Nicole Newingham, D.O.
Opted out of Medicare from April 2026 to April 2028. Family Medicine (D.O.) in Newtown, Pennsylvania, trained at Philadelphia College of Osteopathic Medicine (class of 2016). Their prescriptions cost Medicare Part D more than their services did: $582,819 for 6,363 claims, against $51,169 paid for services in 2024. Merck Sharp & Dohme LLC reported $14.81 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1083063895 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Jun 13, 2016 |
| Last updated in NPPES | Oct 16, 2026 |
| Certified by provider | Oct 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | OS019068 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Apr 30, 2026 – Apr 30, 2028 |
| Can order and refer | Yes |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 329 |
|---|---|
| Services billed | 1,499 across 37 procedure codes |
| Paid by Medicare | $51,169 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,363 · 16,540 30-day fills |
|---|---|
| Patients | 567 |
| Total drug cost | $582,819 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | Philadelphia College of Osteopathic Medicine |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Family Practice |
Medical group
- Phoenix Rehabilitation and Health Services IncCranberry Twp, PA · 2,800 clinicians
Hospital affiliation
- St Luke's Hospital - Grand View CampusSellersville, PA
Other facilities
- Bayada Home Health Care, Inc.Home health agency · Blue Bell, PA
Industry payments (Open Payments)
- 2025$14.81 · 1 payment from 1 company
- 2024$222.68 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Merck Sharp & Dohme LLC | $14.81 | 1 |
What the 2025 payments were for
- Food and Beverage$14.81 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 26 family medicine physicians in Newtown · All family medicine physicians in Pennsylvania