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DR. BARRY M WILKES M.D.
NPI 1134217995
Internal Medicine - Nephrology in New York, NY

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
47.93/100
CMS Quality Rating
885 PARK AVE STE 1A, NEW YORK, NY 10021(212) 861-3534(212) 794-7295 Get Directions Write a Review

NPPES record last updated: November 12, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Barry M Wilkes M.d. NPPES

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

DR. BARRY M WILKES M.D. (NPI 1134217995) is an individual nephrology provider in New York, New York, licensed in New York (124244) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of Js Weill Medical College, Cornell University (1974).

NPPES Registry Identity

NPI1134217995
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. BARRY M WILKESCredential: M.D.
Location Address885 PARK AVE STE 1ANew York, NY 10021-0325
Mailing AddressPo Box 613New York, NY 10028-0006 · (212) 861-3534 · Fax (212) 794-7295
Phone(212) 861-3534
Fax(212) 794-7295
Sole ProprietorYes
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1974
Enumeration DateOctober 10, 2006
Last NPPES UpdateNovember 12, 2010
✔ NPI 1134217995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 124244
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
885 PARK AVE STE 1A, New York, NY 10021
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINB13116NY

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

Dr. Barry M Wilkes 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.

PECOS PAC ID9739128513
PECOS Enrollment IDI20050502000158
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.

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.
930 services121 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
238 services127 patients
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.
111 services76 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
102 services96 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
69 services15 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.
31 services29 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

47.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality34.21
Improvement Activities0
Cost86.86

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%147 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%137 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

BARRY M. WILKES, M.D., P.C.
Internal Medicine (Nephrology)
885 PARK AVE STE 1A
NEW YORK, NY 10021
New York County (212) 861-3534

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 Barry Wilkes's NPI number?

The NPI number for Barry Wilkes is 1134217995. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Barry Wilkes located?

Barry Wilkes practices at 885 Park Ave Ste 1A, New York, NY 10021. The listed phone number is (212) 861-3534.

What is Barry Wilkes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Barry Wilkes enrolled in Medicare?

Yes. Barry Wilkes 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.

Is Barry Wilkes affiliated with any hospitals?

According to CMS data, Barry Wilkes is affiliated with Mount Sinai Hospital.

When was this NPI record last updated?

The NPPES record for Barry Wilkes was last updated on November 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.