POONEH NEWTON PA
NPI 1730583626
Physician Assistant in Albuquerque, NM

Active since October 21, 2014PECOS EnrolledAccepts Medicare Assignment
76.38/100
CMS Quality Rating
5600 EUBANK BLVD NE STE 110, ALBUQUERQUE, NM 87111(505) 880-1920(505) 200-2852 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 16, 2023, Oct 12, 2022 (2 updates tracked since 2022).

About Pooneh Newton Pa NPPES

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

POONEH NEWTON PA (NPI 1730583626) is an individual physician assistant in Albuquerque, New Mexico, licensed in New Mexico (PA2014-0052) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1730583626
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePOONEH NEWTONCredential: PA
Location Address5600 EUBANK BLVD NE STE 110Albuquerque, NM 87111-1519
Mailing Address7300 Ranch Road 2222, Bldg 1, Ste 200Austin, TX 78730-3255 · (512) 759-8932 · Fax (512) 233-2711
Fax(505) 200-2852
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 21, 2014
Last NPPES UpdateFebruary 16, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2023
NPI 1730583626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NM · PA2014-0052
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5600 EUBANK BLVD NE STE 110, Albuquerque, NM 87111

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

Pooneh Newton Pa 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 ID446572606
PECOS Enrollment IDI20141126000085
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 16

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
2,078 services314 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.
813 services595 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
556 services423 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
528 services389 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
336 services178 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
165 services137 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87111 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

76.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.82
Promoting Interoperability72
Improvement Activities40
Cost60.8

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.

Dermatology
5600 EUBANK BLVD NE STE 110
ALBUQUERQUE, NM 87111
Dermatology
5600 EUBANK BLVD NE STE 110
ALBUQUERQUE, NM 87111
Physician Assistant
5600 EUBANK BLVD NE STE 110
ALBUQUERQUE, NM 87111
Physician Assistant
5600 EUBANK BLVD NE STE 110
ALBUQUERQUE, NM 87111
Physician Assistant
5600 EUBANK BLVD NE STE 110
ALBUQUERQUE, NM 87111

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 Pooneh Newton's NPI number?

The NPI number for Pooneh Newton is 1730583626. It was assigned to this individual provider in the NPPES registry on October 21, 2014.

Where is Pooneh Newton located?

Pooneh Newton practices at 5600 Eubank Blvd NE Ste 110, Albuquerque, NM 87111. The listed phone number is (505) 880-1920.

What is Pooneh Newton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Pooneh Newton enrolled in Medicare?

Yes. Pooneh 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 Pooneh Newton accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma, Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Pooneh 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 Pooneh Newton was last updated on February 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.