Active NPI 1619901816 Individual Practitioner Male Practitioner

Dr. Oliver Thomas Newcomb , MD

Urology • Morehead, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Oliver Newcomb, MD is a certified Urology practicing in Morehead, KY. With approximately 14 years of clinical experience since graduating from University Of Louisville School Of Medicine in 2012, Dr. Newcomb delivers high-quality medical care to the local community at 245 FLEMINGSBURG RD.

Dr. Newcomb is affiliated with St. Claire Medical Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, diagnostic exam of bladder and urethra using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

245 Flemingsburg Rd

Morehead, KY 403511015

Telephone 6067837689

Fax 6067845671

Associated Practice Facility / Clinic

🏢 St Claire Medical Center, Inc Facility NPI 1558383885

Medicare Profile & Education

Medical School

University Of Louisville School Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Morehead, KY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs Matches City Avg

City Avg: 14.0 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

3 Specialists

Practicing in Morehead, KY (180 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Newcomb (14 Years) 14 Yrs

Morehead Specialty Average (14.0 Years) 14.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	285	208	$94.60	$61.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	175	113	$140.74	$90.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	27	$97.00	$73.49
52000 Diagnostic exam of bladder and urethra using an endoscope	44	38	$273.07	$74.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$212.75	$124.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$263.47	$161.77
55700 Biopsy of prostate gland	17	16	$312.00	$110.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$185.00	$121.58
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	15	13	$133.00	$28.21
52332 Insertion of stent in urinary duct (ureter) using an endoscope	11	11	$704.73	$73.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	273	200	$97.45	$62.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	216	143	$141.11	$91.82
52000 Diagnostic exam of bladder and urethra using an endoscope	62	52	$268.11	$75.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	26	$97.00	$74.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$211.71	$126.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	34	$185.00	$121.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	14	$134.00	$113.15
55700 Biopsy of prostate gland	15	15	$312.00	$113.91
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$133.00	$29.17
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	11	$609.92	$404.32
52332 Insertion of stent in urinary duct (ureter) using an endoscope	12	12	$646.00	$64.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	379	259	$96.61	$63.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	258	167	$143.71	$93.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$212.34	$127.51
52000 Diagnostic exam of bladder and urethra using an endoscope	66	58	$278.76	$74.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	16	$97.00	$67.80
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	20	$133.00	$29.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$185.00	$128.35
55700 Biopsy of prostate gland	20	20	$312.00	$118.16
54161 Removal of foreskin, patient older than 28 days of age	13	13	$266.00	$172.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$184.00	$133.18
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$1141.00	$649.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	407	282	$94.49	$65.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	377	220	$139.81	$96.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$209.71	$131.52
52000 Diagnostic exam of bladder and urethra using an endoscope	69	57	$256.00	$76.46
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	52	14	$1124.00	$50.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	25	$97.00	$69.44
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	18	$133.00	$30.63
55700 Biopsy of prostate gland	20	20	$312.00	$119.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	19	$261.00	$193.42
51701 Insertion of temporary bladder tube	15	14	$68.00	$24.88
52332 Insertion of stent in urinary duct (ureter) using an endoscope	14	12	$738.29	$105.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$149.86	$81.28
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	14	14	$1483.00	$204.23
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	11	11	$307.00	$140.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	538	333	$95.81	$50.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	226	149	$139.00	$77.58
52000 Diagnostic exam of bladder and urethra using an endoscope	66	55	$256.00	$77.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	30	$97.00	$71.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$211.80	$124.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$144.39	$74.12
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$93.00	$51.48
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	15	15	$1141.00	$726.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$261.00	$193.30
52332 Insertion of stent in urinary duct (ureter) using an endoscope	12	12	$646.00	$84.67
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	11	11	$307.00	$130.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	602	357	$94.63	$49.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	252	174	$138.44	$76.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$137.18	$73.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	34	$95.31	$70.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$204.84	$125.16
52000 Diagnostic exam of bladder and urethra using an endoscope	50	43	$266.56	$76.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	16	$131.91	$100.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$255.40	$196.31
99221 Initial hospital inpatient care per day, typically 30 minutes	19	18	$134.53	$98.32
51700 Simple bladder irrigation and/or instillation	19	13	$125.42	$26.82
50590 Shock wave crushing of kidney stones	18	17	$901.50	$560.03
52005 Insertion of tube into ureter using an endoscope through bladder area	17	17	$345.82	$68.70
74420 Imaging of urinary tract	16	15	$22.06	$22.00
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	14	$634.60	$111.89
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	12	$302.15	$127.21
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	11	$132.00	$31.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	349	235	$95.56	$48.64
99213 Established patient office or other outpatient visit, typically 15 minutes	244	185	$92.15	$49.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	92	$139.64	$74.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	82	$134.32	$75.10
52000 Diagnostic exam of bladder and urethra using an endoscope	33	33	$274.91	$76.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	20	$92.55	$69.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$195.00	$124.22
52000 Diagnostic exam of bladder and urethra using an endoscope	25	25	$267.48	$80.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$199.08	$124.02
74018 X-ray of abdomen, 1 view	24	16	$32.00	$10.68
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	17	$127.04	$100.16
51700 Simple bladder irrigation and/or instillation	19	13	$184.37	$24.35
50590 Shock wave crushing of kidney stones	19	16	$872.21	$530.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$142.65	$70.77
74420 Imaging of urinary tract	16	15	$44.88	$17.09
52332 Insertion of stent in urinary duct (ureter) using an endoscope	13	12	$619.69	$82.19
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$130.15	$97.22
51700 Simple bladder irrigation and/or instillation	12	12	$130.25	$40.94
52005 Insertion of tube into ureter using an endoscope through bladder area	12	12	$335.00	$72.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	557	326	$88.94	$48.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	355	224	$131.90	$74.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	87	41	$91.00	$68.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$195.00	$123.46
74000 X-ray of abdomen, single view	54	35	$30.00	$8.82
52000 Diagnostic exam of bladder and urethra using an endoscope	54	47	$240.00	$97.36
99221 Initial hospital inpatient care per day, typically 30 minutes	32	31	$128.00	$96.73
74420 Imaging of urinary tract	31	28	$138.00	$17.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	29	19	$126.00	$99.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$245.00	$187.37
52005 Insertion of tube into ureter using an endoscope through bladder area	19	19	$330.00	$59.32
50590 Shock wave crushing of kidney stones	18	15	$855.00	$547.18
51700 Simple bladder irrigation and/or instillation	17	15	$104.00	$34.66
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	13	$50.00	$37.52

