Active NPI 1386605756 Individual Practitioner Male Practitioner

Dr. Peter D Newcomer , MD

Internal Medicine • Madison, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Peter Newcomer, MD is a certified Internal Medicine practicing in Madison, WI. With approximately 31 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 1995, Dr. Newcomer delivers high-quality medical care to the local community at 451 JUNCTION RD.

Dr. Newcomer is affiliated with University Of Wisconsin Medical Foundation Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

451 Junction Rd

Madison, WI 53717

Telephone 6082651600

Fax 6082657642

Associated Practice Facility / Clinic

🏢 University Of Wisconsin Medical Foundation, Inc Facility NPI 1457313934

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Madison, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +11.2 yrs vs City Avg

City Avg: 19.8 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

426 Specialists

Practicing in Madison, WI (2181 Statewide)

Telehealth Adoption Rate

21.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Newcomer (31 Years) 31 Yrs

Madison Specialty Average (19.8 Years) 19.8 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
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	43	43	$35.00	$15.43
99213 Established patient office or other outpatient visit, typically 15 minutes	33	33	$234.00	$84.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$343.00	$119.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	53	46	$218.30	$65.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	40	$314.60	$93.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	92	76	$204.00	$63.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	57	$294.00	$93.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	87	65	$194.00	$64.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	56	$280.00	$95.31
99442 Telephone medical discussion with physician, 11-20 minutes	20	14	$161.00	$62.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	71	51	$185.00	$48.98
99442 Telephone medical discussion with physician, 11-20 minutes	40	35	$161.00	$49.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$266.00	$76.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	152	88	$176.00	$49.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	25	$254.00	$74.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$137.00	$24.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	169	101	$171.00	$49.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	29	$246.00	$75.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$133.00	$24.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	170	108	$165.00	$48.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	44	$237.00	$74.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$128.00	$24.59

Medical Specialties & State Licenses

CMS Verified: 2021-01-14

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WI 41966

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

University Of Wisconsin Medical Foundation Inc

705 S University Ave, Beaver Dam, WI 539163053

Phone: 6082872770

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Abigail Bales , MD

Internal Medicine

NPI 1013275940

Doctor of Medicine (M.D.)

Chauncey Baker , APSW

Social Worker

NPI 1043989056

Dr. Kelly Herold , MD

Internal Medicine

NPI 1083818918

Doctor of Medicine (M.D.)

David Castellanos , PA-C

Physician Assistant - Medical

NPI 1295375798

Physician Assistant (Certified)

Dr. Michael Thom , MD

Internal Medicine

NPI 1336100239

Doctor of Medicine (M.D.)

Kathryn O'connell , MA, LPC

Psychiatry & Neurology - Psychiatry

NPI 1366634677

Master of Arts, Licensed Professional Counselor

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 13, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location March 13, 2009

Registered at 451 JUNCTION RD, MADISON, WI 53717 (Tel: 6082651600)

📍

Updated Business Mailing Address March 13, 2009

Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531

👤

Provider Name / Credentials Updated March 13, 2009

Recorded as PETER NEWCOMER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2009

Internal Medicine (License #41966 in WI)

🟢

Initial NPI Registration & Enumeration March 28, 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: 1386605756

Entity Type:

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

Enumeration Date: March 28, 2006

Last Update: January 14, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7974 Uw Health Ct

Middleton, WI 535625531

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.