NPI registry status
Active
2026 NPPES data Hematology (Internal Medicine) Physician NPI 1134582927
Verify on CMS → James Newman
Hematology (Internal Medicine) Physician in Waterford, Connecticut.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,436 in Hematology (Internal Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
129
Medicare Part D claims · 29 beneficiaries · Hematology (Internal Medicine) Physician avg: 693
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.5/100
▲ 1 pts above national avg 83.1 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
James Newman reported a CMS MIPS final score of 84.5/100 - above the 83.1 national average - and filed 129 Medicare Part D claims in 2023.
- 84.5/100
- MIPS score · +1 vs avg
- 129
- Part D claims, 2023
- 81%
- generic prescribing
- 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.
James Newman's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
85 45th percentile higher than 45% of 477,587 scored providers
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
Where James Newman sits
This provider among hematology (internal medicine) physician peers
Across the 570 hematology (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Newman writes more Part D claims than 17% of them and scores higher on MIPS quality than 54% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one hematology (internal medicine) physician peer from a representative sample of 60; the gold marker is James Newman. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
James Newman 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 James Newman?
Near national averagePrimary specialty
Hematology (Internal Medicine) Physician
Medicare Part D claims
129 81% vs specialty avg
MIPS final score
84.5/100 1.4 pts vs avg
Specialty distribution in Connecticut
How Hematology (Internal Medicine) Physician compares to other specialties among Connecticut providers
Medicare quality performance, MIPS
James Newman's 2023 MIPS final score plotted against the Hematology (Internal Medicine) Physician national average
- MIPS Final Score
- 84.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Hematology (Internal Medicine) Physician) - 84.5/100 vs national avg 83.1
How MIPS and board certification work
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).
James Newman appears in the CMS NPPES registry as a Hematology (Internal Medicine) Physician provider at 230 WATERFORD PKWY S, Waterford, CT, 06385, with a listed phone of (860) 444-3744. NPI 1134582927 was issued on 03/30/2016.
Medicare Part D records for calendar year 2023 show 129 prescription claims written by this provider, covering 29 Medicare beneficiaries and totaling roughly $200K in drug spend, split 19% brand-name and 81% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.5/100 for the 2023 performance year (Quality 93.3, Cost 54.9), compared with the national average of 83.1.
Hematology (Internal Medicine) Physician is a narrow specialty nationwide, with 1,436 enrolled providers across 50 states and an average of 693 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
Provider Details
| NPI | 1134582927 |
|---|---|
| Specialty | Hematology (Internal Medicine) Physician |
| Gender | Male |
| NPI Issued | 03/30/2016 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
84.4744
Final Score
Avg: 83.1
93.334
Quality
54.914
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where James Newman 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.
Northeast Medical Group Inc
Waterford, CT
Yale University
New Haven, CT
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
James Newman - brand share 19.0%
Hematology (Internal Medicine) Physician average
19% brand-name claims vs 81% generic, on 129 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
129
Total Claims
$200K
Total Drug Cost
29
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 143
- Total Day Supply
- 2,395
- Brand vs Generic
- 19% brand / 81% generic
- Brand Drug Cost
- $196K
- Generic Drug Cost
- $4K
- Antibiotic Claims
- 11
Patient Demographics
- Average Patient Age
- 74.3 years
- Avg HCC Risk Score
- 2.16
- Gender Split
- 59% female / 41% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Dexamethasone | 22 |
| Ondansetron Hcl | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Hematology (Internal Medicine) Physician in CT →
All providers in Connecticut →
Compare specialties →
Hematology (Internal Medicine) Physician Overview
How James Newman fits within the Hematology (Internal Medicine) Physician landscape nationally.
1,436
Hematology (Internal Medicine) Physician Providers in US
50
States with Hematology (Internal Medicine) Physician
693
Avg Claims per Provider
James Newman's 129 claims are below the specialty average of 693.
Nearby Hematology (Internal Medicine) Physician Providers in Connecticut
Other clinicians with the same primary specialty enrolled in Connecticut, drawn from the same CMS NPPES roster as Newman.
Dr. Erkut Bahceci
MD
New Haven, CT
Dr. Michael Bar
MD
Stamford, CT
Dr. Aarti Bhatia
M.B.B.S.
New Haven, CT
Dr. Syed Bilgrami
MD
Hartford, CT
Dr. Michael Burke
MD
Hartford, CT
Compare Hematology (Internal Medicine) Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Connecticut medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Hematology (Internal Medicine) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Connecticut
Frequently Asked Questions
What is James Newman's specialty? ▼
James Newman specializes in Hematology (Internal Medicine) Physician and practices in Waterford, Connecticut.
How much does James Newman prescribe under Medicare Part D? ▼
In 2023, James Newman wrote 129 Medicare Part D claims totaling $200K in drug costs for 29 beneficiaries.
What is James Newman's Medicare quality score? ▼
James Newman has a CMS MIPS Final Score of 84.5/100 (Quality: 93.3, Cost: 54.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Newman located? ▼
James Newman is located at 230 WATERFORD PKWY S, Waterford, CT, 06385. Phone: (860) 444-3744.
What is James Newman's NPI number? ▼
James Newman's National Provider Identifier (NPI) is 1134582927, issued on 03/30/2016.
Does James Newman prescribe more brand-name or generic drugs? ▼
James Newman's prescribing is 19% brand-name and 81% generic drugs by claim count, with $196K in brand drug costs.
How many Hematology (Internal Medicine) Physician providers are there in the US? ▼
There are 1,436 Hematology (Internal Medicine) Physician providers across 50 states in the US. The average Hematology (Internal Medicine) Physician provider writes 693 Medicare Part D claims per year.
What drugs does James Newman prescribe most often? ▼
Based on 2023 Medicare Part D data, James Newman's most frequently prescribed drugs include Dexamethasone, Ondansetron Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Newman accept Medicare? ▼
James Newman appears in CMS Medicare data with 129 Part D claims and 29 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Newman's credentials? ▼
James Newman's NPI is 1134582927. 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.