|Provider Name||DR. DOUGLAS PAUL BARNEY MD|
|Location Address||2132 NORTH 1700 WEST SUITE 100 LAYTON, UT 84041|
|Location Phone||(801) 807-7900|
|Mailing Address||3103 BOULDER DR LAYTON, UT 84040|
|NPI Entity Type||Individual|
|Medical School Name||UNIVERSITY OF UTAH SCHOOL OF MEDICINE|
|Is Sole Proprietor?||Yes|
|Last Update Date||02-07-2012|
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.
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.
|Type||Allopathic & Osteopathic Physicians|
|Specialization||Undersea and Hyperbaric Medicine|
|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.|
The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
DR. DOUGLAS PAUL BARNEY MD
2132 NORTH 1700 WEST
Phone: (801) 807-7900
Fax: (801) 807-7904
DR. DOUGLAS PAUL BARNEY MD
3103 BOULDER DR
Phone: (801) 643-4315
Fax: (801) 807-7904
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 ID||6002838596|
|PECOS Enrollment ID||I20051227000589|
|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 Imaging||Yes|
|Eligible order / refer Durable Medical Equipment||Yes|
|Eligible order / refer Home Health Agency (HHA)||Yes|
|Eligible order / refer Power Mobility Devices||Yes|
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|
|Minimum New Patient Copayment||Maximum New Patient Copayment||Typical New Patient Copayment|
|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|
|Minimum Established Patient Copayment||Maximum Established Patient Copayment||Typical Established Patient Copayment|
* 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.
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 Analysis||Yes||N/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.|
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)
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 CENTER||1600 WEST ANTELOPE DRIVE|
LAYTON, UT 84041
|(801) 807-7001||Acute Care Hospitals||460041|
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|
|1||207Q00000X||Allopathic & Osteopathic Physicians||Family Medicine||165309-1205||UT||No|
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 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|
|P00108675||OTHER (01)||UT||MEDICARE RR|
|006902502||MEDICARE OSCAR/CERTIFICATION (06)||UT|
|DB3302||OTHER (01)||UT||MEDICARE RR GROUP|
|D20392||MEDICARE UPIN (02)|
|D20392||MEDICARE UPIN (02)||UT|
|000069025||MEDICARE 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.|
|Step 1: Double the value of the alternate digits, beginning with the rightmost digit.|
|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 = 1||1|
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 |
|Internal Medicine (Cardiovascular Disease)||2132 NORTH 1700 WEST SUITE #200|
LAYTON, UT 84041
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]