Medical Specialties & State Licenses

CMS Verified: 2023-02-13

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License KY 24696

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64246960 (KY)

Hospital & Practice Group Affiliations

St. Claire Medical Center Inc

222 Medical Cir, Morehead, KY 403511179

Phone: 6067836500

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Oliver Newcomb , MD

Urology

NPI 1811262207

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location February 13, 2023

Registered at 245 FLEMINGSBURG RD, MOREHEAD, KY 403511015 (Tel: 6067837689)

📍

Updated Business Mailing Address February 13, 2023

Registered at PO BOX 1145, MOREHEAD, KY 403515145 (Tel: 6067837689)

✅

NPI Profile Active February 11, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 11, 2015

Registered at 425 CLINIC DR, MOREHEAD, KY 403511077 (Tel: 6067846551)

📍

Updated Business Mailing Address February 11, 2015

Registered at 425 CLINIC DR, MOREHEAD, KY 403511077 (Tel: 6067841049)

👤

Provider Name / Credentials Updated February 11, 2015

Recorded as OLIVER NEWCOMB, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2015

Urology (License #24696 in KY)

🟢

Initial NPI Registration & Enumeration July 11, 2006

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: 1619901816

Entity Type:

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

Enumeration Date: July 11, 2006

Last Update: February 13, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1145

Morehead, KY 403515145

Phone: 6067837689

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.