Active NPI 1255338653 Individual Practitioner Male Practitioner

Dr. Stuart J Newman , MD

Ophthalmology • Roswell, GA

Professional Overview & Biography Verified Profile Summary

Dr. Stuart Newman, MD is a registered healthcare professional specializing in Ophthalmology in Roswell, GA. Practice services are available at 11690 ALPHARETTA HWY under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, established patient problem focused exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11690 Alpharetta Hwy

Roswell, GA 300763805

Telephone 7704755515

Fax 7703438884

Associated Practice Facility / Clinic

🏢 Thomas Eye Group Pc Facility NPI 1164532529

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Roswell, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.2 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

10 Specialists

Practicing in Roswell, GA (579 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	166	162	$290.48	$125.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	122	$290.29	$125.68
92012 Established patient problem focused exam of visual system	113	102	$206.30	$89.26
99213 Established patient office or other outpatient visit, typically 15 minutes	87	75	$207.76	$89.81
92134 Imaging of retina	82	81	$100.00	$39.87
92083 Exam of visual field with extended testing	79	79	$172.80	$61.30
92133 Imaging of optic nerve	62	62	$100.00	$35.33
92250 Photography of the retina	53	53	$150.02	$36.71
92004 New patient complete exam of visual system	26	26	$340.00	$149.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$388.36	$165.54
76514 Ultrasound scan of cornea to determine thickness	20	20	$50.00	$10.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$283.00	$111.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	507	457	$251.06	$126.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	359	257	$205.62	$127.99
92012 Established patient problem focused exam of visual system	271	216	$178.37	$89.66
92250 Photography of the retina	187	177	$157.12	$36.45
92083 Exam of visual field with extended testing	179	174	$179.00	$62.93
99213 Established patient office or other outpatient visit, typically 15 minutes	174	129	$145.78	$90.66
92134 Imaging of retina	150	133	$100.00	$40.69
92004 New patient complete exam of visual system	120	120	$300.25	$149.60
92133 Imaging of optic nerve	116	102	$100.00	$36.91
76514 Ultrasound scan of cornea to determine thickness	33	33	$50.00	$11.11
92002 New patient problem focused exam of visual system	33	33	$168.73	$86.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$292.38	$167.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$262.27	$112.07
66821 Removal of recurring cataract in lens capsule using a laser	21	16	$715.00	$332.99
68761 Closure of tear duct opening using plug	20	13	$414.38	$149.16
92060 Exam to measure eye deviation and range of motion	18	18	$131.00	$62.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	533	502	$241.00	$127.80
92012 Established patient problem focused exam of visual system	392	292	$169.00	$90.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	283	241	$194.79	$129.56
99213 Established patient office or other outpatient visit, typically 15 minutes	224	160	$135.00	$92.25
92250 Photography of the retina	205	200	$157.00	$39.26
92083 Exam of visual field with extended testing	166	162	$179.00	$63.56
92134 Imaging of retina	140	129	$100.00	$41.11
92133 Imaging of optic nerve	126	118	$100.00	$37.75
92004 New patient complete exam of visual system	114	114	$290.00	$151.36
66821 Removal of recurring cataract in lens capsule using a laser	43	32	$715.00	$325.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$283.00	$169.34
83861 Microfluid analysis of tears	30	15	$45.00	$22.48
76514 Ultrasound scan of cornea to determine thickness	22	22	$50.00	$11.28
92060 Exam to measure eye deviation and range of motion	18	17	$131.00	$64.22
92002 New patient problem focused exam of visual system	17	17	$161.00	$87.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	324	233	$161.96	$89.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	301	288	$188.60	$109.94
92014 Established patient complete exam of visual system	301	295	$233.19	$127.22
99213 Established patient office or other outpatient visit, typically 15 minutes	231	198	$127.65	$75.73
92083 Exam of visual field with extended testing	159	156	$171.83	$63.74
83861 Microfluid analysis of tears	158	79	$45.00	$22.29
92250 Photography of the retina	156	156	$149.50	$45.18
92133 Imaging of optic nerve	128	116	$93.05	$38.16
92004 New patient complete exam of visual system	97	97	$282.27	$150.88
92134 Imaging of retina	94	86	$93.40	$41.83
66821 Removal of recurring cataract in lens capsule using a laser	37	31	$715.00	$337.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$225.21	$108.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$276.81	$166.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$72.00	$45.98
92002 New patient problem focused exam of visual system	12	12	$151.83	$84.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83861 Microfluid analysis of tears	960	387	$45.00	$21.89
99213 Established patient office or other outpatient visit, typically 15 minutes	750	505	$125.00	$74.04
92014 Established patient complete exam of visual system	689	667	$231.00	$127.06
92083 Exam of visual field with extended testing	197	195	$169.00	$63.46
92133 Imaging of optic nerve	145	133	$90.00	$37.25
92012 Established patient problem focused exam of visual system	129	121	$159.00	$88.53
92134 Imaging of retina	117	113	$90.00	$41.46
92004 New patient complete exam of visual system	115	115	$280.00	$148.63
92250 Photography of the retina	110	110	$147.00	$50.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	102	91	$72.00	$45.11
66821 Removal of recurring cataract in lens capsule using a laser	44	36	$715.00	$336.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$178.00	$109.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$185.00	$109.57
76514 Ultrasound scan of cornea to determine thickness	29	29	$50.00	$12.18
92002 New patient problem focused exam of visual system	14	14	$151.00	$84.71
92060 Exam to measure eye deviation and range of motion	14	13	$121.00	$64.92
67800 Removal of eyelid growth	12	11	$250.00	$130.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$273.00	$165.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83861 Microfluid analysis of tears	1,247	391	$45.00	$21.95
99213 Established patient office or other outpatient visit, typically 15 minutes	935	541	$125.00	$72.57
95004 Test for allergy using allergenic extract	840	14	$7.50	$5.34
92014 Established patient complete exam of visual system	722	703	$231.00	$126.32
92083 Exam of visual field with extended testing	183	182	$169.00	$63.75
92133 Imaging of optic nerve	159	137	$90.00	$36.30
92134 Imaging of retina	124	121	$90.00	$41.40
92004 New patient complete exam of visual system	104	104	$280.00	$150.74
92012 Established patient problem focused exam of visual system	85	82	$159.00	$87.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	79	$185.00	$108.13
68761 Closure of tear duct opening using plug	58	37	$414.66	$156.62
92250 Photography of the retina	52	52	$147.00	$55.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	38	$72.00	$43.64
66821 Removal of recurring cataract in lens capsule using a laser	39	30	$715.00	$333.13
76514 Ultrasound scan of cornea to determine thickness	36	36	$50.00	$13.60
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	32	18	$1000.00	$291.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$273.00	$165.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$178.00	$108.72
92020 Examination of cornea and iris using lens device and slit lamp	18	18	$59.00	$25.53
68810 Insertion of probe into nasal tear duct	13	13	$826.92	$228.40
92002 New patient problem focused exam of visual system	12	12	$151.00	$83.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83861 Microfluid analysis of tears	941	297	$45.00	$22.03
99213 Established patient office or other outpatient visit, typically 15 minutes	733	465	$125.00	$72.43
92014 Established patient complete exam of visual system	619	607	$231.00	$123.06
92083 Exam of visual field with extended testing	204	201	$169.00	$64.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	165	$185.00	$106.15
92133 Imaging of optic nerve	171	159	$90.00	$35.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	125	115	$72.00	$43.08
92012 Established patient problem focused exam of visual system	113	104	$159.00	$85.82
92004 New patient complete exam of visual system	91	91	$280.00	$148.78
92134 Imaging of retina	84	79	$90.00	$40.27
92250 Photography of the retina	60	59	$147.00	$64.16
76514 Ultrasound scan of cornea to determine thickness	51	51	$50.00	$14.03
66821 Removal of recurring cataract in lens capsule using a laser	48	34	$715.00	$316.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$273.00	$164.09
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	41	21	$1000.00	$295.53
92020 Examination of cornea and iris using lens device and slit lamp	30	30	$59.00	$26.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$178.00	$104.37
68761 Closure of tear duct opening using plug	20	11	$341.25	$121.67
92060 Exam to measure eye deviation and range of motion	13	13	$121.00	$65.10
68810 Insertion of probe into nasal tear duct	12	12	$752.50	$229.43

