Active NPI
Michael Thornton Newcomb, M.D.
- Ophthalmology Physician
- Lexington, KY
National Provider Identifier
1093968026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 45025
- Practice address
- 100 N Eagle Creek Dr
Lexington, KY 40509-1805 - Phone
- (859) 258-5310
- Fax
- (859) 258-6123
- NPI assigned
- Nov 4, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 45025 | KY | Primary |
| Ophthalmology Physician | 207W00000X | R1832 | KY |
Addresses
Primary practice location
100 N Eagle Creek Dr
Lexington, KY 40509-1805
Mailing address
350 Elaine Dr
Suite 204
Lexington, KY 40504-2754
Phone (859) 258-4339
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0169 | Other | KY | LC MEDICARE GROUP ID NUMBER |
| 65923740 | Other | KY | LC MEDICAID GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Kentucky College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N Eagle Creek Dr
Lexington, KY 40509-1805
Phone (859) 258-4000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 235 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1832 | KY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Lexington Clinic PSC | Current | Accepting new patients | |
| New Lexington Clinic, PSC | Current | Accepting new patients |
Locations
1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181
100 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 258-5300
100 N Eagle Creek Dr
#3
Lexington, KY 40509
Interoperability endpoints
- michael.newcomb.1@13059.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Lexington, KY
- NPI 1700803681
-
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1285409425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333670400000",
"number": "1093968026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 ELAINE DR",
"address_2": "SUITE 204",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042754",
"telephone_number": "859-258-4339",
"fax_number": "859-258-6122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N EAGLE CREEK DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091805",
"telephone_number": "859-258-5310",
"fax_number": "859-258-6123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWCOMB",
"first_name": "MICHAEL",
"middle_name": "THORNTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-04",
"last_updated": "2012-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "KY",
"license": "45025",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "KY",
"license": "R1832",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LC MEDICARE GROUP ID NUMBER",
"identifier": "0169",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LC MEDICAID GROUP NUMBER",
"identifier": "65923740",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.