RYAN NEWBERGER (M.D.) – Emergency Medicine Physician, NPI 1073046553

RYAN NEWBERGER (M.D.) is a healthcare provider. based in Peoria, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 0000000000 (IL). The NPI Number for RYAN NEWBERGER (M.D.) is 1073046553

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
RYAN NEWBERGER (M.D.)
NPI
1073046553
Phone
(248) 207-2018
Address
530 NE GLEN OAK AVE
Enumeration Date
11 April 2017
Last Update Date
11 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5179756475
Graduation Year
2017 (9 years ago)
PAC ID
6709150402
Group Practice PAC ID
3971416082
Professional Enrollment ID
I20200720000142
Address ID
MI489108394LA2900XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

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Provider Addresses for RYAN NEWBERGER (M.D.)

  • Saint Francis Medical Center, 530, Northeast Glen Oak Avenue, Peoria, Peoria County, Illinois, 61637, United States

    PEORIA, IL 616370001

    Phone: (248) 207-2018

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-07-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20200720000142IEmergency MedicineMITBD

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
99285Emergency department visit with high level of medical decision making248235$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only135124$0
99284Emergency department visit with moderate level of medical decision making133120$0
99283Emergency department visit with low level of medical decision making3130$0
99291Critical care, first 30-74 minutes2828$0
View full utilization report →

Insurance plans in this area (ZIP 61637)

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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: 3971416082View full group profile
NameSpecialtyState
Internal MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Family PracticeMI
-GA
Emergency MedicineMI
Emergency MedicineMI
Physician AssistantMI
-MI
Emergency MedicineMI

Reviews

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Frequently asked questions

Does RYAN NEWBERGER (M.D.) have a public NPI I can cite?
Public records show RYAN NEWBERGER (M.D.) under NPI 1073046553.
Does the public listing show RYAN NEWBERGER (M.D.) as active?
RYAN NEWBERGER (M.D.)'s NPI record reflects an active status in NPPES.
What services align with RYAN NEWBERGER (M.D.)'s listing?
RYAN NEWBERGER (M.D.)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is RYAN NEWBERGER (M.D.) tied to Peoria, Illinois?
If you are local to Peoria, Illinois, RYAN NEWBERGER (M.D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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