MARK J BARTON PA-C
NPI 1053548651
Physician Assistant in Carmel, IN

Active since June 22, 2009PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
13345 ILLINOIS ST, CARMEL, IN 46032(317) 396-1300 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark J Barton Pa-c NPPES

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

MARK J BARTON PA-C (NPI 1053548651) is an individual physician assistant in Carmel, Indiana, licensed in Indiana (10001096A) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Reid Health, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1053548651
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARK J BARTONCredential: PA-C
Location Address13345 ILLINOIS STCarmel, IN 46032-3318
Mailing Address13345 Illinois StCarmel, IN 46032-3318 · (317) 396-1300
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 22, 2009
Last NPPES UpdateFebruary 23, 2021
NPPES CertifiedFebruary 23, 2021
NPI 1053548651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IN · 10001096A
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
13345 ILLINOIS ST, Carmel, IN 46032

Other Identifiers 1

Other000000621925IN · Anthem Pin

Accepted 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

Mark J Barton Pa-c 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 ID7416009097
PECOS Enrollment IDI20090713000080
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 8

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.

Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
65 services17 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
34 services24 patients
Computer-assisted spinal procedure 61783
A computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.
26 services25 patients
Fusion of spine in lower back with partial removal of spine bone and disc 22633
This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.
18 services18 patients
Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63052
This procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.
18 services18 patients
Placement of stabilizing device to back, 3-6 spine bone segments 22842
This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Reid Health

Acute Care Hospitals · Richmond, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150048
Location1100 Reid PkwyRichmond, IN 47374 · Wayne County
Emergency services Birthing friendly

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Ascension St Vincent Carmel

Acute Care Hospitals · Carmel, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150157
Location13500 N Meridian StCarmel, IN 46032 · Hamilton County
Emergency services Birthing friendly

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150162
Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County
Emergency services Birthing friendly

Sullivan County Community Hospital

Critical Access Hospitals · Sullivan, IN
OwnershipGovernment - Local
CMS Certification Number151327
Location2200 N Section StSullivan, IN 47882 · Sullivan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46032 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

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.

Nurse Practitioner
13345 ILLINOIS ST
CARMEL, IN 46032
Registered Nurse
13345 ILLINOIS ST
CARMEL, IN 46032
Neurological Surgery
13345 ILLINOIS ST
CARMEL, IN 46032
Nurse Practitioner (Family)
13345 ILLINOIS ST
CARMEL, IN 46032
Nurse Practitioner (Adult Health)
13345 ILLINOIS ST
CARMEL, IN 46032
Registered Nurse
13345 ILLINOIS ST
CARMEL, IN 46032
Neurological Surgery
13345 ILLINOIS ST
CARMEL, IN 46032
Physician Assistant
13345 ILLINOIS ST
CARMEL, IN 46032

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 Mark Barton's NPI number?

The NPI number for Mark Barton is 1053548651. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Where is Mark Barton located?

Mark Barton practices at 13345 Illinois St, Carmel, IN 46032. The listed phone number is (317) 396-1300.

What is Mark Barton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mark Barton enrolled in Medicare?

Yes. Mark Barton 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 Mark Barton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Mark Barton 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 Mark Barton affiliated with any hospitals?

According to CMS data, Mark Barton is affiliated with Reid Health, Ascension St Vincent Hospital, Ascension St Vincent Carmel, Franciscan Health Indianapolis and Sullivan County Community Hospital.

When was this NPI record last updated?

The NPPES record for Mark Barton was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.