2026 NPPES data Emergency Medicine Physician NPI 1063654663 MD
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BENJAMIN NEWMAN, MD

Emergency Medicine Physician in LYNCHBURG, Virginia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
92
Medicare Part D claims · 60 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
94.0743/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$21.06
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

BENJAMIN NEWMAN, MD reported a CMS MIPS final score of 94.0743/100 — above the 83.1 national average — and filed 92 Medicare Part D claims in 2023.

94.0743/100
MIPS score · +11 vs avg
92
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

BENJAMIN NEWMAN, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

94 Top 25% higher than 75% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

BENJAMIN NEWMAN, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about BENJAMIN NEWMAN, MD?

High performer (top quartile)

NPI registry status

Active

Issued 03/27/2009

NPI 1063654663

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

92 74% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

94.0743/100 10.9743% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Emergency Medicine Physician compares to other specialties among Virginia providers

Virginia providers

Emergency Medicine Physician share within Virginia

1. Emergency Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medicine Physician share within Virginia

Medicare quality performance — MIPS

BENJAMIN NEWMAN, MD's 2023 MIPS final score plotted against the Emergency Medicine Physician national average

High performer (top quartile)
MIPS Final Score
94.0743/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 94.0743/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Emergency Medicine Physician) — 94.0743/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

BENJAMIN NEWMAN, MD appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding MD credentials at 1901 TATE SPRINGS RD, LYNCHBURG, VA, 24501, with a listed phone of (434) 200-6858. NPI 1063654663 was issued on 03/27/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NEWMAN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 92 prescription claims written by this provider, covering 60 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 17.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.0743/100 for the 2023 performance year (Quality 86.4483), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1901 TATE SPRINGS RD
LYNCHBURG, VA 24501

Provider Details

NPI 1063654663
Specialty Emergency Medicine Physician
Credentials MD
Gender Male
NPI Issued 03/27/2009

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

94.0743
Final Score
Avg: 83.1
86.4483
Quality
94
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where BENJAMIN NEWMAN, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

CENTRA MEDICAL GROUP LLC
LYNCHBURG, VA
LAKE SPRING EMERGENCY GROUP LLC
SALEM, VA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for BENJAMIN NEWMAN, MD. Source: openpaymentsdata.cms.gov.

Total received

$21

Largest payer

Chiesi USA, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

92
Total Claims
$2K
Total Drug Cost
60
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
93
Total Day Supply
922
Generic Drug Cost
$2K
Opioid Claims
16 (17.4% rate)
Antibiotic Claims
28

Patient Demographics

Average Patient Age
69.6 years
Avg HCC Risk Score
1.78
Gender Split
60% female / 40% male
Age Distribution
<65: 19, 65-74: 17, 75-84: N/A, 85+: N/A

Emergency Medicine Physician Overview

How BENJAMIN NEWMAN, MD fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

BENJAMIN NEWMAN, MD's 92 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Virginia

Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as NEWMAN.

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is BENJAMIN NEWMAN, MD's specialty?
BENJAMIN NEWMAN, MD specializes in Emergency Medicine Physician and practices in LYNCHBURG, Virginia. Credentials: MD.
How much does BENJAMIN NEWMAN, MD prescribe under Medicare Part D?
In 2023, BENJAMIN NEWMAN, MD wrote 92 Medicare Part D claims totaling $2K in drug costs for 60 beneficiaries.
What is BENJAMIN NEWMAN, MD's Medicare quality score?
BENJAMIN NEWMAN, MD has a CMS MIPS Final Score of 94.0743/100 (Quality: 86.4483). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BENJAMIN NEWMAN, MD located?
BENJAMIN NEWMAN, MD is located at 1901 TATE SPRINGS RD, LYNCHBURG, VA, 24501. Phone: (434) 200-6858.
What is BENJAMIN NEWMAN, MD's NPI number?
BENJAMIN NEWMAN, MD's National Provider Identifier (NPI) is 1063654663, issued on 03/27/2009.
Does BENJAMIN NEWMAN, MD prescribe opioids?
Yes, BENJAMIN NEWMAN, MD had 16 opioid claims in 2023 with an opioid prescribing rate of 17.4%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
Does BENJAMIN NEWMAN, MD accept Medicare?
BENJAMIN NEWMAN, MD appears in CMS Medicare data with 92 Part D claims and 60 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BENJAMIN NEWMAN, MD's credentials?
BENJAMIN NEWMAN, MD's NPI is 1063654663 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology