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MR. CARTER JOHN NEWBERRY
NPI 1891408688
Physician Assistant in Toledo, OH

Active since December 27, 2022PECOS EnrolledAccepts Medicare Assignment
3000 ARLINGTON AVE # MS 1027, TOLEDO, OH 43614(419) 530-5408 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Carter John Newberry NPPES

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

MR. CARTER JOHN NEWBERRY (NPI 1891408688) is an individual physician assistant in Toledo, Ohio, licensed in Ohio (50.008604RX) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS, is affiliated with Promedica Charles And Virginia Hickman Hospital, and is a graduate of University Of Toledo College Of Medicine (2023).

NPPES Registry Identity

NPI1891408688
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. CARTER JOHN NEWBERRY
Location Address3000 ARLINGTON AVE # MS 1027Toledo, OH 43614-2595
Mailing Address4623 Lakeside Dr Unit 2201Maumee, OH 43537-8573 · (815) 370-6415
Phone(419) 530-5408
Sole ProprietorYes
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2023
Enumeration DateDecember 27, 2022
Last NPPES UpdateJanuary 22, 2024
NPPES CertifiedJanuary 22, 2024
✔ NPI 1891408688 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 OH · 50.008604RX
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.
3000 ARLINGTON AVE # MS 1027, Toledo, OH 43614
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mr. Carter John Newberry 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 ID7517305394
PECOS Enrollment IDI20240329002698
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 5

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.
165 services138 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.
47 services42 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
30 services27 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
15 services15 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Promedica Charles And Virginia Hickman Hospital

Acute Care Hospitals · Adrian, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230005
Location5640 N Adrian HighwayAdrian, MI 49221 · Lenawee County
Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360259
Location2801 Bay Park DriveOregon, OH 43616 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43614 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 7

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

SOPHIA MODES
Physician Assistant
3000 ARLINGTON AVE # MS 1027
TOLEDO, OH 43614
Lucas County (419) 530-5408
RADWA ELMARAKBY PA-S
Physician Assistant
3000 ARLINGTON AVE # MS 1027
TOLEDO, OH 43614
Lucas County (419) 530-5408
MRS. SARAH MARIE GOLDEN
Physician Assistant
3000 ARLINGTON AVE # MS 1027
TOLEDO, OH 43614
Lucas County (419) 530-5408
SERINA C SCHAMA PA-S2
Physician Assistant
3000 ARLINGTON AVE # MS 1027
TOLEDO, OH 43614
Lucas County (419) 530-5408
ANNA DECLERCQ PA-C
Physician Assistant
3000 ARLINGTON AVE # MS 1027
TOLEDO, OH 43614
Lucas County (419) 530-5408
JENNA REO
Student in an Organized Health Care Education/Training Program
3000 ARLINGTON AVE # MS 1027
TOLEDO, OH 43614
Lucas County (419) 530-5408
ALEXIS NICOLE-LYNN DEANGELIS
Physician Assistant
3000 ARLINGTON AVE # MS 1027
TOLEDO, OH 43614
Lucas County (419) 530-5408

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 Carter Newberry's NPI number?

The NPI number for Carter Newberry is 1891408688. It was assigned to this individual provider in the NPPES registry on December 27, 2022.

Where is Carter Newberry located?

Carter Newberry practices at 3000 Arlington Ave # Ms 1027, Toledo, OH 43614. The listed phone number is (419) 530-5408.

What is Carter Newberry's specialty?

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

Is Carter Newberry enrolled in Medicare?

Yes. Carter Newberry 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 Carter Newberry accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Carter Newberry 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 Carter Newberry affiliated with any hospitals?

According to CMS data, Carter Newberry is affiliated with Promedica Charles And Virginia Hickman Hospital, Promedica Toledo Hospital, Mercy St Vincent Medical Center and Bay Park Community Hospital.

When was this NPI record last updated?

The NPPES record for Carter Newberry was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.