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DR. MARY ANN BARNES MD
NPI 1043389307
Family Medicine in Edgewood, KY

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
413 SOUTH LOOP ROAD, EDGEWOOD, KY 41017(859) 301-3800(859) 301-3987 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2022, Jan 11, 2019, Jul 26, 2018 (3 updates tracked since 2018).

About Dr. Mary Ann Barnes Md NPPES

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

DR. MARY ANN BARNES MD (NPI 1043389307) is an individual family medicine provider in Edgewood, Kentucky, licensed in Kentucky (22323) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Ft Thomas, and is a graduate of University Of Louisville School Of Medicine (1981).

NPPES Registry Identity

NPI1043389307
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARY ANN BARNESCredential: MD
Location Address413 SOUTH LOOP ROADEdgewood, KY 41017-5446
Mailing Address413 S Loop RdEdgewood, KY 41017-5446 · (859) 301-3800 · Fax (859) 301-3987
Phone(859) 301-3800
Fax(859) 301-3987
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1981
Enumeration DateNovember 8, 2006
Last NPPES UpdateAugust 10, 20223 updates tracked since enumeration
NPPES CertifiedAugust 10, 2022
✔ NPI 1043389307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 22323
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.
413 SOUTH LOOP ROAD, Edgewood, KY 41017
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Other Identifiers 2

Medicaid64223233KY
Medicaid2301511OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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. Mary Ann Barnes Md 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 ID5890826655
PECOS Enrollment IDI20100623000796
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.

Hospital Affiliations CMS Care Compare 3

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

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
88%73 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers11 claims18 services$6.61 avg. paid by Medicare
Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6203
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims648 services$3.24 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers26 claims26 services$14.48 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers26 claims26 services$60.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

ROBERT N TRACY M.D.
Family Medicine
413 SOUTH LOOP ROAD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
DR. SHANNON K BENTLEY M.D.
Family Medicine
413 SOUTH LOOP ROAD, ST ELIZABETH FAMILY PRACTICE CENTER
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
SARAH BETH FLORA M.D.
Family Medicine
413 SOUTH LOOP ROAD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
KENNETH BAZYDLO
Family Medicine
413 SOUTH LOOP ROAD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
BOBBI OMORI LAKIN M.D.
Family Medicine
413 SOUTH LOOP ROAD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
DR. CHRISANTHY ZOWTIAK MD
Family Medicine
413 SOUTH LOOP ROAD, ST. ELIZABETH HEALTHCARE CENTER FOR FAMILY MEDICINE
EDGEWOOD, KY 41017
Kenton County (859) 301-3800

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 Mary Ann Barnes's NPI number?

The NPI number for Mary Ann Barnes is 1043389307. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Mary Ann Barnes located?

Mary Ann Barnes practices at 413 South Loop Road, Edgewood, KY 41017. The listed phone number is (859) 301-3800.

What is Mary Ann Barnes's specialty?

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

Is Mary Ann Barnes enrolled in Medicare?

Yes. Mary Ann 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 Mary Ann Barnes accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Mary Ann 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.

Is Mary Ann Barnes affiliated with any hospitals?

According to CMS data, Mary Ann Barnes is affiliated with St Elizabeth Ft Thomas, St Elizabeth Edgewood and St Elizabeth Florence.

When was this NPI record last updated?

The NPPES record for Mary Ann Barnes was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.