DR. NICHOLAS D NEWBURY (D.O.) – Obstetrics & Gynecology Physician, NPI 1417214933

DR. NICHOLAS D NEWBURY (D.O.) is a healthcare provider. based in Juneau, Alaska. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials D.O.. They hold a License No. NOT AVAILABLE (MI). The NPI Number for DR. NICHOLAS D NEWBURY (D.O.) is 1417214933

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICHOLAS D NEWBURY (D.O.)
NPI
1417214933
Phone
(907) 586-1717
Address
3268 HOSPITAL DR
Enumeration Date
20 April 2012
Last Update Date
1 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9079662411
Graduation Year
2012 (14 years ago)
PAC ID
1153611058
Group Practice PAC ID
1456265362
Professional Enrollment ID
I20230414000083
Address ID
AK998359416SI222XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

111 OBSTETRICS/GYNECOLOGY in AK

Provider Addresses for DR. NICHOLAS D NEWBURY (D.O.)

  • 3268 HOSPITAL DR

    SUITE B

    JUNEAU, AK 998017800

    Phone: (907) 586-1717

    Fax: (907) 586-2677

    Type: Mailing

  • 3268 HOSPITAL DRIVE

    SUITE B

    JUNEAU, AK 998017808

    Phone: (907) 586-1717

    Fax: (907) 586-2677

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $6,780.

Total Amount is formed as General ($6,780) + Research ($0) + Ownership ($0) = $6,780.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($6,639).

Total Amount

$6,780

General + Research + Ownership

Payments

22

Total payment records

General Amount

$6,780

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160606001573IObstetrics/GynecologyAKTBD
I20230414000083IObstetrics/GynecologyTXTBD
I20251014003929IObstetrics/GynecologyMTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3025$0
99213Established patient office or other outpatient visit, 20-29 minutes1914$0
76830Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina1111$0
View full utilization report →

Insurance plans in this area (ZIP 99801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456265362View full group profile

Reviews

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Frequently asked questions

Does DR. NICHOLAS D NEWBURY (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. NICHOLAS D NEWBURY (D.O.) uses 1417214933.
Does CMS list DR. NICHOLAS D NEWBURY (D.O.) as active?
Yes — DR. NICHOLAS D NEWBURY (D.O.) is active in the NPI listing used on this page.
What is DR. NICHOLAS D NEWBURY (D.O.)'s primary classification?
Obstetrics & Gynecology Physician is the headline specialty for DR. NICHOLAS D NEWBURY (D.O.) here. Clinical services aligned with this taxonomy classification.
Does DR. NICHOLAS D NEWBURY (D.O.) list a practice location?
Patients near Juneau, Alaska may find DR. NICHOLAS D NEWBURY (D.O.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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