BARRY B BARNES MD
NPI 1205808961
Surgery in Freeport, IL

Q: What is Barry Barnes's NPI number?

The NPI number for Barry Barnes is 1205808961. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Q: What is Barry Barnes's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Barry Barnes was last updated on October 27, 2017. 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.

Active since February 06, 2006PECOS EnrolledAccepts Medicare Assignment

82.57/100

CMS Quality Rating

1036 W STEPHENSON ST, FREEPORT, IL 61032(815) 599-6000 Get Directions Write a Review

NPPES record last updated: October 27, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 27, 2017, Oct 18, 2017 (2 updates tracked since 2017).

On this page

About Barry B Barnes Md NPPES

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

BARRY B BARNES MD (NPI 1205808961) is an individual surgery provider in Freeport, Illinois, licensed in Illinois (036089365) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Fhn Memorial Hospital, and is a graduate of Hahnemann University College Of Medicine (1988).

NPPES Registry Identity

NPI1205808961

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameBARRY B BARNESCredential: MD

Location Address1036 W STEPHENSON STFreeport, IL 61032-4865

Mailing Address421 W Exchange St, Po Box 268Freeport, IL 61032-4030

Phone(815) 599-6000

Sole ProprietorNo

Medical School CMSHahnemann University College Of MedicineGraduated 1988

Enumeration DateFebruary 6, 2006

Last NPPES UpdateOctober 27, 20172 updates tracked since enumeration

✔ NPI 1205808961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in IL · 036089365

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1036 W STEPHENSON ST, Freeport, IL 61032

Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedL81736IL

Medicaid036089365IL

Medicare UPINF93459IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MercyCare, MercyCare Health Plans, Quartz.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

Barry B Barnes 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 ID7113060195

PECOS Enrollment IDI20100130000391

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 Reassignments

Medicare enrollment records show Barry Barnes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Freeport Memorial Hospital

1.3 mi

General Acute Care Hospital

1045 W STEPHENSON ST
Freeport, IL 61032

Reassigned Medicare billing, Illinois enrollment
478 clinicians in this Medicare group

NPI 1447228788 (815) 599-6000

Freeport Regional Health Care Foundation

1.3 mi

Family Medicine

1036 W STEPHENSON ST
Freeport, IL 61032

Reassigned Medicare billing, Illinois enrollment
391 clinicians in this Medicare group

NPI 1457337016 (815) 599-6000

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 9

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.

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.

45 services32 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.

44 services44 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.

35 services29 patients

Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563

This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.

25 services25 patients

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.

18 services18 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Fhn Memorial Hospital

Acute Care Hospitals · Freeport, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140160

Location1045 West Stephenson StreetFreeport, IL 61032 · Stephenson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61032 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

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.

82.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

87.59

Promoting Interoperability

Improvement Activities

Cost

58.04

Other Providers at the Same Location NPPES 18

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

MR. EUGENE MICHAEL GAERTNER MD

Internal Medicine