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JOSEPH BARBERA MD
NPI 1174029771
Orthopaedic Surgery in Hialeah, FL

Active since April 03, 2018PECOS EnrolledAccepts Medicare Assignment
6050 W 20TH AVE FL 3, HIALEAH, FL 33016(786) 584-5555 Get Directions Write a Review

NPPES record last updated: September 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 22, 2024, Aug 5, 2024, Jul 19, 2023 (3 updates tracked since 2023).

About Joseph Barbera Md NPPES

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

JOSEPH BARBERA MD (NPI 1174029771) is an individual orthopaedic surgery provider in Hialeah, Florida, licensed in Florida (ME169163) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174029771
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJOSEPH BARBERACredential: MD
Location Address6050 W 20TH AVE FL 3Hialeah, FL 33016-2605
Mailing Address4300 Alton RdMiami Beach, FL 33140-2948
Phone(786) 584-5555
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2018
Enumeration DateApril 3, 2018
Last NPPES UpdateSeptember 22, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2024
✔ NPI 1174029771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in FL · ME169163✔ Licensed in VA · 0101278447
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6050 W 20TH AVE FL 3, Hialeah, FL 33016
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Secondary Practice Locations 2

Location 12800 S Shirlington Rd Fl 11Arlington, VA 22206-3601 · Phone (703) 892-6500
Location 25 E 98th StNew York, NY 10029-6501 · Phone (212) 241-1621

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Joseph Barbera 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 ID2062758394
PECOS Enrollment IDI20241016004743
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 2

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
51 services51 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
42 services42 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33016 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

DR. NAYMA CASAMAYOR
Internal Medicine
6050 W 20TH AVE FL 3
HIALEAH, FL 33016
Miami-Dade County (786) 584-5555
STEPHANIE PEREZ APRN-BC
Nurse Practitioner (Family)
6050 W 20TH AVE FL 3
HIALEAH, FL 33016
Miami-Dade County (305) 915-7268
HECTOR LEONEL VARAS JR.
Hospitalist
6050 W 20TH AVE FL 3
HIALEAH, FL 33016
Miami-Dade County (786) 584-5555
DR. ENRIQUE GONDAR JR. DO
Internal Medicine
6050 W 20TH AVE FL 3
HIALEAH, FL 33016
Miami-Dade County (786) 584-5000
MRS. LISET TIRADO APRN
Nurse Practitioner (Acute Care)
6050 W 20TH AVE FL 3
HIALEAH, FL 33016
Miami-Dade County (786) 584-5050
DENISSE DIAZ MD
Internal Medicine (Cardiovascular Disease)
6050 W 20TH AVE FL 3
HIALEAH, FL 33016
Miami-Dade County (786) 584-5555
DR. ANGELICA DEL TORO DNP, APRN, FNP-BC
Nurse Practitioner (Family)
6050 W 20TH AVE FL 3
HIALEAH, FL 33016
Miami-Dade County (786) 584-5555
DANIELA URINA JASSIR MD
Internal Medicine (Cardiovascular Disease)
6050 W 20TH AVE FL 3
HIALEAH, FL 33016
Miami-Dade County (786) 584-5555

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 Joseph Barbera's NPI number?

The NPI number for Joseph Barbera is 1174029771. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Joseph Barbera located?

Joseph Barbera practices at 6050 W 20th Ave Fl 3, Hialeah, FL 33016. The listed phone number is (786) 584-5555.

What is Joseph Barbera's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Joseph Barbera enrolled in Medicare?

Yes. Joseph Barbera 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 Joseph Barbera accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Joseph Barbera 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 Joseph Barbera affiliated with any hospitals?

According to CMS data, Joseph Barbera is affiliated with Mount Sinai Medical Center Of Florida, Inc.

When was this NPI record last updated?

The NPPES record for Joseph Barbera was last updated on September 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.