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LAWRENCE J. BARNES PA-C
NPI 1184685174
Physician Assistant - Medical in O Fallon, IL

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment
3 SAINT ELIZABETH BLVD, O FALLON, IL 62269(618) 641-5803(618) 607-5116 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lawrence J. Barnes Pa-c NPPES

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

LAWRENCE J. BARNES PA-C (NPI 1184685174) is an individual medical provider in O Fallon, Illinois and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Hshs St Elizabeth's Hospital, and maintains a secondary practice location in Fairview Heights.

NPPES Registry Identity

NPI1184685174
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameLAWRENCE J. BARNESCredential: PA-C
Location Address3 SAINT ELIZABETH BLVDO Fallon, IL 62269-1281
Mailing Address5249 Saluki DrFairview Heights, IL 62208-3923 · (618) 334-7684
Phone(618) 641-5803
Fax(618) 607-5116
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 29, 2006
Last NPPES UpdateApril 11, 2024
NPPES CertifiedApril 11, 2024
✔ NPI 1184685174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
3 SAINT ELIZABETH BLVD, O Fallon, IL 62269
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Secondary Practice Location 1

Location 15031 N Illinois StFairview Heights, IL 62208-3453 · Phone (618) 212-6800 · Fax (618) 212-6820

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Lawrence J. Barnes Pa-c 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 ID244338481
PECOS Enrollment IDI20070612000075
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 4

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
66 services66 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.
23 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 11

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

MEGAN N. LANTER
Physician Assistant
3 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 233-6044
DR. RUGHEED GHADBAN MD
Internal Medicine (Clinical Cardiac Electrophysiology)
3 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
CHRISTOPHER CHARLES SUTTON D.O.
Internal Medicine (Pulmonary Disease)
3 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 641-5803
MS. CHARISSA FAITH HOLESKO ANP
Nurse Practitioner
3 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 641-5803
DR. RAGHAV GOVINDARAJAN MD
Psychiatry & Neurology (Neuromuscular Medicine)
3 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 641-5803
REBECCA LYNN HARRIS
Nurse Practitioner (Family)
3 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 641-5803
DR. BRIAN AUGUST REICHARDT M.D.
Internal Medicine (Critical Care Medicine)
3 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 641-5803
LORI DENELL HAWKINS NP
Nurse Practitioner
3 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 641-5803

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 Lawrence Barnes's NPI number?

The NPI number for Lawrence Barnes is 1184685174. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Lawrence Barnes located?

Lawrence Barnes practices at 3 Saint Elizabeth Blvd, O Fallon, IL 62269. The listed phone number is (618) 641-5803.

What is Lawrence Barnes's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lawrence Barnes enrolled in Medicare?

Yes. Lawrence 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 Lawrence Barnes accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Lawrence 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 Lawrence Barnes affiliated with any hospitals?

According to CMS data, Lawrence Barnes is affiliated with Hshs St Elizabeth's Hospital.

When was this NPI record last updated?

The NPPES record for Lawrence Barnes was last updated on April 11, 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.