PROVIDER PROFILE · NPI 1982693107

James NewlonDO

PRACTICEWELLSTAR MEDICAL GROUP, LLCSee all providers at this practice →

Family PracticeWoodstock, GAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

150

Unique beneficiaries

—

Total services

285

Distinct HCPCS

Medicare payment

$22K

Peer benchmark

Total Medicare services vs. 2,265 Family Practice providers in GA — below median (cohort median 688).

PRESCRIBING · PART D · 2024

Total Rx claims

1,099

Beneficiaries

—

Total drug cost

$61K

Distinct drugs

Brand share

33.9%

Top prescribed drugs

Hydrocodone/Acetaminophen199 claims

Gabapentin126 claims

Pregabalin111 claims

Duloxetine Hcl104 claims

Oxycodone Hcl103 claims

QUALITY · MIPS · 2024

Final MIPS score

93.9

Quality

82.1

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.80%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where James Newlon'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). 10 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
NORTHSIDE HOSPITAL, INC.	24	60
Stanley Mogelnicki Internal Medicine · Woodstock, GA	19	39
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	15	29
BROWN, WILLIAM	12	31
Howard Snapper Cardiology · Woodstock, GA	12	25
Richard Arasi Dermatology · Woodstock, GA	12	21
Robert Hudec Family Practice · Woodstock, GA	11	20
SILBIGER, MARTIN	11	18
Stephanie Delgaudio-Riemann Neurology · Woodstock, GA	11	25
Joseph Moyers Diagnostic Radiology · Marietta, GA	11	21

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history