DR. DOUGLAS PAUL BARNEY MD
NPI 1013081801
Emergency Medicine - Undersea and Hyperbaric Medicine in Layton, UT

NPI Status: Active since November 20, 2006

Contact Information

2132 NORTH 1700 WEST
SUITE 100
LAYTON, UT
ZIP 84041
Phone: (801) 807-7900
Fax: (801) 807-7904

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  • Individual
  • Male
  • Emergency Medicine
  • Undersea and Hyperbaric Medicine
  • PECOS Enrolled
  • Medicare Quality Reporting

About DOUGLAS BARNEY

Douglas Barney is a provider established in Layton, Utah and his medical specialization is Emergency Medicine with a focus in undersea and hyperbaric medicine . The healthcare provider is registered in the NPI registry with number 1013081801 assigned on November 2006. The practitioner's primary taxonomy code is 207PE0005X with license number 165309-1205 (UT). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1013081801
Provider Name
DR. DOUGLAS PAUL BARNEY MD
Gender
Male
Entity Type
Individual
Location Address
2132 NORTH 1700 WEST SUITE 100 LAYTON, UT 84041
Location Phone
(801) 807-7900
Location Fax
(801) 807-7904
Mailing Address
3103 BOULDER DR LAYTON, UT 84040
Mailing Phone
(801) 643-4315
Mailing Fax
(801) 807-7904
Is Sole Proprietor?
Yes
Enumeration Date
11-20-2006
Last Update Date
02-07-2012
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The provider participated in CMS Quality Payment Program and the following quality measures were reported: security risk analysis. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

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

Emergency Medicine Undersea and Hyperbaric Medicine

Taxonomy Code
207PE0005X
Type
Allopathic & Osteopathic Physicians
License No.
165309-1205
License State
UT
Taxonomy Description
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

165309-1205 (UT)

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Medicaid
  • Medicare

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
P00108675OTHER (01)UTMEDICARE RR
006902502MEDICARE OSCAR/CERTIFICATION (06)UT 
PRA06257OTHER (01)UTMOLINA
0101998OTHER (01)UTUHC
70845OTHER (01)UTPEHP
$$$$$$$$$125MEDICAID (05)UT 
DB3302OTHER (01)UTMEDICARE RR GROUP
D20392MEDICARE UPIN (02) 
D20392MEDICARE UPIN (02)UT 
000069025MEDICARE PIN (08)UT 

PECOS Enrollment and Medicare Participation Status

Douglas Barney 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), a Home Health Agency (HHA) and Power Mobility Devices.

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: Yes

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 84041 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $86.74
  • Minimum New Patient Price $56.18
  • Maximum New Patient Price $171.82
  • Average New Patient Copayment $21.68
  • Minimum New Patient Copayment $14.04
  • Maximum New Patient Copayment $42.95

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.32
  • Minimum Established Patient Price $17.3
  • Maximum Established Patient Price $140.3
  • Average Established Patient Copayment $25.08
  • Minimum Established Patient Copayment $4.32
  • Maximum Established Patient Copayment $35.07

* 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.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 354

    Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)

  • 48

    Removal of skin and tissue (HCPCS:11045)

Reviews for DR. DOUGLAS PAUL BARNEY MD

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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.
1013081801
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202308280
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 2 + 8 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1013081801 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629063755 MICHAEL C CODY MD
Individual
Internal Medicine (Cardiovascular Disease)2132 NORTH 1700 WEST SUITE #200
LAYTON, UT 84041
(801) 776-0174

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013081801, enumerated in the NPI registry as an "individual" on November 20, 2006

The provider is located at 2132 North 1700 West Suite 100 Layton, Ut 84041 and the phone number is (801) 807-7900

The provider's speciality is Emergency Medicine with taxonomy code 207PE0005X with a focus in Undersea and Hyperbaric Medicine

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of April 12, 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), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $86.74 with an average copayment of $21.68 for new patient appointments. Established patients should expect a typical charge of $100.32 and an average copayment of 25.08. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Removal of skin and tissue first 20 sq cm or less and Removal of skin and tissue.

This NPI record was last updated on November 20, 2006. 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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