DANIEL JAMES BARKDOLL M.D.
NPI 1154349744
Family Medicine in Lawrenceburg, IN

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
98 ELM ST, LAWRENCEBURG, IN 47025(812) 496-8775(812) 537-5710 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2022, Dec 8, 2020, Jun 11, 2019 (3 updates tracked since 2019).

About Daniel James Barkdoll M.d. NPPES

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

DANIEL JAMES BARKDOLL M.D. (NPI 1154349744) is an individual family medicine provider in Lawrenceburg, Indiana, licensed in Indiana (01043851A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Dearborn Hospital, and is a graduate of University Of Cincinnati College Of Medicine (1992).

NPPES Registry Identity

NPI1154349744
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDANIEL JAMES BARKDOLLCredential: M.D.
Location Address98 ELM STLawrenceburg, IN 47025-2048
Mailing AddressPo Box 639353Cincinnati, OH 45263-9263 · (812) 537-8241 · Fax (812) 537-1041
Fax(812) 537-5710
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1992
Enumeration DateJuly 18, 2006
Last NPPES UpdateAugust 5, 20223 updates tracked since enumeration
NPPES CertifiedAugust 5, 2022
NPI 1154349744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 01043851A
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.
98 ELM ST, Lawrenceburg, IN 47025

Other Identifiers 1

Medicaid200042340BIN

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

Daniel James Barkdoll 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 ID9537295068
PECOS Enrollment IDI20100410000011
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 23

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 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.
278 services166 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
156 services156 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.
154 services105 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
145 services117 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
112 services14 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
106 services52 patients

Hospital Affiliations CMS Care Compare 3

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

St Elizabeth Dearborn Hospital

Acute Care Hospitals · Lawrenceburg, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150086
Location600 Wilson Creek RdLawrenceburg, IN 47025 · Dearborn County
Emergency services Birthing friendly

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47025 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers39 claims69 services$5.85 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
3 suppliers11 claims12 services$70.02 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$16.43 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers19 claims19 services$207.83 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 18

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

Family Medicine
98 ELM ST
LAWRENCEBURG, IN 47025
Internal Medicine
98 ELM ST
LAWRENCEBURG, IN 47025
Internal Medicine (Gastroenterology)
98 ELM ST, SUITE 310
LAWRENCEBURG, IN 47025
Obstetrics & Gynecology
98 ELM ST
LAWRENCEBURG, IN 47025
Internal Medicine
98 ELM ST, SUITE 400
LAWRENCEBURG, IN 47025
Obstetrics & Gynecology
98 ELM ST, SUITE 400
LAWRENCEBURG, IN 47025
Internal Medicine
98 ELM ST, SUITE 400
LAWRENCEBURG, IN 47025
Nurse Practitioner
98 ELM ST
LAWRENCEBURG, IN 47025

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 Daniel Barkdoll's NPI number?

The NPI number for Daniel Barkdoll is 1154349744. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Daniel Barkdoll located?

Daniel Barkdoll practices at 98 Elm St, Lawrenceburg, IN 47025. The listed phone number is (812) 496-8775.

What is Daniel Barkdoll's specialty?

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

Is Daniel Barkdoll enrolled in Medicare?

Yes. Daniel Barkdoll 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 Daniel Barkdoll accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Daniel Barkdoll 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 Daniel Barkdoll affiliated with any hospitals?

According to CMS data, Daniel Barkdoll is affiliated with St Elizabeth Dearborn Hospital, St Elizabeth Edgewood and St Elizabeth Florence.

When was this NPI record last updated?

The NPPES record for Daniel Barkdoll was last updated on August 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.