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DR. OTIS ALTON BARRON M.D.
NPI 1033264031
Orthopaedic Surgery - Hand Surgery in New York, NY

Active since January 23, 2007PECOS Enrolled
84.24/100
CMS Quality Rating
485 MADISON AVE FL 8, NEW YORK, NY 10022(212) 658-1122(212) 826-4107 Get Directions Write a Review

NPPES record last updated: September 19, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Otis Alton Barron M.d. NPPES

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

DR. OTIS ALTON BARRON M.D. (NPI 1033264031) is an individual hand surgery provider in New York, New York, licensed in New York (60-195986) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033264031
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDR. OTIS ALTON BARRONCredential: M.D.
Location Address485 MADISON AVE FL 8New York, NY 10022-5822
Mailing Address485 Madison Ave Fl 8New York, NY 10022-5822 · (212) 658-1122 · Fax (212) 826-4107
Phone(212) 658-1122
Fax(212) 826-4107
Sole ProprietorYes
Enumeration DateJanuary 23, 2007
Last NPPES UpdateSeptember 19, 2017
✔ NPI 1033264031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License✔ Licensed in NY · 60-195986
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 60-195986 (NY)
485 MADISON AVE FL 8, New York, NY 10022
Open in Google Maps ↗

Other Identifiers 4

Medicaid01626360NY
Medicare ID-Type Unspecified89J281
Medicare UPINF94859
OtherP410428Oxford

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Otis Alton Barron M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Otis Barron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dhhs Phs Naihs Chinle Comprehensive Health Care Facility
1,925 mi
General Acute Care Hospital
NAVAJO ROUTE 64
Tsaile, AZ 86556
  • Reassigned Medicare billing, Texas enrollment
  • 476 clinicians in this Medicare group
NPI 1538185715 (928) 724-3600

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10022 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

84.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.91
Promoting Interoperability98
Improvement Activities40
Cost67.56

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
0%29 patients1/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
97%146 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
3%32 patients1/55-star benchmark: 100%
HIV Screening
0%70 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
43%97 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%102 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%144 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 63 patients
0%63 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 35 patients
Patients totalRate: 0% · 35 patients
0%35 patients5/55-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.

Other Providers at the Same Location NPPES 18

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

ALEXANDRA VOIGT NP
Nurse Practitioner (Family)
485 MADISON AVE FL 8
NEW YORK, NY 10022
New York County (212) 688-3710
SAMANTHA EVE LEVINE DPT
Physical Therapist
485 MADISON AVE FL 8
NEW YORK, NY 10022
New York County (212) 980-2963
MORGAN KASEMEYER
Physician Assistant
485 MADISON AVE FL 8
NEW YORK, NY 10022
New York County (212) 203-3324
O. ALTON BARRON, M.D, P.C
Orthopaedic Surgery
485 MADISON AVE FL 8
NEW YORK, NY 10022
New York County (212) 658-1122
MONISHA GEORGE
Physical Therapist
485 MADISON AVE FL 8
NEW YORK, NY 10022
New York County (212) 980-2963
GERARD WALTER ABRAHAMSEN PA-C
Physician Assistant
485 MADISON AVE FL 8
NEW YORK, NY 10022
New York County (212) 883-8868
MRS. MARY SIOBHAN GONZALEZ N.P.
Nurse Practitioner (Family)
485 MADISON AVE FL 8
NEW YORK, NY 10022
New York County (646) 395-9729
IVAN MAH
Physical Therapist
485 MADISON AVE FL 8
NEW YORK, NY 10022
New York County (212) 980-2963

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 Otis Barron's NPI number?

The NPI number for Otis Barron is 1033264031. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Otis Barron located?

Otis Barron practices at 485 Madison Ave Fl 8, New York, NY 10022. The listed phone number is (212) 658-1122.

What is Otis Barron's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Otis Barron enrolled in Medicare?

Yes. Otis Barron is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Otis Barron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Otis Barron reassigns Medicare benefits to Dhhs Phs Naihs Chinle Comprehensive Health Care Facility (Tsaile, AZ). The 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 Otis Barron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Otis Barron was last updated on September 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.