ANTHONY MICHAEL BARCIA M.D.
NPI 1043447949
Orthopaedic Surgery in Honolulu, HI

Q: What is Anthony Barcia's NPI number?

The NPI number for Anthony Barcia is 1043447949. It was assigned to this individual provider in the NPPES registry on June 17, 2009.

Q: What is Anthony Barcia's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Barcia was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 17, 2009PECOS EnrolledAccepts Medicare Assignment

72.51/100

CMS Quality Rating

1401 S BERETANIA ST STE 750, HONOLULU, HI 96814(808) 686-4010 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 2, 2023, Aug 8, 2019 (2 updates tracked since 2019).

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About Anthony Michael Barcia M.d. NPPES

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

ANTHONY MICHAEL BARCIA M.D. (NPI 1043447949) is an individual orthopaedic surgery provider in Honolulu, Hawaii, licensed in Hawaii (MD-16201) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of University Of Hawaii John A. Burns School Of Medicine (2009).

NPPES Registry Identity

NPI1043447949

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameANTHONY MICHAEL BARCIACredential: M.D.

Location Address1401 S BERETANIA ST STE 750Honolulu, HI 96814-1881

Mailing Address1401 S Beretania St Ste 750Honolulu, HI 96814-1881 · (808) 686-4010

Phone(808) 686-4010

Sole ProprietorNo

Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 2009

Enumeration DateJune 17, 2009

Last NPPES UpdateNovember 2, 20232 updates tracked since enumeration

NPPES CertifiedNovember 2, 2023

✔ NPI 1043447949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in HI · MD-16201✔ Licensed in AZ · 57711

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1401 S BERETANIA ST STE 750, Honolulu, HI 96814

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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

Anthony Michael Barcia 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 ID5496084261

PECOS Enrollment IDI20200803001712

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 5

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

254 services40 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.

214 services110 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.

77 services62 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

72 services40 patients

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.

47 services47 patients

Hospital Affiliations CMS Care Compare 2

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

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number120001

Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County

Emergency services Birthing friendly

Adventist Health Castle

Acute Care Hospitals · Kailua, HI

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number120006

Location640 Ulukahiki StKailua, HI 96734 · Honolulu County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96814 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

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$74.92 typical visit price

range $20.09 – $147.56

Typical copayment $18.73 (range $5.02 – $36.89)

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.

72.51/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

65.64

Promoting Interoperability

Improvement Activities

Cost

51.91

Other Providers at the Same Location NPPES 7

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

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Nurse Practitioner (Family)