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
Hospital & facility affiliations 6
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
Practice addresses (Care Compare)
144 Fountain PL
Mooresville, NC 28117-0162
Phone (704) 658-0595
Hospital & facility affiliations
- Novant Health Huntersville Medical Center
- Novant Health Presbyterian Medical Center
- Atrium Health University City
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220929002970 | NC | Practitioner - Otolaryngology | 7416229695 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28449 | MN | MD | Otolaryngology Physician |
| 64059 | MN | MD | Otolaryngology Physician |
| 2022-01730 | NC | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlotte Eye Ear Nose & Throat Associates, PA | Current |
Accepting new patients | |
| Surgery Center on Bluefield LLC | Current |
Accepting new patients | |
| Charlotte Eye Ear Nose & Throat Associates, P.a. | Otolaryngology | Current |
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
- jbarnes36176@direct.ceenta.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Barium Springs Home for Children
- Barium Springs Home for Children
- Timothy Andrew Barker
- Debra Misiak Barlaan
- Carsyn Jean Barnes
- Jason Alan Barnett
- Kimberly Falon Barney
- John F Barr
- Oliver Barr
- Deserie R Barragan
All providers in Mooresville, NC · Otolaryngology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.