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DR. DANA CAROL BARNES M.D.
NPI 1013178581
Family Medicine in Jacksonville, FL

Active since June 18, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4615 PHILIPS HWY STE 3, JACKSONVILLE, FL 32207(904) 508-0710(855) 299-7010 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2025, Sep 3, 2024, Aug 13, 2022 and 4 more (7 updates tracked since 2016).

About Dr. Dana Carol Barnes M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DANA CAROL BARNES M.D. (NPI 1013178581) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (12156) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1013178581
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DANA CAROL BARNESCredential: M.D.
Location Address4615 PHILIPS HWY STE 3Jacksonville, FL 32207-9506
Mailing AddressDept. #394, P.o. Box 1000Memphis, TN 38148 · (941) 300-4440 · Fax (941) 404-1760
Phone(904) 508-0710
Fax(855) 299-7010
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 18, 2008
Last NPPES UpdateMarch 10, 20257 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
✔ NPI 1013178581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · 12156
Definition
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.
4615 PHILIPS HWY STE 3, Jacksonville, FL 32207
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11435 Dunn Ave Ste 101Daytona Beach, FL 32114-1434 · Phone (386) 274-7651 · Fax (877) 242-5455
Location 2601 Matlock Centre CirArlington, TX 76015-2535 · Phone (817) 693-1000 · Fax (866) 950-0295

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dana Carol Barnes M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416218276
PECOS Enrollment IDI20211005002394
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
42 services23 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
31 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.16
Promoting Interoperability90
Improvement Activities40

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WARREN SHAEFFER
Dentist
4615 PHILIPS HWY STE 3
JACKSONVILLE, FL 32207
Duval County (904) 508-0710
KATHERINE EUGENIA ROGERS NP
Nurse Practitioner (Family)
4615 PHILIPS HWY STE 3
JACKSONVILLE, FL 32207
Duval County (904) 508-0710
MS. SHAUNETRA LA'TREASE TOLER ARNP
Nurse Practitioner (Family)
4615 PHILIPS HWY STE 3
JACKSONVILLE, FL 32207
Duval County (904) 508-0710
CAN COMMUNITY HEALTH, INC.
Internal Medicine (Infectious Disease)
4615 PHILIPS HWY STE 3
JACKSONVILLE, FL 32207
Duval County (904) 508-0710
JAU EVANS APRN
Nurse Practitioner (Family)
4615 PHILIPS HWY STE 3
JACKSONVILLE, FL 32207
Duval County (904) 760-4904
TERRI STAMPER
Nurse Practitioner (Family)
4615 PHILIPS HWY STE 3
JACKSONVILLE, FL 32207
Duval County (904) 508-0710
STEPHEN M HENRY DMD
Dentist (General Practice)
4615 PHILIPS HWY STE 3
JACKSONVILLE, FL 32207
Duval County (904) 508-0710
SARA MAKARY DMD
Dentist (General Practice)
4615 PHILIPS HWY STE 3
JACKSONVILLE, FL 32207
Duval County (904) 508-0710

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dana Barnes's NPI number?

The NPI number for Dana Barnes is 1013178581. It was assigned to this individual provider in the NPPES registry on June 18, 2008.

Where is Dana Barnes located?

Dana Barnes practices at 4615 Philips Hwy Ste 3, Jacksonville, FL 32207. The listed phone number is (904) 508-0710.

What is Dana Barnes's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dana Barnes enrolled in Medicare?

Yes. Dana Barnes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dana Barnes accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Baylor Scott and White Health Plan and 8 other insurers list Dana Barnes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dana Barnes was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.