Timothy James Barrett, DO
Individual provider Active NPI Family Medicine Physician · Corry, PA
NPI 1366411126 · NPPES record last updated Jul 19, 2021
Key facts
- NPI
- 1366411126
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A-1486-09 (NM)
- Practice address
- 612 W Smith St
Corry, PA 16407-1152 - Phone
- (800) 834-4863
- NPI assigned
- Mar 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of New England, College of Osteo Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Presbyterian Healthcare Services
Practice addresses (Care Compare)
211 Sudderth Dr
Ruidoso, NM 88345-6002
Phone (575) 630-4233
Hospital & facility affiliations
- Socorro General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.68 of 100
- Quality
- 82.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- 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 |
|---|---|---|---|---|
| I20090526000169 | NM | Practitioner - Family Practice |
7911948054 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS0099156 | PA | MD | Emergency Medicine Physician |
| A-1486-09 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Emergency Medicine | Current |
Accepting new patients |
| Presbyterian Healthcare Services | Emergency Medicine | Current |
Accepting new patients |
| Presbyterian Healthcare Services | Family Medicine | Current | Accepting new patients |
| Presbyterian Healthcare Services | Emergency Medicine | Past | Accepting new patients |
| Medical Associates of Erie | Family Medicine | Past | Accepting new patients |
Locations
211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381
1202 Highway 60
Socorro, NM 87801
Phone (505) 835-1140
Interoperability endpoints
- tbarrett38387@direct.phs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A-1486-09 | NM | Yes |
| Emergency Medicine Physician | 207P00000X | OS0099156 | PA |
Addresses
Primary practice location
612 W Smith St
Corry, PA 16407-1152
Mailing address
612 W Smith St
Corry, PA 16407-1152
Phone (800) 834-4863
Other providers in Corry, PA
- Michael Antoon
- Hamza Asif
- Amy J Bahl
- Gordon R Bailey
- Andrea Sue Ball
- Kelsey Jayne Beichner
- Flora A Bensink
- Better U Boutique, LLC
- Blaney Vision Center LLC
- Scott A Blaney
All providers in Corry, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 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.