James Edward Newby II, M.D.
NPI 1265524813ActiveIndividual· Family Medicine· Norfolk, VA
Family Medicine (M.D.) in Norfolk, Virginia, trained at Eastern Virginia Medical School (class of 1981). Their prescriptions cost Medicare Part D more than their services did: $1,008,532 for 9,700 claims, against $83,775 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 18 companies reporting payments in 2025, $1,109 in all, mostly food and beverage.
Overview
| NPI | 1265524813 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Sep 29, 2006 |
| Last updated in NPPES | Oct 20, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 0101036297 | VA |
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) | Enrolled Practitioner - Family Practice (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 284 |
|---|---|
| Services billed | 2,005 across 40 procedure codes |
| Paid by Medicare | $83,775 |
Part D prescriptions in 2024
| Prescriptions (claims) | 9,700 · 20,836 30-day fills |
|---|---|
| Patients | 732 |
| Total drug cost | $1,008,532 |
| Generic share | 85% of claims |
Education and affiliations
| Medical school | Eastern Virginia Medical School |
|---|---|
| Graduation year | 1981 |
| Medicare specialty | Family Practice |
Medical group
- Primary Care Specialists, Inc.Norfolk, VA · 3 clinicians
Hospital affiliations
- Chesapeake General HospitalChesapeake, VA
- Sentara Leigh HospitalNorfolk, VA
- Sentara Norfolk General HospitalNorfolk, VA
- Sentara Obici HospitalSuffolk, VA
- Sentara Princess Anne HospitalVirginia Beach, VA
Industry payments (Open Payments)
- 2025$1,109 · 60 payments from 18 companies
- 2024$1,302 · 72 payments from 17 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $336.83 | 20 |
| Lilly USA, LLC | $111.55 | 6 |
| Novo Nordisk Inc | $81.90 | 4 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $67.49 | 3 |
| Pfizer Inc. | $64.67 | 4 |
What the 2025 payments were for
- Food and Beverage$1,109 · 60 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 145 family medicine physicians in Norfolk · All family medicine physicians in Virginia