Medical Specialties & State Licenses

CMS Verified: 2020-09-03

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License GA 030357

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00400584B (GA)

Commercial Insurance / Payer ID Coventry Ppo

02543 (GA)

Commercial Insurance / Payer ID Amerigroup

10040687 (GA)

Commercial Insurance / Payer ID Wellcare

294750 (GA)

Commercial Insurance / Payer ID Aushc Hmo

0479638 (GA)

Commercial Insurance / Payer ID Uhc

0890732 (GA)

Commercial Insurance / Payer ID Rr Medicare

180027680 (GA)

Commercial Insurance / Payer ID Aetna

4105769 (GA)

Commercial Insurance / Payer ID Bcbs

009489 (GA)

Commercial Insurance / Payer ID Coventry Hmo

9858 (GA)

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Carly Kiomall , OD, MPH

Optometrist

NPI 1124549332

Doctor of Optometry, Master of Public Health

Dr. Isabelle Dortonne , MD

Ophthalmology

NPI 1669904918

Doctor of Medicine (M.D.)

Dr. Larry Heit , MD

Ophthalmology

NPI 1750388245

Doctor of Medicine (M.D.)

Dr. Nhora Abril , OD

Optometrist

NPI 1891917217

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 15, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location November 15, 2013

Registered at 11690 ALPHARETTA HWY, ROSWELL, GA 300763805 (Tel: 7704755515)

📍

Updated Business Mailing Address November 15, 2013

Registered at 5901A PEACHTREE DUNWOODY RD NE, STE 500, ATLANTA, GA 303285382 (Tel: 6788922020)

👤

Provider Name / Credentials Updated November 15, 2013

Recorded as STUART NEWMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2013

Ophthalmology (License #030357 in GA)

🟢

Initial NPI Registration & Enumeration June 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255338653

Entity Type:

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

Enumeration Date: June 30, 2005

Last Update: September 03, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5901a Peachtree Dunwoody Rd Ne, Ste 500

Atlanta, GA 303285382

Phone: 6788922020

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.