Individual provider Active NPI

Paul R Barton

  • Podiatrist
  • Tyrone, PA
National Provider Identifier
1104800812
Registry record updated Jan 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC003474L Issued in PA
Practice address
1010 Logan Ave
Tyrone, PA 16686-1522
Phone
(814) 684-4334
Fax
(814) 684-4414
NPI assigned
Dec 6, 2005
Last updated
Jan 23, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC003474L PA Primary

Addresses

Primary practice location

1010 Logan Ave
Tyrone, PA 16686-1522

Mailing address

1010 Logan Ave
Tyrone, PA 16686-1522
Phone (814) 684-4334

Other identifiers 7

IdentifierTypeStateIssuer
2154OtherPAEISINGER HEALTH PLAN
1036225OtherNYGATEWAY HEALTH PLAN
211201OtherPAUPMC HEALTH PLAN
709978OtherPABLUE SHIELD
0012452130005MedicaidPA
65343OtherPAMEDPLUS THREE RIVERS HEAL
0528847OtherTXAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100921000359 PA Practitioner - Podiatry 4789709213 Reassigns benefits to 1 organization
Practice locations: Tyrone, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1010 Logan Ave
Tyrone, PA 16686-1522
Phone (814) 684-4334

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue52
Removal of skin lesions1-10
Removal of nail tissue1950
Removal or shaving of skin growth907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC003474LPAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul R Barton DPM LLC Podiatrist CurrentSince Nov 1, 2024 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Podiatric Senior Care LLC Podiatrist PastSince Oct 16, 2017 Accepting new patients

Locations

1010 Logan Ave
Tyrone, PA 16686
Phone (814) 684-4334

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295740800000",
    "number": "1104800812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 LOGAN AVE",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166861522",
            "telephone_number": "814-684-4334",
            "fax_number": "814-684-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LOGAN AVE",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166861522",
            "telephone_number": "814-684-4334",
            "fax_number": "814-684-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTON",
        "first_name": "PAUL",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2011-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003474L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EISINGER HEALTH PLAN",
            "identifier": "2154",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1036225",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN",
            "identifier": "211201",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "709978",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012452130005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDPLUS THREE RIVERS HEAL",
            "identifier": "65343",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0528847",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyrone, PA

Sources for this page

Verify at the official NPI Registry.