MR. EDWARD BARTON PMHNP
NPI 1205348752
Nurse Practitioner - Psychiatric/Mental Health in Belmont, MA

Active since October 24, 2017PECOS EnrolledAccepts Medicare Assignment
86.26/100
CMS Quality Rating
115 MILL ST, BELMONT, MA 02478(617) 855-2564 Get Directions Write a Review

NPPES record last updated: June 4, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Edward Barton Pmhnp NPPES

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

MR. EDWARD BARTON PMHNP (NPI 1205348752) is an individual psychiatric/mental health provider in Belmont, Massachusetts, licensed in Massachusetts (RN2307259) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1205348752
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. EDWARD BARTONCredential: PMHNP
Location Address115 MILL STBelmont, MA 02478-1064
Mailing AddressCha Medical Staff Services, 1493 Cambridge StreetCambridge, MA 02139 · (617) 665-1616 · Fax (617) 665-1976
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 24, 2017
Last NPPES UpdateJune 4, 2018
✔ NPI 1205348752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · RN2307259
115 MILL ST, Belmont, MA 02478

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

Mr. Edward Barton Pmhnp 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 ID8123375334
PECOS Enrollment IDI20180719000401
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.

Medicare Billing Reassignment

Medicare enrollment records show Edward Barton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
1493 CAMBRIDGE ST
Cambridge, MA 02139
  • Reassigned Medicare billing, Massachusetts enrollment
  • 362 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.

Hospital Affiliations CMS Care Compare

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

Cambridge Health Alliance

Acute Care Hospitals · Cambridge, MA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number220011
Location1493 Cambridge StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02478 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

86.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.84
Promoting Interoperability100
Improvement Activities40
Cost58.7

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.

Social Worker (Clinical)
115 MILL ST, MAILSTOP 137
BELMONT, MA 02478
Psychiatry & Neurology (Neurology)
115 MILL ST, MCLEAN HOSPITAL
BELMONT, MA 02478
Social Worker (Clinical)
115 MILL ST
BELMONT, MA 02478
Psychologist (Clinical)
115 MILL ST
BELMONT, MA 02478
Psychiatry & Neurology (Psychiatry)
115 MILL ST
BELMONT, MA 02478
Psychologist (Clinical)
115 MILL ST
BELMONT, MA 02478
Social Worker (Clinical)
115 MILL ST
BELMONT, MA 02478
Psychiatry & Neurology (Psychiatry)
115 MILL ST
BELMONT, MA 02478

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 Edward Barton's NPI number?

The NPI number for Edward Barton is 1205348752. It was assigned to this individual provider in the NPPES registry on October 24, 2017.

Where is Edward Barton located?

Edward Barton practices at 115 Mill St, Belmont, MA 02478. The listed phone number is (617) 855-2564.

What is Edward Barton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Edward Barton enrolled in Medicare?

Yes. Edward Barton 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 Edward Barton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Barton reassigns Medicare benefits to Cambridge Public Health Commission (Cambridge, MA). 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 Edward Barton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Barton accept?

Health plans from Harvard Pilgrim Health Care list Edward Barton 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 Edward Barton affiliated with any hospitals?

According to CMS data, Edward Barton is affiliated with Cambridge Health Alliance.

When was this NPI record last updated?

The NPPES record for Edward Barton was last updated on June 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.