Active NPI 1093772162 Individual Practitioner Male Practitioner

Dr. Charles L Newman , MD

Surgery • Gadsden, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Charles Newman, MD is a certified Surgery practicing in Gadsden, AL. With approximately 36 years of clinical experience since graduating from University Of Alabama School Of Medicine in 1990, Dr. Newman delivers high-quality medical care to the local community at 419 S 5TH ST.

Dr. Newman is affiliated with Surgery Clinic, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

419 S 5th St

Gadsden, AL 359015101

Telephone 2565476331

Fax 2565471711

Associated Practice Facility / Clinic

🏢 Surgery Clinic, Llc Facility NPI 1205893732

Medicare Profile & Education

Medical School

University Of Alabama School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Gadsden, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +8.7 yrs vs City Avg

City Avg: 27.3 Yrs

State Avg: 28.5 Yrs

Regional Practice Density

11 Specialists

Practicing in Gadsden, AL (471 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

22.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Newman (36 Years) 36 Yrs

Gadsden Specialty Average (27.3 Years) 27.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	88	$149.00	$120.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$193.00	$153.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	30	$174.00	$120.80
17110 Destruction of up to 14 skin growths	25	13	$120.00	$91.10
99213 Established patient office or other outpatient visit, typically 15 minutes	22	15	$106.00	$85.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	13	$49.00	$45.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$222.00	$165.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	95	$149.00	$119.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$193.00	$153.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	34	$174.00	$124.62
17110 Destruction of up to 14 skin growths	28	19	$120.00	$87.48
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$256.00	$193.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	19	$209.00	$169.04
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$106.00	$84.87
47562 Removal of gallbladder using an endoscope	14	13	$2160.71	$546.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	91	$149.00	$122.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$193.00	$161.28
17110 Destruction of up to 14 skin growths	31	23	$120.00	$92.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$256.00	$213.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	16	$209.00	$174.63
76937 Ultrasonic guidance for blood vessel access	17	17	$90.00	$12.76
47562 Removal of gallbladder using an endoscope	14	14	$2420.00	$652.57
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$94.00	$16.71
49650 Repair of groin hernia using an endoscope	12	12	$1281.00	$461.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	95	$148.79	$121.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$192.48	$158.72
17110 Destruction of up to 14 skin growths	50	26	$120.00	$94.32
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	31	31	$255.00	$205.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	22	$209.00	$173.86
76937 Ultrasonic guidance for blood vessel access	21	19	$90.00	$13.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$174.00	$131.28
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$91.18	$84.40
47562 Removal of gallbladder using an endoscope	16	16	$1966.25	$512.93
49650 Repair of groin hernia using an endoscope	12	12	$1144.00	$342.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$222.00	$186.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	189	150	$85.00	$70.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$110.00	$101.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	39	$174.00	$133.08
17110 Destruction of up to 14 skin growths	30	21	$120.00	$87.54
76937 Ultrasonic guidance for blood vessel access	21	21	$90.00	$14.18
47562 Removal of gallbladder using an endoscope	19	19	$1846.84	$469.62
49650 Repair of groin hernia using an endoscope	17	17	$1388.71	$439.69
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$94.00	$18.26
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	13	13	$271.00	$84.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	236	183	$85.00	$68.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	108	108	$110.00	$100.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	48	$174.00	$130.01
17110 Destruction of up to 14 skin growths	35	28	$120.00	$89.49
47562 Removal of gallbladder using an endoscope	24	23	$2117.50	$511.79
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	15	$94.00	$17.92
76937 Ultrasonic guidance for blood vessel access	14	14	$90.00	$13.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	201	155	$85.00	$67.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	143	143	$110.00	$97.43
17110 Destruction of up to 14 skin growths	52	35	$120.00	$96.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	43	$174.00	$129.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	22	$50.00	$40.42
76937 Ultrasonic guidance for blood vessel access	23	23	$90.00	$13.80
47562 Removal of gallbladder using an endoscope	20	20	$2057.00	$503.85
10061 Complicated or multiple drainage of skin abscess	18	18	$235.00	$190.69
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	18	18	$94.00	$17.77
49650 Repair of groin hernia using an endoscope	13	13	$1330.38	$404.11
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$1157.00	$317.67
11042 Removal of skin and tissue, 20.0 sq cm or less	12	12	$217.00	$58.39
49654 Repair of incisional hernia using an endoscope	11	11	$1515.27	$720.11
10022 Fine needle aspiration using imaging guidance	11	11	$167.00	$129.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	160	122	$50.00	$40.09
99213 Established patient office or other outpatient visit, typically 15 minutes	89	81	$85.00	$66.67
99202 New patient office or other outpatient visit, typically 20 minutes	75	75	$75.00	$67.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$110.00	$97.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	45	$174.00	$127.10
47562 Removal of gallbladder using an endoscope	41	41	$1711.71	$393.32
17110 Destruction of up to 14 skin growths	37	28	$120.00	$85.35
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	36	31	$91.50	$18.09
76937 Ultrasonic guidance for blood vessel access	31	27	$91.16	$13.81
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	16	$1157.00	$320.39
49650 Repair of groin hernia using an endoscope	16	16	$1012.44	$283.20
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	15	14	$193.00	$95.86
99221 Initial hospital inpatient care per day, typically 30 minutes	15	14	$107.00	$95.34
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	15	14	$271.00	$115.58
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$2090.00	$548.65

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AL 19195

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000025556 (AL)

Medicaid State Provider ID

000128501 (AL)

Commercial Insurance / Payer ID Bc & Bs Of Al

51536510 (AL)

Commercial Insurance / Payer ID Bc & Bs Of Al

51025556 (AL)

Hospital & Practice Group Affiliations

Surgery Clinic, Llc

1622 Church Ave Se, Jacksonville, AL 362653200

Phone: 2565476331

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Ashley Henderson-Gaskin

Physician Assistant

NPI 1013029453

Dr. Lucian Newman , MD

Surgery

NPI 1477510527

Doctor of Medicine (M.D.)

Dr. Lucian Newman , MD

Surgery

NPI 1639136716

Doctor of Medicine (M.D.)

Dr. Paul Nordness , MD

Surgery

NPI 1760456941

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 17, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location August 17, 2011

Registered at 419 S 5TH ST, GADSDEN, AL 359015101 (Tel: 2565476331)

📍

Updated Business Mailing Address August 17, 2011

Registered at 419 S 5TH ST, GADSDEN, AL 359015101 (Tel: 2565476331)

👤

Provider Name / Credentials Updated August 17, 2011

Recorded as CHARLES NEWMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2011

Surgery (License #19195 in AL)

🟢

Initial NPI Registration & Enumeration May 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1093772162

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 01, 2006

Last Update: December 05, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

419 S 5th St

Gadsden, AL 359015101

Phone: 2565476331

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.