leconte Medical Center

Acute Care Hospitals · Sevierville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440081
Location742 Middlecreek RoadSevierville, TN 37862 · Sevier County
Emergency services Birthing friendly

Fort Sanders Regional Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440125
Location1901 W Clinch AveKnoxville, TN 37916 · Knox County
Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440173
Location9352 Park West BlvdKnoxville, TN 37923 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37920 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

95.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.28
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Temozolomide, oral, 5 mg J8700
Treatment-Treatment - Miscellaneous · category RX000N
1 supplier36 claims4,571 services$0.38 avg. paid by Medicare
Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
3 suppliers27 claims75 services$34.82 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier24 claims24 services$18.90 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier17 claims23 services$12.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

UNIVERSITY HEALTH SYSTEM, INC
Surgery (Surgical Oncology)
1926 ALCOA HWY, STE 410
KNOXVILLE, TN 37920
Knox County (865) 544-9218
ASSOCIATION OF UNIVERSITY RADIOLOIGSTS
Radiology (Diagnostic Radiology)
1926 ALCOA HWY, STE 120
KNOXVILLE, TN 37920
Knox County (865) 584-7376
ASSOCIATION OF UNIVERSITY RADIOLOGISTS, PC
Radiology (Diagnostic Radiology)
1926 ALCOA HWY, MEDICAL BLDG C STE 290
KNOXVILLE, TN 37920
Knox County (865) 584-7376
WAHID T HANNA MD
Internal Medicine (Hematology)
1926 ALCOA HWY, BLDG. F, SUITE 380
KNOXVILLE, TN 37920
Knox County (865) 544-9171
CHRISTOPHER YANDELL FNP-BC
Nurse Practitioner (Family)
1926 ALCOA HWY
KNOXVILLE, TN 37920
Knox County (865) 305-8780
UNIVERSITY HEALTH SYSTEM, INC
Surgery (Surgical Oncology)
1926 ALCOA HWY, STE 410
KNOXVILLE, TN 37920
Knox County (865) 305-5622
MEGAN MARIE SMILEY PA-C
Physician Assistant (Surgical)
1926 ALCOA HWY, MEDICAL BUILDING F SUITE 210
KNOXVILLE, TN 37920
Knox County (865) 305-2495
THE NOWELL CORPORATION
Prosthetic/Orthotic Supplier
1926 ALCOA HWY, SUITE 110
KNOXVILLE, TN 37920
Knox County (865) 544-6468

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 Susan Newman's NPI number?

The NPI number for Susan Newman is 1700984010. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Susan Newman located?

Susan Newman practices at 1926 Alcoa Hwy Ste 410, Knoxville, TN 37920. The listed phone number is (865) 305-8780.

What is Susan Newman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Susan Newman enrolled in Medicare?

Yes. Susan 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 Susan Newman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Newman reassigns Medicare benefits to 2 organizations: University Health System Inc (Knoxville, TN) and Thompson Oncology Group (Knoxville, TN). 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 Susan Newman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Newman accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Susan 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.

Is Susan Newman affiliated with any hospitals?

According to CMS data, Susan Newman is affiliated with University Health System, Inc, Morristown Hamblen Hospital Association, Leconte Medical Center, Fort Sanders Regional Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Susan Newman was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.