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

About DR. DOUGLAS PAUL BARNEY MD

Douglas Barney is a provider established in Layton, Utah and his medical specialization is Emergency Medicine with a focus in undersea and hyperbaric medicine with more than 44 years of experience. He graduated from University Of Utah School Of Medicine in 1979. The NPI number of Douglas Barney is 1013081801 and was 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 11 years ago.

NPI
1013081801
Provider NameDR. DOUGLAS PAUL BARNEY MD
Location Address2132 NORTH 1700 WEST SUITE 100 LAYTON, UT 84041
Location Phone(801) 807-7900
Mailing Address3103 BOULDER DR LAYTON, UT 84040
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year1979
Is Sole Proprietor?Yes
Enumeration Date11-20-2006
Last Update Date02-07-2012

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.

Douglas Barney is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Davis Hospital And Medical Center.

The provider participated in Medicare's 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.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.68 for a new patient copayment and $25.08 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207PE0005X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationUndersea and Hyperbaric Medicine
License No.165309-1205
License StateUT
Taxonomy DescriptionA 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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

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

Business Address

DR. DOUGLAS PAUL BARNEY MD
2132 NORTH 1700 WEST
SUITE 100
LAYTON, UT
ZIP 84041
Phone: (801) 807-7900
Fax: (801) 807-7904

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Mailing Address

DR. DOUGLAS PAUL BARNEY MD
3103 BOULDER DR
LAYTON, UT
ZIP 84040
Phone: (801) 643-4315
Fax: (801) 807-7904


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID6002838596
PECOS Enrollment IDI20051227000589
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 84041 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$56.18 $171.82 $86.74
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.04 $42.95 $21.68
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.3 $140.3 $100.32
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.32 $35.07 $25.08

* The physician office visit costs information is obtained by Medicare's 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 Utilization

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 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 1022Removal of tissue from wounds per session (HCPCS:97597)
  • 435Management and supervision of oxygen chamber therapy per session (HCPCS:99183)
  • 19Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Douglas Barney is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
DAVIS HOSPITAL AND MEDICAL CENTER1600 WEST ANTELOPE DRIVE
LAYTON, UT 84041
(801) 807-7001Acute Care Hospitals460041

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine165309-1205UTNo

Taxonomy Description: family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes 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

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

What is Dr. Douglas Barney MD NPI number?

The NPI number assigned to Dr. Douglas Barney MD is 1013081801, registered as an "individual" on November 20, 2006

Where is Dr. Douglas Barney MD located?

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

Which is Dr. Douglas Barney MD specialty?

The provider's speciality is Emergency Medicine with a focus in Undersea and Hyperbaric Medicine

How many years of experience does Dr. Douglas Barney MD have?

The provider has more than 44 years of experience. He graduated from University Of Utah School Of Medicine in 1979.

What insurance does Dr. Douglas Barney MD accept?

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

Is Dr. Douglas Barney MD registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare 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.

How much is a visit to Dr. Douglas Barney MD?

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.

What are some of the services provided by Dr. Douglas Barney MD?

The most common procedures or services performed by this practitioner are: Removal of tissue from wounds per session, Management and supervision of oxygen chamber therapy per session and Removal of skin and tissue first 20 sq cm or less.

Is Dr. Douglas Barney MD affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: DAVIS HOSPITAL AND MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Dr. Douglas Barney MD 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]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]