WILLIAM STEPHEN BARNES II DMD
NPI 1003017807
Dentist - Oral and Maxillofacial Surgery in Cleveland, OH

NPI Status: Active since May 30, 2007

Contact Information

2500 METROHEALTH DR
CLEVELAND, OH
ZIP 44109
Phone: (216) 778-7800

Get Directions Reviews

  • Individual
  • Male
  • Dentist
  • Oral and Maxillofacial Surgery
  • PECOS Enrolled

About WILLIAM BARNES II

William Barnes Ii is a provider established in Cleveland, Ohio and his medical specialization is Dentist with a focus in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1003017807 assigned on May 2007. The practitioner's primary taxonomy code is 1223S0112X with license number 30022017 (OH). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1003017807
Provider Name
WILLIAM STEPHEN BARNES II DMD
Gender
Male
Entity Type
Individual
Location Address
2500 METROHEALTH DR CLEVELAND, OH 44109
Location Phone
(216) 778-7800
Mailing Address
4492 SAINT GERMAIN BLVD CLEVELAND, OH 44128
Is Sole Proprietor?
No
Enumeration Date
05-30-2007
Last Update Date
07-08-2007
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A dentist like William Barnes Ii is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
License No.
30022017
License State
OH
Taxonomy Description
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Delta Dental of Ohio

    • Delta Dental Individual Pediatric-Only PPO, EHB Certified - PPO
    • Delta Dental Individual PPO Bronze Plan, EHB Certified - PPO
    • Delta Dental Individual PPO Gold Plan, EHB Certified - PPO
    • Delta Dental Individual PPO Silver Plan, EHB Certified - PPO
  • Humana

    • Humana Dental Smart Choice - PPO
    • Humana Dental Smart Choice - High - PPO
    • Humana Dental Smart Choice - Lite - PPO
    • Humana Dental Smart Choice - Low - PPO
    • Humana Dental Smart Choice Basic - PPO
    • Humana Dental Smart Choice- Lite - PPO
  • Renaissance Dental

    • Alabama Preferred Plan - PPO
    • Alabama Preferred Plan (Pediatric Only) - PPO
    • Alabama Preferred Plus Plan - PPO
    • Alabama Preferred Plus Plan (Pediatric Only) - PPO
    • Alabama Wellness Essentials Plan - PPO
    • Florida Preferred Plan - PPO
    • Florida Preferred Plan (Pediatric Only) - PPO
    • Florida Preferred Plus Plan - PPO
    • Florida Preferred Plus Plan (Pediatric Only) - PPO
    • Florida Wellness Essentials Plan - PPO
    • High PPO Dental Plan - PPO
    • High PPO Dental Plan (Pediatric Only) - PPO
    • Kansas Preferred Plan - PPO
    • Kansas Preferred Plan (Pediatric Only) - PPO
    • Kansas Wellness Essentials Plan - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

William Barnes Ii is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 44109 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $87.72
  • Minimum New Patient Price $56.74
  • Maximum New Patient Price $173.94
  • Average New Patient Copayment $21.93
  • Minimum New Patient Copayment $14.18
  • Maximum New Patient Copayment $43.48

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $71.2
  • Minimum Established Patient Price $17.31
  • Maximum Established Patient Price $141.66
  • Average Established Patient Copayment $17.8
  • Minimum Established Patient Copayment $4.32
  • Maximum Established Patient Copayment $35.41

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003017807
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003011480
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 4 + 8 + 0 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1003017807 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992704886 CARIE TWICHELL AA
Individual
Anesthesiologist Assistant2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-4809
1104827740 JULIA A. RILEY PHARM.D.
Individual
Pharmacist2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-1946
1013909209MR. KRISTEN NILS HANSEN RPH
Individual
Pharmacist2500 METROHEALTH DR WOMENS AND CHILDRENS PLAZA
CLEVELAND, OH 44109
(216) 778-8537
1710970082MS. KELLYE KAUFMAN AA-C
Individual
Anesthesiologist Assistant2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-4801
1881687564MR. BRADEN JOSEPH KUNZELMAN RPH
Individual
Pharmacist2500 METROHEALTH DR AMBULATORY PHARMACY
CLEVELAND, OH 44109
(216) 778-7548
1508859281MS. STEPHANIE E CROSS RPH
Individual
Pharmacist2500 METROHEALTH DR OUTPATIENT PHARMACY
CLEVELAND, OH 44109
(216) 778-3017
1255324943MRS. TANIA NICOLE BIERLY RPH
Individual
Pharmacist2500 METROHEALTH DR OUTPATIENT PHARMACY
CLEVELAND, OH 44109
(216) 778-2201
1154315364MR. JOSEPH PEACHMAN A.A.
Individual
Anesthesiologist Assistant2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-4801
1801880596MR. MICHAEL L PYRTKO RPH
Individual
Pharmacist2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-7548
1588658157MS. EBONY NICOLE ALEXANDER RPH
Individual
Pharmacist2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-3017
1275522765 HANS C GEHO M.D.
Individual
Internal Medicine2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-7800
1376523670DR. ANDRE PROCHOROFF MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-4933
1831166636 SHANE B ROWAN MD
Individual
Internal Medicine (Clinical Cardiac Electrophysiology)2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-2328
1144284928DR. BEN H BROUHARD MD
Individual
Pediatrics (Pediatric Nephrology)2500 METROHEALTH DR ROOM A-109
CLEVELAND, OH 44109
(216) 778-4900
1740246347 SHARI DANIELLE BOLEN M.D.
Individual
Internal Medicine2500 METROHEALTH DR METROHEALTH MEDICAL CENTER-INTERNAL MEDICINE CLINIC
CLEVELAND, OH 44109
(216) 778-2273
1457304255 WILLIAM E CAPPAERT M.D.
Individual
Ophthalmology2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-2236
1316987902 SHARON LYNN MACK CNP
Individual
Nurse Practitioner2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-7800
1770523516MS. ANNETTE M LYNCH MSN, CNS
Individual
Clinical Nurse Specialist (Perinatal)2500 METROHEALTH DR DEPARTMENT OF PEDIATRICS/PERINATAL
CLEVELAND, OH 44109
(216) 778-7800
1427099183DR. KARL G WAGNER MD
Individual
Anesthesiology2500 METROHEALTH DR DEPARTMENT OF ANESTHESIOLOGY
CLEVELAND, OH 44109
(216) 778-4809
1760428155 GRAHAM H CREASEY MD
Individual
Physical Medicine & Rehabilitation (Spinal Cord Injury Medicine)2500 METROHEALTH DR MHMC-PM&R
CLEVELAND, OH 44109
(216) 778-8802

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003017807, enumerated in the NPI registry as an "individual" on May 30, 2007

The provider is located at 2500 Metrohealth Dr Cleveland, Oh 44109 and the phone number is (216) 778-7800

The provider's speciality is Dentist with taxonomy code 1223S0112X with a focus in Oral and Maxillofacial Surgery

The provider might be accepting Accepts: Delta Dental of Ohio, Humana and Renaissance. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 21, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

Medicare beneficiaries should expect a typical cost of $87.72 with an average copayment of $21.93 for new patient appointments. Established patients should expect a typical charge of $71.2 and an average copayment of 17.8. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on May 30, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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