MARY F BARTHEL MD
NPI 1194729087
Internal Medicine in Quincy, IL
About Mary F Barthel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY F BARTHEL MD (NPI 1194729087) is an individual internal medicine provider in Quincy, Illinois, licensed in Illinois (036128986) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary F Barthel 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.
Medicare Billing Reassignment
Medicare enrollment records show Mary Barthel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Quincy, IL 62301
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1235656745 (Illinois)
- 363 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
QUINCY, IL 62301
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 Mary Barthel's NPI number?
The NPI number for Mary Barthel is 1194729087. It was assigned to this individual provider in the NPPES registry on June 8, 2005.
Where is Mary Barthel located?
Mary Barthel practices at 1005 Broadway St, Quincy, IL 62301. The listed phone number is (217) 223-8400.
What is Mary Barthel's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mary Barthel enrolled in Medicare?
Yes. Mary Barthel 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.
Which organization bills Medicare for Mary Barthel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Barthel reassigns Medicare benefits to Blessing Hospital (Quincy, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Barthel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Barthel accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Mary Barthel 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.
When was this NPI record last updated?
The NPPES record for Mary Barthel was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.