Jason Barnes, MD

Individual provider Active NPI Otolaryngology Physician · Mooresville, NC

NPI 1154851079 · NPPES record last updated Dec 12, 2022

Key facts

NPI
1154851079
Entity type
Individual (NPI type 1)
Primary specialty
Otolaryngology Physician 207Y00000X
License
2022-01730 (NC)
Practice address
149 Plantation Ridge Dr Ste 190
Mooresville, NC 28117-9178
Phone
(704) 658-0595
Fax
(704) 658-0916
NPI assigned
Jun 13, 2017
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Otolaryngology
Education
Virginia Commonwealth University, School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlotte Eye Ear Nose and Throat Associates PA (181 clinicians)

Practice addresses (Care Compare)

144 Fountain PL
Mooresville, NC 28117-0162
Phone (704) 658-0595

Hospital & facility affiliations

  • Novant Health Huntersville Medical Center Hospital · Huntersville, NC · CCN 340183
  • Novant Health Presbyterian Medical Center Hospital · Charlotte, NC · CCN 340053
  • Atrium Health University City Hospital · Charlotte, NC · CCN 340166

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100 (apm)
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220929002970 NC Practitioner - Otolaryngology 7416229695 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28449MNMDOtolaryngology Physician
64059MNMDOtolaryngology Physician
2022-01730NCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Eye Ear Nose & Throat Associates, PA Current
since Sep 13, 2022
Accepting new patients
Surgery Center on Bluefield LLC Current
since Mar 14, 2025
Accepting new patients
Charlotte Eye Ear Nose & Throat Associates, P.a. Otolaryngology Current
since Sep 13, 2022
Accepting new patients

Locations

6035 Fairview Rd
Charlotte, NC 28210
Phone (336) 718-2078

645 Amalia St NE
Concord, NC 28025
Phone (704) 295-3255

10305 Hamptons Park Dr
Ste 201
Huntersville, NC 28078
Phone (704) 295-3600

149 Plantation Ridge Dr
Ste 190
Mooresville, NC 28117
Phone (704) 658-0595

Interoperability endpoints

  • Direct secure messaging: jbarnes36176@direct.ceenta.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 64059 MN
Otolaryngology Physician 207Y00000X 28449 MN
Otolaryngology Physician 207Y00000X 2022-01730 NC Yes

Addresses

Primary practice location

149 Plantation Ridge Dr Ste 190
Mooresville, NC 28117-9178

Mailing address

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 12, 2022.

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1154851079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 PLANTATION RIDGE DR STE 190",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179178",
            "telephone_number": "704-658-0595",
            "fax_number": "704-658-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "JASON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "64059",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "28449",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "2022-01730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

All providers in Mooresville, NC · Otolaryngology Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.