DR. LORANCE H. NEWBURN III M.D.
NPI 1912086513
Family Medicine in Wahoo, NE

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
92.39/100
CMS Quality Rating
1760 COUNTY ROAD J, WAHOO, NE 68066(402) 443-4191(402) 443-1402 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lorance H. Newburn Iii M.d. NPPES

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

DR. LORANCE H. NEWBURN III M.D. (NPI 1912086513) is an individual family medicine provider in Wahoo, Nebraska, licensed in Nebraska (20174) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Saunders Medical Center, and is a graduate of University Of Nebraska College Of Medicine (1995).

NPPES Registry Identity

NPI1912086513
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LORANCE H. NEWBURN IIICredential: M.D.
Location Address1760 COUNTY ROAD JWahoo, NE 68066-4152
Mailing Address1760 County Road JWahoo, NE 68066-4152 · (402) 443-4191 · Fax (402) 443-1402
Fax(402) 443-1402
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1995
Enumeration DateNovember 3, 2006
Last NPPES UpdateAugust 13, 2019
NPI 1912086513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NE · 20174
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1760 COUNTY ROAD J, Wahoo, NE 68066

Other Identifiers 3

Other010330NE · Unitedhealthcare
Other8330NE · Midlands Choice
Other00162NE · Bcbs Of Nebraska

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. Lorance H. Newburn Iii 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 ID3870620099
PECOS Enrollment IDI20100420000902
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

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.

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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Saunders Medical Center

Critical Access Hospitals · Wahoo, NE
OwnershipGovernment - Local
CMS Certification Number281307
Location1760 County Rd JWahoo, NE 68066 · Saunders County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68066 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

92.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.79
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$35.70 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier30 claims30 services$178.72 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.

Skilled Nursing Facility
1760 COUNTY ROAD J
WAHOO, NE 68066
Nurse Practitioner (Family)
1760 COUNTY ROAD J
WAHOO, NE 68066
Registered Nurse
1760 COUNTY ROAD J
WAHOO, NE 68066
Family Medicine
1760 COUNTY ROAD J
WAHOO, NE 68066
Speech-Language Pathologist
1760 COUNTY ROAD J
WAHOO, NE 68066
Counselor (Mental Health)
1760 COUNTY ROAD J
WAHOO, NE 68066
Nurse Practitioner
1760 COUNTY ROAD J
WAHOO, NE 68066
Nurse Practitioner
1760 COUNTY ROAD J
WAHOO, NE 68066

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 Lorance Newburn's NPI number?

The NPI number for Lorance Newburn is 1912086513. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Lorance Newburn located?

Lorance Newburn practices at 1760 County Road J, Wahoo, NE 68066. The listed phone number is (402) 443-4191.

What is Lorance Newburn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lorance Newburn enrolled in Medicare?

Yes. Lorance Newburn 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 Lorance Newburn accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Lorance Newburn 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 Lorance Newburn affiliated with any hospitals?

According to CMS data, Lorance Newburn is affiliated with Saunders Medical Center.

When was this NPI record last updated?

The NPPES record for Lorance Newburn was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.