Physician

James C Newton, MD

According to 2025 Medicare claims, James Newton, MD (NPI: 1902871361) practices pain management in the Columbia, MO market, with the plurality of this provider's patient population coming from Boone, MO. This provider's primary affiliated billing organization is COLUMBIA ORTHOPAEDIC GROUP, LLP (NPI: 1851392542; TIN: 43-1427548) and primary practice location at 65201-7199. Newton is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), Aledade 98 MO MSSP Enhanced (ACO ID: A4998), Aledade 93 National MSSP Enhanced (ACO ID: A5206), The Rural Advantage LLC (ACO ID: A5257), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Newton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 994 traditional Medicare patients, billed 17,566 HCPCS/CPT codes, and received $487,299 in Medicare payments. The top billing code was 62323 (Injection of substance into lower spine canal using imaging guidance). Part D data shows 4,190 prescription claims across 874 beneficiaries totaling $76,004 in drug costs, led by Pregabalin (Pregabalin). DME data shows 12 claims. Open Payments data shows 28 records totaling $576. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	1,156	8,392	$520,542
2016	1,087	8,763	$512,824
2017	983	9,550	$495,577
2018	1,152	9,034	$515,694
2019	1,080	9,000	$549,847
2020	1,078	9,067	$591,576
2021	969	8,372	$578,553
2022	1,001	6,846	$566,716
2023	1,016	6,594	$551,421
2024	994	17,566	$487,299

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	587	3,451	$123,304
2016	655	3,990	$185,094
2017	686	4,323	$211,203
2018	744	4,784	$261,738
2019	851	5,225	$197,651
2020	925	6,342	$158,439
2021	980	5,943	$166,711
2022	1,126	6,750	$153,360
2023	1,140	7,016	$135,411
2024	874	4,190	$76,004

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	41	41	$30,334
2016	25	25	$18,469
2017	28	28	$20,570
2018	19	19	$13,503
2019	11	11	$8,460
2020	18	18	$14,237
2021	17	17	$11,415
2022	26	26	$17,462
2023	17	17	$11,724
2024	12	12	$7,824

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
62323	Injection of substance into lower spine canal using imaging guidance	290	371	$163
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	625	870	$85
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	551	818	$60
72110	X-ray of lower and sacral spine, minimum of 4 views	221	225	$33
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	736	1,386	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Pregabalin	Pregabalin	850	37,652	$24,567
Gabapentin	Gabapentin	803	40,074	$12,361
Buprenorphine	Buprenorphine	40	1,150	$9,330
Duloxetine Hcl	Duloxetine Hcl	555	27,695	$8,635
Baclofen	Baclofen	528	21,514	$6,297

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
L0457	Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated, off-the-shelf	N	12	12	$7,824

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	28	$576	Abbott Laboratories
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for James C. Newton, MD?

Tedicare shows public-source Medicare data for James C. Newton, MD (NPI 1902871361), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does James C. Newton, MD have ACO affiliation data?

James C. Newton, MD is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604), Aledade 98 MO MSSP Enhanced (MSSP, ACO ID A4998), Aledade 93 National MSSP Enhanced (MSSP, ACO ID A5206), The Rural Advantage LLC (MSSP, ACO ID A5257), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to James C. Newton, MD?

James C. Newton, MD is linked to COLUMBIA ORTHOPAEDIC GROUP, LLP (billing NPI 1851392542) in the available physician profile data.

Does James C. Newton, MD have Open Payments data?

James C. Newton, MD has 28 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.