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JOSEPH MICHAEL BARONE III NP
NPI 1073534855
Nurse Practitioner - Acute Care in Columbia, SC

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
81.25/100
CMS Quality Rating
2001 LAUREL ST, COLUMBIA, SC 29204(803) 365-8346(803) 255-2475 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2025, Feb 9, 2016 (2 updates tracked since 2016).

About Joseph Michael Barone Iii Np NPPES

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

JOSEPH MICHAEL BARONE III NP (NPI 1073534855) is an individual acute care provider in Columbia, South Carolina, licensed in South Carolina (29752) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Christ Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1073534855
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJOSEPH MICHAEL BARONE IIICredential: NP
Location Address2001 LAUREL STColumbia, SC 29204-1018
Mailing AddressPo Box 23321New York, NY 10087-4321
Phone(803) 365-8346
Fax(803) 255-2475
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 21, 2006
Last NPPES UpdateMay 8, 20252 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
✔ NPI 1073534855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in SC · 29752✔ Licensed in OH · NP08654
2001 LAUREL ST, Columbia, SC 29204
Open in Google Maps ↗

Other Identifiers 1

Medicaid2679561OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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

Joseph Michael Barone Iii Np 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 ID749285047
PECOS Enrollment IDI20250605000443
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 2

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.

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.
576 services319 patients
Heart rhythm recording continous external ekg over more than 48 hours up to 7 days 93242
This procedure involves wearing a device, an external EKG, for up to 7 days to continuously monitor your heart rhythm. It helps detect irregularities that may not occur during a standard EKG. The device is non-invasive and safe.
26 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Musc Health Columbia Medical Center Downtown

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420026
Location2435 Forest DriveColumbia, SC 29204 · Richland County
Emergency services

Kershawhealth

Acute Care Hospitals · Camden, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420048
Location1315 Roberts StreetCamden, SC 29020 · Kershaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29204 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

81.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.93
Promoting Interoperability100
Improvement Activities40
Cost57.57

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.

BRENDA LIGON MPA-C
Physician Assistant (Medical)
2001 LAUREL ST
COLUMBIA, SC 29204
Richland County (803) 254-3278
BARRETT C SHILO PA
Physician Assistant (Surgical)
2001 LAUREL ST
COLUMBIA, SC 29204
Richland County (803) 254-3278
LANNEAU D LIDE JR. MD
Internal Medicine (Interventional Cardiology)
2001 LAUREL ST
COLUMBIA, SC 29204
Richland County (803) 254-3278
BASHIR A LONE MD
Internal Medicine (Interventional Cardiology)
2001 LAUREL ST
COLUMBIA, SC 29204
Richland County (803) 254-3278
MRS. JAMIE D CUNNINGHAM ACNP
Nurse Practitioner (Acute Care)
2001 LAUREL ST
COLUMBIA, SC 29204
Richland County (803) 254-3278
PROVIDENCE CARDIOLOGY LLC
Internal Medicine (Cardiovascular Disease)
2001 LAUREL ST
COLUMBIA, SC 29204
Richland County (803) 254-3278
MEGHAN BRANTLEY BLANCHETTE FNP-C
Nurse Practitioner (Family)
2001 LAUREL ST
COLUMBIA, SC 29204
Richland County (843) 792-9200
MARK L ORLANDINI MD
Internal Medicine (Interventional Cardiology)
2001 LAUREL ST
COLUMBIA, SC 29204
Richland County (803) 254-3278

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 Joseph Barone's NPI number?

The NPI number for Joseph Barone is 1073534855. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Joseph Barone located?

Joseph Barone practices at 2001 Laurel St, Columbia, SC 29204. The listed phone number is (803) 365-8346.

What is Joseph Barone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Joseph Barone enrolled in Medicare?

Yes. Joseph Barone 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 Joseph Barone accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BlueCross BlueShield of South Carolina and CareSource list Joseph Barone 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 Joseph Barone affiliated with any hospitals?

According to CMS data, Joseph Barone is affiliated with Christ Hospital, Musc Health Columbia Medical Center Downtown and Kershawhealth.

When was this NPI record last updated?

The NPPES record for Joseph Barone was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.