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BARRY M CONCOOL MD
NPI 1215060736
Ophthalmology in Pensacola, FL

Active since March 13, 2007PECOS EnrolledAccepts Medicare Assignment
83.04/100
CMS Quality Rating
5101 NORTH DAVIS HWY, SUITE B, PENSACOLA, FL 32503(850) 438-1277(850) 497-6219 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Barry M Concool Md NPPES

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

BARRY M CONCOOL MD (NPI 1215060736) is an individual ophthalmology provider in Pensacola, Florida, licensed in Florida (ME38137) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (1979).

NPPES Registry Identity

NPI1215060736
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameBARRY M CONCOOLCredential: MD
Location Address5101 NORTH DAVIS HWY, SUITE BPensacola, FL 32503-2040
Mailing Address5101 North Davis Hwy, Suite BPensacola, FL 32503-2040 · (850) 438-1277 · Fax (850) 497-6219
Phone(850) 438-1277
Fax(850) 497-6219
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1979
Enumeration DateMarch 13, 2007
Last NPPES UpdateApril 21, 2026
NPPES CertifiedApril 21, 2026
✔ NPI 1215060736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in FL · ME38137✔ Licensed in NJ · 25MA04568500✔ Licensed in PA · 033155E✔ Licensed in CT · 053554
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
5101 NORTH DAVIS HWY, Pensacola, FL 32503
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Other Identifiers 4

Other25763FL · Bcbs-florida
Other0021912000PA · Personal Choice
Other051446CJPNJ · Nj Medicare
Other223708906NJ · Horizon

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Barry M Concool 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 ID8527099282
PECOS Enrollment IDI20080717000064
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 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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
116 services69 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
115 services68 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.
108 services108 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
87 services82 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
42 services35 patients
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.
38 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32503 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

83.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality82.57
Improvement Activities40
Cost66.71

Reported Quality Measures

Documentation of Current Medications in the Medical Record
100%670 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
89%57 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%52 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 383 patients
Patients totalRate: 0% · 383 patients
0%383 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

PANHANDLE VISION GROUP INC
Specialist
5101 NORTH DAVIS HWY
PENSACOLA, FL 32503
Escambia County (850) 438-1277
EYE CARE PHYSICIANS INC
Ophthalmology
5101 NORTH DAVIS HWY, SUITE A
PENSACOLA, FL 32503
Escambia County (850) 438-1277

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 Barry Concool's NPI number?

The NPI number for Barry Concool is 1215060736. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Barry Concool located?

Barry Concool practices at 5101 North Davis Hwy Suite B, Pensacola, FL 32503. The listed phone number is (850) 438-1277.

What is Barry Concool's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Barry Concool enrolled in Medicare?

Yes. Barry Concool 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 Barry Concool accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Magnolia Health and 14 other insurers list Barry Concool 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 Barry Concool was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.