DR. HERBERT BRUCE NEWTON M.D.
NPI 1770667164
Psychiatry & Neurology - Neurology in Orlando, FL

Active since October 24, 2006PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
2501 N ORANGE AVE STE 286, ORLANDO, FL 32804(407) 303-2770(407) 303-3268 Get Directions Write a Review

NPPES record last updated: February 26, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Herbert Bruce Newton M.d. NPPES

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

DR. HERBERT BRUCE NEWTON M.D. (NPI 1770667164) is an individual neurology provider in Orlando, Florida, licensed in Florida (ME126806) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Parma Community General Hospital, and is a graduate of State University Of New York At Buffalo School Of Medicine (1984).

NPPES Registry Identity

NPI1770667164
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. HERBERT BRUCE NEWTONCredential: M.D.
Location Address2501 N ORANGE AVE STE 286Orlando, FL 32804-4675
Mailing Address2501 N Orange Ave Ste 286Orlando, FL 32804-4675 · (407) 303-2770 · Fax (407) 303-3268
Fax(407) 303-3268
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1984
Enumeration DateOctober 24, 2006
Last NPPES UpdateFebruary 26, 2016
NPI 1770667164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in FL · ME126806 Licensed in OH · 35059695
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2501 N ORANGE AVE STE 286, Orlando, FL 32804

Other Identifiers 4

Medicare PINNE0667813OH
Medicare PINH299060OH
Medicare UPINE48140OH
Medicaid0794798OH

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. Herbert Bruce Newton 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 ID8123045085
PECOS Enrollment IDI20051031000019
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 3

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.
130 services60 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.
29 services19 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.
17 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Parma Community General Hospital

Acute Care Hospitals · Parma, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360041
Location7007 Powers BoulevardParma, OH 44129 · Cuyahoga County

University Hospitals Portage Medical Center

Acute Care Hospitals · Ravenna, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360078
Location6847 N ChestnutRavenna, OH 44266 · Portage County
Emergency services

Lake Health

Acute Care Hospitals · Concord, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360098
Location7590 Auburn RoadConcord, OH 44077 · Lake County
Emergency services

Uh St John Medical Center

Acute Care Hospitals · Westlake, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360123
Location29000 Center Ridge RoadWestlake, OH 44145 · Cuyahoga County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32804 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

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.

Electrical stimulation device used for cancer treatment, includes all accessories, any type E0766
DME-Other DME · category DE000N
1 supplier25 claims25 services$11,131.05 avg. paid by Medicare
Temozolomide, oral, 5 mg J8700
Treatment-Treatment - Miscellaneous · category RX000N
3 suppliers78 claims15,268 services$0.33 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
3 suppliers66 claims66 services$18.65 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 supplier43 claims53 services$12.64 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 3

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

Nurse Practitioner (Adult Health)
2501 N ORANGE AVE STE 286
ORLANDO, FL 32804
Psychiatry & Neurology (Neurology)
2501 N ORANGE AVE STE 286
ORLANDO, FL 32804
Nurse Practitioner (Family)
2501 N ORANGE AVE STE 286
ORLANDO, FL 32804

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 Herbert Newton's NPI number?

The NPI number for Herbert Newton is 1770667164. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Herbert Newton located?

Herbert Newton practices at 2501 N Orange Ave Ste 286, Orlando, FL 32804. The listed phone number is (407) 303-2770.

What is Herbert Newton's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Herbert Newton enrolled in Medicare?

Yes. Herbert 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 Herbert Newton accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list Herbert 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.

Is Herbert Newton affiliated with any hospitals?

According to CMS data, Herbert Newton is affiliated with Parma Community General Hospital, University Hospitals Portage Medical Center, Lake Health, Uh St John Medical Center and Uh Cleveland Medical Center.

When was this NPI record last updated?

The NPPES record for Herbert Newton was last updated on February 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.