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, and ordering and referring status from the CMS PECOS system.
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.
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
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.
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.
