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PROVIDER PROFILE · NPI 1265524813

James NewbyM.D.

PRACTICEPRIMARY CARE SPECIALISTS, INCSee all providers at this practice →
Family PracticeNorfolk, VAI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (6)

CCN 497498
Home health agency
CCN 490007
Hospital
CCN 490017
Hospital
CCN 490046
Hospital
CCN 490119
Hospital
CCN 490120
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,335
Unique beneficiaries
—
Total services
1,903
Distinct HCPCS
15
Medicare payment
$79K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 2,194 Family Practice providers in VA — top quintile (cohort median 866).
REFERRAL NETWORK

Where James Newby's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 25 inbound referrers · 46 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SENTARA HOSPITALS192606
Olivia Newby
Nurse Practitioner · Norfolk, VA
92177
City Of Norfolk
Ambulance Service Provider · Norfolk, VA
4580
Antoinette Orton
Nurse Practitioner · Las Vegas, NV
4289
BON SECOURS DEPAUL MEDICAL CENTER LLC2770
Roque Planas-Galliano
Internal Medicine · Norfolk, VA
25146
Kathy Byun
Diagnostic Radiology · Virginia Beach, VA
2247
Armando Wyatt
Family Practice · Norfolk, VA
22135
WILLIAMS, SAMUEL1978
Desencia Thomas
Diagnostic Radiology · Houston, TX
1836
Felix Kirven
Orthopedic Surgery · Virginia Beach, VA
1747
Ellen Godfrey
Physician Assistant · Leesburg, VA
17167
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SENTARA HOSPITALS3961,265
SENTARA HOSPITALS112334
Keith Newby
Cardiology · Norfolk, VA
54182
Cheryl Cauthen
Ophthalmology · Norfolk, VA
51132
Olivia Newby
Nurse Practitioner · Norfolk, VA
4182
City Of Norfolk
Ambulance Service Provider · Norfolk, VA
4075
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
3995
BON SECOURS DEPAUL MEDICAL CENTER LLC3071
John Plemmons
Diagnostic Radiology · Virginia Beach, VA
2951
SENTARA ENTERPRISES2964
Roque Planas-Galliano
Internal Medicine · Norfolk, VA
25136
Jesse Anderson
Podiatry · Suffolk, VA
2481
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.
QUALITY · MIPS · 2024
Final MIPS score
86.5
Quality
68.3
Cost
94.6
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.48%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
8,958
Beneficiaries
—
Total drug cost
$862K
Distinct drugs
138
Brand share
29.6%
Top prescribed drugs
Atorvastatin Calcium676 claims
Amlodipine Besylate523 claims
Simvastatin296 claims
Losartan Potassium288 claims
Amlodipine Besylate/Benazepril235 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
65
By payment type
Food and Beverage$1K