ALEX NEWBURY
NPI 1780248435
Radiology - Diagnostic Radiology in Worcester, MA

Active since April 29, 2019PECOS EnrolledAccepts Medicare Assignment
55 LAKE AVE NORTH, WORCESTER, MA 01655(508) 334-3850(508) 334-9108 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2020, Apr 29, 2019 (2 updates tracked since 2019).

About Alex Newbury NPPES

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

ALEX NEWBURY (NPI 1780248435) is an individual diagnostic radiology provider in Worcester, Massachusetts, licensed in Massachusetts (1016399) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and is a graduate of University Of Massachusetts Medical School (2019).

NPPES Registry Identity

NPI1780248435
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameALEX NEWBURY
Location Address55 LAKE AVE NORTHWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Fax(508) 334-9108
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2019
Enumeration DateApril 29, 2019
Last NPPES UpdateApril 16, 20252 updates tracked since enumeration
NPPES CertifiedApril 16, 2025
✔ NPI 1780248435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MA · 1016399
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 1016399 (MA)
55 LAKE AVE NORTH, Worcester, MA 01655

Accepted 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

Alex Newbury 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 ID9436484581
PECOS Enrollment IDI20250507003110
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 Alex Newbury reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
Diagnostic Radiology
55 LAKE AVE N # S2-824, RADIOLOGY DEPARTMENT ADMINISTRATION
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 169 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

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.

Radiology (Diagnostic Radiology)
55 LAKE AVE NORTH
WORCESTER, MA 01655
Radiology (Diagnostic Radiology)
55 LAKE AVE NORTH
WORCESTER, MA 01655
Radiology (Diagnostic Radiology)
55 LAKE AVE NORTH
WORCESTER, MA 01655
Orthopaedic Surgery
55 LAKE AVE NORTH
WORCESTER, MA 01655
Radiology (Diagnostic Radiology)
55 LAKE AVE NORTH
WORCESTER, MA 01655
Radiology (Diagnostic Radiology)
55 LAKE AVE NORTH
WORCESTER, MA 01655
Emergency Medicine
55 LAKE AVE NORTH, DEPARTMENT OF EMERGENCY MEDICINE
WORCESTER, MA 01655
Radiology (Diagnostic Radiology)
55 LAKE AVE NORTH
WORCESTER, MA 01655

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 Alex Newbury's NPI number?

The NPI number for Alex Newbury is 1780248435. It was assigned to this individual provider in the NPPES registry on April 29, 2019.

Where is Alex Newbury located?

Alex Newbury practices at 55 Lake Ave North, Worcester, MA 01655. The listed phone number is (508) 334-3850.

What is Alex Newbury's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Alex Newbury enrolled in Medicare?

Yes. Alex Newbury 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 Alex Newbury's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alex Newbury reassigns Medicare benefits to 2 organizations: Umass Memorial Medical Group Inc (Worcester, MA) and Umass Memorial Radiology Phys Serv (Worcester, MA). 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 Alex Newbury's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alex Newbury accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Alex Newbury 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 Alex Newbury affiliated with any hospitals?

According to CMS data, Alex Newbury is affiliated with Umass Memorial Health - Harrington Hospital and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Alex Newbury was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.