DR. OLIVER THOMAS NEWCOMB IV M.D.
NPI 1811262207
Urology in Morehead, KY

Active since March 19, 2012PECOS EnrolledAccepts Medicare Assignment
79.84/100
CMS Quality Rating
245 FLEMINGSBURG RD, MOREHEAD, KY 40351(606) 780-5500(606) 784-5671 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2026, Oct 18, 2017, Jul 27, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Oliver Thomas Newcomb Iv M.d. NPPES

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

DR. OLIVER THOMAS NEWCOMB IV M.D. (NPI 1811262207) is an individual urology provider in Morehead, Kentucky, licensed in Kentucky (50749) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with St Claire Regional Medical Center, and maintains a secondary practice location in Morehead.

NPPES Registry Identity

NPI1811262207
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. OLIVER THOMAS NEWCOMB IVCredential: M.D.
Location Address245 FLEMINGSBURG RDMorehead, KY 40351-1015
Mailing Address245 Flemingsburg RdMorehead, KY 40351-1015 · (606) 780-5500 · Fax (606) 784-5671
Fax(606) 784-5671
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2012
Enumeration DateMarch 19, 2012
Last NPPES UpdateMay 27, 20264 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
NPI 1811262207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in KY · 50749 Licensed in KY · TP073
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
245 FLEMINGSBURG RD, Morehead, KY 40351

Secondary Practice Location 1

Location 1222 Medical CirMorehead, KY 40351-1179 · Phone (606) 783-6500

Other Identifiers 2

Medicaid7100262020KY
OtherK247390KY · Medicare

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. Oliver Thomas Newcomb Iv 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 ID8820303134
PECOS Enrollment IDI20170808003887
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 10

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 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.
314 services220 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.
134 services99 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
38 services22 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
34 services34 patients
Imaging of urinary tract following injection of a contrast agent 74420
This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
27 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients

Hospital Affiliations CMS Care Compare 2

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

St Claire Regional Medical Center

Acute Care Hospitals · Morehead, KY
3/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number180018
Location222 Medical CircleMorehead, KY 40351 · Rowan County
Emergency services Birthing friendly

Meadowview Regional Medical Center

Acute Care Hospitals · Maysville, KY
5/5 CMS rating
OwnershipProprietary
CMS Certification Number180019
Location989 Medical Park DriveMaysville, KY 41056 · Mason County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40351 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

79.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.43
Promoting Interoperability84
Improvement Activities40
Cost71.06

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims750 services$1.30 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.

Surgery (Vascular Surgery)
245 FLEMINGSBURG RD
MOREHEAD, KY 40351
Physician Assistant
245 FLEMINGSBURG RD
MOREHEAD, KY 40351
Surgery
245 FLEMINGSBURG RD
MOREHEAD, KY 40351
Physician Assistant
245 FLEMINGSBURG RD
MOREHEAD, KY 40351
Internal Medicine (Interventional Cardiology)
245 FLEMINGSBURG RD
MOREHEAD, KY 40351
Physician Assistant
245 FLEMINGSBURG RD
MOREHEAD, KY 40351
Internal Medicine
245 FLEMINGSBURG RD
MOREHEAD, KY 40351
Internal Medicine (Medical Oncology)
245 FLEMINGSBURG RD
MOREHEAD, KY 40351

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 Oliver Newcomb's NPI number?

The NPI number for Oliver Newcomb is 1811262207. It was assigned to this individual provider in the NPPES registry on March 19, 2012.

Where is Oliver Newcomb located?

Oliver Newcomb practices at 245 Flemingsburg Rd, Morehead, KY 40351. The listed phone number is (606) 780-5500.

What is Oliver Newcomb's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Oliver Newcomb enrolled in Medicare?

Yes. Oliver Newcomb 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.

Is Oliver Newcomb affiliated with any hospitals?

According to CMS data, Oliver Newcomb is affiliated with St Claire Regional Medical Center and Meadowview Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Oliver Newcomb was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.