2026 NPPES data Adult Medicine Physician NPI 1356348759 M.D.
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WYLIE NEWTON, M.D.

Adult Medicine Physician in GAINESVILLE, Georgia. 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
13K
Medicare Part D claims · 709 beneficiaries · Adult Medicine Physician avg: 3K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.5534/100
▼ 1 pts below national avg 83.1 · [object Object]
Industry payments
$483.19
26 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: WYLIE NEWTON, M.D. is a Adult Medicine Physician ([object Object]) practicing in GAINESVILLE, Georgia with a Medicare Part D prescribing footprint of 13K claims across 709 beneficiaries — 15% brand-name prescribing . Their CMS MIPS Final Score of 82.5534/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $483.19 across 26 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: WYLIE NEWTON, M.D. reported a CMS MIPS final score of 82.5534 out of 100, below the 83.1 national average, and filed 13,251 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

WYLIE NEWTON, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

WYLIE NEWTON, M.D. at a glance

Near national average

NPI registry status

Active

Issued 06/30/2005

NPI 1356348759

Primary specialty

Adult Medicine Physician

Niche

2,481 US NPIs in this specialty

Medicare Part D claims

13,251 372% vs specialty avg

2023 prescription claims

Specialty avg: 2,807

MIPS final score

82.5534/100 0.546599999999998% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Adult Medicine Physician compares to other specialties among Georgia providers

Georgia providers

Adult Medicine Physician share within Georgia

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

Medicare quality performance — MIPS

WYLIE NEWTON, M.D.'s 2023 MIPS final score plotted against the Adult Medicine Physician national average

Near national average
MIPS Final Score
82.5534/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Medicine Physician) — 82.5534/100 vs national avg 83.1

0%100%National avg83%82.6%
MIPS final score (Adult Medicine Physician) — 82.5534/100 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).

WYLIE NEWTON, M.D. is a Adult Medicine Physician provider practicing in GAINESVILLE, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1356348759. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

WYLIE NEWTON, M.D. appears in the CMS NPPES registry as a Adult Medicine Physician provider holding M.D. credentials at 950A S. ENOTA DRIVE, GAINESVILLE, GA, 30501, with a listed phone of (678) 450-8969. NPI 1356348759 was issued on 06/30/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NEWTON 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 13,251 prescription claims written by this provider, covering 709 Medicare beneficiaries and totaling roughly $1.6 million in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 3.2%. 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 82.5534/100 for the 2023 performance year (Quality 81.1413, Cost 60.7032), compared with the national average of 83.1.

Adult Medicine Physician is a narrow specialty nationwide, with 2,481 enrolled providers across 52 states and an average of 2,807 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

950A S. ENOTA DRIVE
GAINESVILLE, GA 30501

Provider Details

NPI 1356348759
Specialty Adult Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 06/30/2005

CMS Quality Score (MIPS)

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

82.5534
Final Score
Avg: 83.1
81.1413
Quality
60.7032
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where WYLIE NEWTON, M.D. 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 GEORGIA PHYSICIANS GROUP INC
CLEVELAND, GA

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 WYLIE NEWTON, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$483

Largest payer

Lilly USA, LLC

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.

Brand vs generic prescribing mix · Typical

WYLIE NEWTON, M.D. — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 13,251 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.

13,251
Total Claims
$1.6M
Total Drug Cost
709
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
27,166
Total Day Supply
785,926
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$1.3M
Generic Drug Cost
$204K
Opioid Claims
429 (3.2% rate)
Antibiotic Claims
354

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
1.25
Gender Split
54% female / 46% male
Age Distribution
<65: 36, 65-74: 324, 75-84: 262, 85+: 87

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Levothyroxine Sodium
493
Losartan Potassium
472
Atorvastatin Calcium
452
Amlodipine Besylate
401
Lisinopril
344
Metoprolol Succinate
311
Gabapentin
306
Metformin Hcl
301
Pantoprazole Sodium
301
Omeprazole
299

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Adult Medicine Physician Overview

How WYLIE NEWTON, M.D. fits within the Adult Medicine Physician landscape nationally.

2,481
Adult Medicine Physician Providers in US
52
States with Adult Medicine Physician
2,807
Avg Claims per Provider

WYLIE NEWTON, M.D.'s 13,251 claims are above the specialty average of 2,807.

Nearby Adult Medicine Physician Providers in Georgia

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

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

Frequently Asked Questions

What is WYLIE NEWTON, M.D.'s specialty?
WYLIE NEWTON, M.D. specializes in Adult Medicine Physician and practices in GAINESVILLE, Georgia. Credentials: M.D..
How much does WYLIE NEWTON, M.D. prescribe under Medicare Part D?
In 2023, WYLIE NEWTON, M.D. wrote 13,251 Medicare Part D claims totaling $1.6M in drug costs for 709 beneficiaries.
What is WYLIE NEWTON, M.D.'s Medicare quality score?
WYLIE NEWTON, M.D. has a CMS MIPS Final Score of 82.5534/100 (Quality: 81.1413, Cost: 60.7032). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is WYLIE NEWTON, M.D. located?
WYLIE NEWTON, M.D. is located at 950A S. ENOTA DRIVE, GAINESVILLE, GA, 30501. Phone: (678) 450-8969.
What is WYLIE NEWTON, M.D.'s NPI number?
WYLIE NEWTON, M.D.'s National Provider Identifier (NPI) is 1356348759, issued on 06/30/2005.
Does WYLIE NEWTON, M.D. prescribe more brand-name or generic drugs?
WYLIE NEWTON, M.D.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $1.3M in brand drug costs.
Does WYLIE NEWTON, M.D. prescribe opioids?
Yes, WYLIE NEWTON, M.D. had 429 opioid claims in 2023 with an opioid prescribing rate of 3.2%.
How many Adult Medicine Physician providers are there in the US?
There are 2,481 Adult Medicine Physician providers across 52 states in the US. The average Adult Medicine Physician provider writes 2,807 Medicare Part D claims per year.
What drugs does WYLIE NEWTON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, WYLIE NEWTON, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Losartan Potassium, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does WYLIE NEWTON, M.D. accept Medicare?
WYLIE NEWTON, M.D. appears in CMS Medicare data with 13,251 Part D claims and 709 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify WYLIE NEWTON, M.D.'s credentials?
WYLIE NEWTON, M.D.'s NPI is 1356348759 with credentials M.D.. 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