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BARNETT ROSS NATHAN
NPI 1194894725
Psychiatry & Neurology - Neurology in Charlottesville, VA

Active since November 07, 2006PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
1221 LEE ST, CHARLOTTESVILLE, VA 22908(434) 924-2706(434) 924-9068 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2023, Oct 15, 2020, Feb 16, 2018 (3 updates tracked since 2018).

About Barnett Ross Nathan NPPES

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

BARNETT ROSS NATHAN (NPI 1194894725) is an individual neurology provider in Charlottesville, Virginia, licensed in Virginia (0101054778) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1194894725
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameBARNETT ROSS NATHAN
Location Address1221 LEE STCharlottesville, VA 22908-0001
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Phone(434) 924-2706
Fax(434) 924-9068
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateNovember 7, 2006
Last NPPES UpdateAugust 9, 20233 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
✔ NPI 1194894725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in VA · 0101054778
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1221 LEE ST, Charlottesville, VA 22908
Open in Google Maps ↗

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-0001 · Phone (434) 924-0211

Other Identifiers 1

Medicaid006103791VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.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

Barnett Ross Nathan 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 ID8224046370
PECOS Enrollment IDI20060330000579, I20260307000300
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
173 services91 patients
Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth G0508
A telehealth consultation for critical care is a virtual meeting with a physician, typically lasting 60 minutes. Here, the doctor assesses your health condition, provides guidance, and communicates with other care providers, all through digital platforms. It's a safe, convenient way to receive critical care.
79 services78 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
14 services14 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22908 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

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.

CORINA A RUSU MD
Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5115
MR. REAGAN WILLIAMS
Physician Assistant (Medical)
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 243-1000
ABIGAIL C WILLS MD
Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5115
DR. MERRICK DOUGLAS KOZAK M.D.
Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5115
DR. THOMAS G CROPLEY M.D.
Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5115
GREGORY W. COOPER M.D.
Psychiatry & Neurology (Neurology)
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2706
KRISTIN L. PHIPPS AGACNP-BC
Nurse Practitioner (Acute Care)
1221 LEE ST, 2ND FLOOR
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5219
DEAN C WEIL CRNA
Nurse Anesthetist, Certified Registered
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 982-4228

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 Barnett Nathan's NPI number?

The NPI number for Barnett Nathan is 1194894725. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Barnett Nathan located?

Barnett Nathan practices at 1221 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-2706.

What is Barnett Nathan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Barnett Nathan enrolled in Medicare?

Yes. Barnett Nathan 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 Barnett Nathan accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Barnett Nathan 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 Barnett Nathan affiliated with any hospitals?

According to CMS data, Barnett Nathan is affiliated with University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Barnett Nathan was last updated on August 9, 2023. 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.