THEODORE DALE BARBER M.D.
NPI 1083739205
Urology in Grand Rapids, MI
About Theodore Dale Barber M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THEODORE DALE BARBER M.D. (NPI 1083739205) is an individual urology provider in Grand Rapids, Michigan, licensed in Michigan (4301079960) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Wayne State University School Of Medicine (2002).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Theodore Dale Barber 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.
Medicare Billing Reassignments
2Medicare enrollment records show Theodore Barber reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Urologic Consultants PC
- 13 clinicians in this Medicare group
St Clair Shores, MI 48081
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Michigan Institute Of Urology PC
- 86 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Spectrum Health
Acute Care Hospitals · Grand Rapids, MIUniversity Of Michigan Health - West
Acute Care Hospitals · Wyoming, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
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 Theodore Barber's NPI number?
The NPI number for Theodore Barber is 1083739205. It was assigned to this individual provider in the NPPES registry on March 20, 2007.
Where is Theodore Barber located?
Theodore Barber practices at 25 Michigan St NE Ste 3300, Grand Rapids, MI 49503. The listed phone number is (616) 459-4171.
What is Theodore Barber's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Theodore Barber enrolled in Medicare?
Yes. Theodore Barber 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.
Which organizations bill Medicare for Theodore Barber's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Barber reassigns Medicare benefits to 2 organizations: Alliance Physician Services Of Michigan, P.C. (Grand Rapids, MI) and Alliance Physician Services Of Michigan, P.C. (St Clair Shores, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theodore Barber's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theodore Barber accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Theodore Barber 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 Theodore Barber affiliated with any hospitals?
According to CMS data, Theodore Barber is affiliated with Spectrum Health and University Of Michigan Health - West.
When was this NPI record last updated?
The NPPES record for Theodore Barber was last updated on January 30, 2024. 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.
# Theodore Dale Barber, M.D. · NPI 1083739205
Urology physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since March 20, 2007.
## Identity
- **NPI:** 1083739205 (Entity type: Individual)
- **Enumerated:** March 20, 2007
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** 4301079960 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 25 MICHIGAN ST NE STE 3300, Grand Rapids, MI 49503-2558
- **Phone:** (616) 459-4171 · **Fax:** (616) 459-0044
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Alliance Physician Services Of Michigan, P.C. (NPI 1598865735, Grand Rapids, MI); Alliance Physician Services Of Michigan, P.C. (NPI 1427027416, St Clair Shores, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2002
## Record status
- **NPPES last updated:** January 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1083739205) · Data from the CMS NPPES public registry.