Medicare Enrolled
Dr. Wylie Newton, M.D.
Family Medicine - Adult · Gainesville, GA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Newton from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Newton
Dr. Wylie Newton is a family medicine - adult specialist in Gainesville, GA, with 21 years of NPI registration. Based on federal Medicare data, Dr. Newton performed 5,506 Medicare services across 3,273 unique beneficiaries.
Between the years covered by Open Payments, Dr. Newton received a total of $3,677 from 34 pharmaceutical and/or device companies across 220 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine - adult. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Newton is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 21 years in practice
▲ Top 7% volume in GA
$3,677 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,506
Medicare services
Top 7% in GA for family medicine - adult
3,273
Unique beneficiaries
$30
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~262 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
789 | $79 | $217 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
779 | $8 | $19 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
581 | $8 | $23 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
559 | $10 | $37 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
467 | $13 | $45 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
333 | $10 | $29 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
253 | $123 | $258 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
242 | $9 | $54 |
| Annual depression screening | 240 | $17 | $42 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
191 | $1 | $5 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
162 | $2 | $8 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
116 | $29 | $44 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
115 | $72 | $95 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
102 | $6 | $18 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
102 | $5 | $16 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
82 | $54 | $145 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
66 | $3 | $10 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
50 | $13 | $90 |
| Urinalysis, microscopic examination A laboratory test that examines a urine sample under a microscope to check for cells, crystals, bacteria, or other substances. |
36 | $3 | $9 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
33 | $8 | $74 |
| Fecal immunochemical test (FIT), 1-3 simultaneous A screening test that uses a stool sample to detect hidden blood in the feces, helping to identify potential colorectal cancer. |
27 | $18 | $59 |
| Respiratory virus test for SARS-CoV-2, influenza A/B, and RSV A laboratory test that detects the presence of SARS-CoV-2 (COVID-19), influenza A, influenza B, and respiratory syncytial virus (RSV) in an upper respiratory specimen. |
25 | $140 | $250 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
21 | $281 | $400 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
21 | $29 | $44 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
19 | $35 | $245 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
18 | $8 | $28 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
17 | $17 | $68 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
14 | $210 | $659 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
12 | $155 | $466 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
12 | $153 | $366 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
11 | $19 | $115 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
11 | $15 | $39 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$3,677
Total received (2018-2024)
Avg $613/year across 6 years
Top 17% in GA for family medicine - adult
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
34
Companies
220
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$3,677 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$483
2023
$425
2022
$442
2021
$178
2019
$952
2018
$1,197
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Lilly USA, LLC
$110
Otsuka America Pharmaceutical, Inc.
$80
ABBVIE INC.
$62
Novo Nordisk Inc
$50
Exact Sciences Corporation
$38
PFIZER INC.
$34
Dexcom, Inc.
$24
Abbott Laboratories
$21
Teva Pharmaceuticals USA, Inc.
$18
IDORSIA PHARMACEUTICALS US INC
$17
Amgen Inc.
$15
Bioventus LLC
$14
Top 3 companies account for 52.2% of 2024 payments
All-time payments by company (2018-2024) ›
Amgen Inc.
$682
Novo Nordisk Inc
$551
PFIZER INC.
$308
AstraZeneca Pharmaceuticals LP
$294
Lilly USA, LLC
$278
Boehringer Ingelheim Pharmaceuticals, Inc.
$245
SANOFI-AVENTIS U.S. LLC
$179
Astellas Pharma US Inc
$169
Actelion Pharmaceuticals US, Inc.
$120
ABBVIE INC.
$91
GlaxoSmithKline, LLC.
$83
Otsuka America Pharmaceutical, Inc.
$80
Teva Pharmaceuticals USA, Inc.
$65
Dexcom, Inc.
$51
Novartis Pharmaceuticals Corporation
$48
Nalpropion Pharmaceuticals LLC
$44
Exact Sciences Corporation
$38
Bayer HealthCare Pharmaceuticals Inc.
$35
SANOFI PASTEUR INC.
$32
IDORSIA PHARMACEUTICALS US INC
$30
Nalpropion Pharmaceuticals, Inc.
$30
Biohaven Pharmaceutical Holding Company Ltd.
$29
Bioventus LLC
$29
Abbott Laboratories
$21
Genentech USA, Inc.
$20
Phadia US Inc.
$19
Ironshore Pharmaceuticals Inc.
$16
Janssen Pharmaceuticals, Inc
$14
Sanofi Pasteur Inc.
$14
Amneal Pharmaceuticals LLC
$14
Ironwood Pharmaceuticals, Inc
$13
AbbVie, Inc.
$12
Merck Sharp & Dohme Corporation
$12
Orexigen Therapeutics, Inc.
$11
Top 3 companies account for 41.9% of all-time payments
Associated products mentioned in payments ›
AJOVY · AUSTEDO · Aimovig · Austedo XR · BEXSERO · BREZTRI · BYDUREON · CHANTIX · CONTRAVE · Cologuard Collection Kit · DUZALLO · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · EXOGEN ULTRASOUND BONE HEALING SYSTEM · FARXIGA · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FREESTYLE LIBRE 3 · GELSYN-3 · INVOKANA · ImmunoCAP · JANUVIA · JARDIANCE · Jornay PM 20mg capsules (Bottle of 100) · Kerendia · LEQVIO · LYRICA · MOUNJARO · MYRBETRIQ · NURTEC ODT · Otezla · Ozempic · PENTACEL · PREMARIN · PREVNAR - 13 · PREVNAR 20 · Prolia · QULIPTA · QUVIVIQ · REXULTI · Repatha · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · SYNTHROID · Saxenda · Synthroid · TOUJEO · TRELEGY ELLIPTA · TRULICITY · Tresiba · UNITHROID · UPTRAVI · VESICARE · VRAYLAR · Victoza · Wegovy · Xofluza
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Family medicine - adults within 10 mi
5
Per 100K population
2.4
County median income
$77,430
Nearest hospital
NORTHEAST GEORGIA MEDICAL CENTER, INC
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Newton is a clinical cardiology specialist, with above-average Medicare volume (top 7% in GA), with low-engagement industry engagement in the top 17% of GA peers, with 21 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Newton experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Newton performed 789 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Newton receive payments from pharmaceutical companies?
Yes. Dr. Newton received a total of $3,677 from 34 companies across 220 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Newton's costs compare to other family medicine - adults in Gainesville?
Dr. Newton's average Medicare payment per service is $30. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Newton) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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