MAXWELL NEWBY – Pediatric Otolaryngology Physician, NPI 1912448317
Pediatric Otolaryngology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MAXWELL NEWBY
1 Medical Center Dr
Morgantown, WV 265061200
Phone: (304) 293-2463
Type: Location
4800 Sand Point Way NE
Seattle, WA 981053901
Phone: (206) 987-2105
Type: Location
1115, Kennesaw Ridge Road, Spencer Crest Apartments, Columbia, Boone County, Missouri, 65202, United States
APARTMENT 406
COLUMBIA, MO 652024871
Phone:
Type: Mailing
West Virginia University School of Dentistry, 1, Medical Center Drive, The Flatts, Evansdale, Morgantown, Monongalia County, West Virginia, 26505-2854, United States
MORGANTOWN, WV 265061200
Phone: (304) 293-2463
Type: Location
4800 SAND POINT WAY NE
SEATTLE, WA 981053901
Phone: (206) 987-2105
Type: Location
PO BOX 537
SEATTLE, WA 981110537
Phone: (206) 987-2105
Type: Mailing
1210 S CEDAR CREST BLVD STE 1100
ALLENTOWN, PA 181036241
Phone: (610) 402-7995
Type: Location
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: 2023-09-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230922000029 | I | Otolaryngology | PA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 26506)
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