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ELBERT H BARNES JR. MD
NPI 1114902533
Family Medicine in New Port Richey, FL

Active since December 08, 2005PECOS EnrolledAccepts Medicare Assignment
3000 STARKEY BLVD, NEW PORT RICHEY, FL 34655(727) 375-1004(727) 376-5435 Get Directions Write a Review

NPPES record last updated: March 8, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elbert H Barnes Jr. Md NPPES

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

ELBERT H BARNES JR. MD (NPI 1114902533) is an individual family medicine provider in New Port Richey, Florida, licensed in Florida (ME54355) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Trinity Hospital, and is a graduate of University Of South Florida College Of Medicine (1987).

NPPES Registry Identity

NPI1114902533
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameELBERT H BARNES JR.Credential: MD
Location Address3000 STARKEY BLVDNew Port Richey, FL 34655-2175
Mailing Address3000 Starkey BlvdNew Port Richey, FL 34655-2175 · (727) 375-1004 · Fax (727) 376-5435
Phone(727) 375-1004
Fax(727) 376-5435
Sole ProprietorYes
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1987
Enumeration DateDecember 8, 2005
Last NPPES UpdateMarch 8, 2012
✔ NPI 1114902533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME54355
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3000 STARKEY BLVD, New Port Richey, FL 34655
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Other Identifiers 3

Medicaid258588000FL
Medicare ID-Type Unspecified10576FL
Medicare UPINE61850

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

Elbert H Barnes Jr. Md 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 ID3173689254
PECOS Enrollment IDI20090226000256
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
112 services71 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
103 services61 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
95 services93 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
71 services71 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Trinity Hospital

Acute Care Hospitals · Trinity, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100191
Location9330 Sr 54Trinity, FL 34655 · Pasco County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34655 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers34 claims34 services$14.72 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers44 claims44 services$69.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

BARNES AND BARNES MD
Family Medicine
3000 STARKEY BLVD
TRINITY, FL 34655
Pasco County (727) 375-1004
CATHY BUONO BARNES MD
Family Medicine
3000 STARKEY BLVD
NEW PORT RICHEY, FL 34655
Pasco County (727) 375-1004
LONGLEAF SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
3000 STARKEY BLVD
NEW PORT RICHEY, FL 34655
Pasco County (609) 575-5854

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 Elbert Barnes's NPI number?

The NPI number for Elbert Barnes is 1114902533. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Where is Elbert Barnes located?

Elbert Barnes practices at 3000 Starkey Blvd, New Port Richey, FL 34655. The listed phone number is (727) 375-1004.

What is Elbert Barnes's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elbert Barnes enrolled in Medicare?

Yes. Elbert Barnes 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 Elbert Barnes accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Elbert Barnes 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 Elbert Barnes affiliated with any hospitals?

According to CMS data, Elbert Barnes is affiliated with Hca Florida Trinity Hospital.

When was this NPI record last updated?

The NPPES record for Elbert Barnes was last updated on March 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.