Individual provider Active NPI

Patrick M Barnes, DPM

  • Foot Surgery Podiatrist
  • Council Bluffs, IA
National Provider Identifier
1972595916
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
630 Issued in IA
Practice address
320 McKenzie Ave
Suite 102
Council Bluffs, IA 51503-1002
Phone
(712) 328-0297
Fax
(712) 328-2403
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 630 IA Primary

Addresses

Primary practice location

320 McKenzie Ave
Suite 102
Council Bluffs, IA 51503-1002

Mailing address

320 McKenzie Ave
Suite 102
Council Bluffs, IA 51503-1002
Phone (712) 328-0297

Other identifiers 1

IdentifierTypeStateIssuer
0140707MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20100105000439 IA Practitioner - Podiatry 7214078849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

320 McKenzie Ave
Suite 102
Council Bluffs, IA 51503-1002
Phone 7123280297109

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.35 of 100Reported as individual
Quality
64.81
Promoting interoperability
88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1430
Removal or shaving of skin growth96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
630IAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Council Bluffs Foot & Ankle Care PC Foot Surgery CurrentSince Jan 1, 2010 Accepting new patients
Edward N Prikaszczikow PastSince Jan 1, 2010 Accepting new patients

Locations

320 McKenzie Ave
Ste 102
Council Bluffs, IA 51503
Phone (712) 328-0297

Interoperability endpoints

  • Direct secure messaging: drbarnes@cbfootcare.emadirect.md

Organizations & group practices 2

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1972595916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 MCKENZIE AVE",
            "address_2": "SUITE 102",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515031002",
            "telephone_number": "712-328-0297",
            "fax_number": "712-328-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MCKENZIE AVE",
            "address_2": "SUITE 102",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515031002",
            "telephone_number": "712-328-0297",
            "fax_number": "712-328-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "PATRICK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IA",
            "license": "630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140707",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.