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DR. JAMES HAYNIE BARTON MD, DDS
NPI 1215038740
Dentist - Oral and Maxillofacial Surgery in Council Bluffs, IA

Active since September 26, 2006Opted out of Medicare · through Nov 20, 2026
201 RIDGE STREET, SUITE 308, COUNCIL BLUFFS, IA 51503(712) 328-8892(712) 328-8845 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 21, 2021, Nov 11, 2016 (2 updates tracked since 2016).

About Dr. James Haynie Barton Md, Dds NPPES

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

DR. JAMES HAYNIE BARTON MD, DDS (NPI 1215038740) is an individual oral and maxillofacial surgery provider in Council Bluffs, Iowa, licensed in Iowa (9730) and active in the NPI registry since September 2006. He has opted out of Medicare through November 20, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1215038740
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JAMES HAYNIE BARTONCredential: MD, DDS
Location Address201 RIDGE STREET, SUITE 308Council Bluffs, IA 51503
Mailing Address13215 Birch Drive, Suite 100Omaha, NE 68164 · (402) 390-0770 · Fax (402) 390-1074
Phone(712) 328-8892
Fax(712) 328-8845
Sole ProprietorNo
Enumeration DateSeptember 26, 2006
Last NPPES UpdateOctober 21, 20212 updates tracked since enumeration
NPPES CertifiedOctober 21, 2021
✔ NPI 1215038740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in IA · 9730✔ Licensed in NE · 6220
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 10768 (MT)
201 RIDGE STREET, Council Bluffs, IA 51503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. James Haynie Barton Md, Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 20, 2020 through November 20, 2026.

Opt-Out Effective DateNovember 20, 2020
Opt-Out In Effect ThroughNovember 20, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51503 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

Other Providers at the Same Location NPPES

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

BLUFFS PAIN MANAGEMENT LLC
Pain Medicine (Pain Medicine)
201 RIDGE STREET, SUITE 102
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 396-4359

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 James Barton's NPI number?

The NPI number for James Barton is 1215038740. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is James Barton located?

James Barton practices at 201 Ridge Street Suite 308, Council Bluffs, IA 51503. The listed phone number is (712) 328-8892.

What is James Barton's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is James Barton enrolled in Medicare?

No. James Barton has opted out of Medicare through November 20, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does James Barton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 16 other insurers list James 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.

When was this NPI record last updated?

The NPPES record for James Barton was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.