DR. BLAIR MICHAEL BARTON M.D.
NPI 1033538061
Otolaryngology in Philadelphia, PA

Q: What is Blair Barton's NPI number?

The NPI number for Blair Barton is 1033538061. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Q: What is Blair Barton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Blair Barton was last updated on October 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 07, 2014PECOS EnrolledAccepts Medicare Assignment

925 CHESTNUT ST FL 6, PHILADELPHIA, PA 19107(215) 955-6760(215) 923-4532 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 13, 2021, Jun 30, 2020 (2 updates tracked since 2020).

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About Dr. Blair Michael Barton M.d. NPPES

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

DR. BLAIR MICHAEL BARTON M.D. (NPI 1033538061) is an individual otolaryngology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD469566) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and maintains a secondary practice location in New Orleans.

NPPES Registry Identity

NPI1033538061

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameDR. BLAIR MICHAEL BARTONCredential: M.D.

Location Address925 CHESTNUT ST FL 6Philadelphia, PA 19107-4204

Mailing Address1514 Jefferson HwyNew Orleans, LA 70121-2429 · (504) 842-6904

Phone(215) 955-6760

Fax(215) 923-4532

Sole ProprietorYes

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2014

Enumeration DateApril 7, 2014

Last NPPES UpdateOctober 13, 20212 updates tracked since enumeration

NPPES CertifiedOctober 13, 2021

✔ NPI 1033538061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in PA · MD469566

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

925 CHESTNUT ST FL 6, Philadelphia, PA 19107

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Secondary Practice Location 1

Location 11430 Tulane Ave, SL-59New Orleans, LA 70112-2632 · Phone (504) 988-5454

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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. Blair Michael Barton 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 ID3173803509

PECOS Enrollment IDI20211019000483

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 6

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.

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

80 services55 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

68 services45 patients

Biopsy or removal of nasal polyp or tissue using an endoscope 31237

A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.

23 services13 patients

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.

22 services19 patients

Computer-assisted procedure outside membrane covering brain 61782

A computer-assisted procedure outside the brain's membrane involves using advanced technology to help doctors accurately navigate and perform operations near the brain. This method enhances precision, safety, and effectiveness, potentially reducing recovery time.

14 services14 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.

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190036

Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

Other Providers at the Same Location NPPES 20

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

MADELEINE RITA SCHABERG M.D.

Otolaryngology

925 CHESTNUT ST FL 6, DEPARTMENT OF OTOLARYNGOLOGY
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6760

SARAH LIVELY AU.D.

Audiologist