John Judson Barclay Jr., D.O.
Individual provider Active NPI Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Liberty, MO
NPI 1316144223 · NPPES record last updated Aug 11, 2021
Key facts
- NPI
- 1316144223
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X
- License
- 2012011802 (MO)
- Practice address
- 2521 Glenn Hendren Dr Ste 104
Liberty, MO 64068-3388 - Phone
- (816) 781-1001
- Fax
- (816) 671-4845
- NPI assigned
- Jul 3, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- Kansas City University of Physicians and Surgeons, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New Liberty Hospital Corporation
Practice addresses (Care Compare)
2521 Glenn Hendren Dr
Suite 104
Liberty, MO 64068-3388
Phone (816) 781-1001
Hospital & facility affiliations
- Liberty Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.21 of 100
- Quality
- 69.99
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 68.22
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- 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 |
|---|---|---|---|---|
| I20120710000079 | MO | Practitioner - Otolaryngology | 1153586599 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101017309 | MI | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Liberty Hospital Coporation | Current |
Accepting new patients | |
| New Liberty Hospital Corporation | Current | Accepting new patients | |
| New Liberty Hospital Corporation | Current |
Accepting new patients | |
| New Liberty Hospital Coporation | Past | Accepting new patients |
Locations
305 S Platte Clay Way
Kearney, MO 64060
Phone (816) 628-4409
2521 Glenn Hendren Dr
Ste 410
Liberty, MO 64068
Phone (816) 415-3437
2521 Glenn Hendren Dr
Ste 104
Liberty, MO 64068
Phone (816) 781-0352
Interoperability endpoints
- john.barclaydo.p9@direct.nlhc.nextgenshare.com
- john.barclay@direct.mymlc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 5101017309 | MI | |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 2012011802 | MO | Yes |
Addresses
Primary practice location
2521 Glenn Hendren Dr Ste 104
Liberty, MO 64068-3388
Mailing address
2521 Glenn Hendren Dr Ste 104
Liberty, MO 64068-3388
Phone (816) 781-1001
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47486021 | Other | MO | BCBS |
| P01085873 | Other | MO | RR MEDCIARE |
Other providers in Liberty, MO
- Alicia Baker
- Jesse Cathrine Baker
- Joyce K. Baker
- Malek F Barakat
- Linda R. Barbour
- Celeste Barker
- Theresa Carol Barlow
- Baron Dental LLC
- Ashley E Barr
- Theron B Barr
All providers in Liberty, MO · Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2021. 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.