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DR. DANIEL BARKER MD
NPI 1023277860
Otolaryngology in Cleveland, TN

Active since June 06, 2008PECOS Enrolled
89.63/100
CMS Quality Rating
2700 WESTSIDE DR NW STE 201, CLEVELAND, TN 37312(423) 244-9225(423) 244-9227 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Daniel Barker Md NPPES

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

DR. DANIEL BARKER MD (NPI 1023277860) is an individual otolaryngology provider in Cleveland, Tennessee, licensed in Tennessee (MD52501) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Sidney Health Center, and is a graduate of University Of Virginia School Of Medicine (2008).

NPPES Registry Identity

NPI1023277860
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. DANIEL BARKERCredential: MD
Location Address2700 WESTSIDE DR NW STE 201Cleveland, TN 37312-3699
Mailing Address2700 Westside Dr Nw Ste 201Cleveland, TN 37312-3699 · (423) 244-9225 · Fax (423) 244-9227
Phone(423) 244-9225
Fax(423) 244-9227
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2008
Enumeration DateJune 6, 2008
Last NPPES UpdateSeptember 11, 2023
NPPES CertifiedSeptember 11, 2023
✔ NPI 1023277860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in TN · MD52501
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
2700 WESTSIDE DR NW STE 201, Cleveland, TN 37312
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Cigna Healthcare, Mountain Health CO-OP and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Daniel Barker Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375781040
PECOS Enrollment IDI20250811001111
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Daniel Barker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Columbia St. Mary's Hospital Milwaukee, Inc
566 mi
Multi-Specialty
2350 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
NPI 1023064482 (414) 585-1000
Sidney Health Center
1,316 mi
Critical Access
216 14TH AVE SW
Sidney, MT 59270
  • Reassigned Medicare billing, Montana enrollment
  • Also billed through NPI 1568532802 (Montana)
  • 211 clinicians in this Medicare group
NPI 1285719161 (406) 488-2100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
55 services55 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sidney Health Center

Critical Access Hospitals · Sidney, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number271344
Location216 14th Ave SWSidney, MT 59270 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37312 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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.

89.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.66
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%528 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
1%141 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
94%614 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
49%1,196 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
85%1,196 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Daniel Barker's NPI number?

The NPI number for Daniel Barker is 1023277860. It was assigned to this individual provider in the NPPES registry on June 6, 2008.

Where is Daniel Barker located?

Daniel Barker practices at 2700 Westside Dr NW Ste 201, Cleveland, TN 37312. The listed phone number is (423) 244-9225.

What is Daniel Barker's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Daniel Barker enrolled in Medicare?

Yes. Daniel Barker is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Daniel Barker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Barker reassigns Medicare benefits to 2 organizations: Columbia St. Mary's Hospital Milwaukee, Inc (Milwaukee, WI) and Sidney Health Center (Sidney, MT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Barker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Barker accept?

Health plans from Blue Cross and Blue Shield of Montana, Cigna Healthcare, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan and 1 other insurer list Daniel Barker 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.

Is Daniel Barker affiliated with any hospitals?

According to CMS data, Daniel Barker is affiliated with Sidney Health Center.

When was this NPI record last updated?

The NPPES record for Daniel Barker was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.