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PATRICE BARNUM MD
NPI 1215096029
Internal Medicine - Geriatric Medicine in Houston, TX

Active since December 07, 2006PECOS EnrolledAccepts Medicare Assignment
8511 S SAM HOUSTON PKWY E, SUITE 101, HOUSTON, TX 77075(713) 343-2301 Get Directions Write a Review

NPPES record last updated: May 23, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Patrice Barnum Md NPPES

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

PATRICE BARNUM MD (NPI 1215096029) is an individual geriatric medicine provider in Houston, Texas, licensed in Texas (L9088) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In Shreveport (2001).

NPPES Registry Identity

NPI1215096029
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NamePATRICE BARNUMCredential: MD
Location Address8511 S SAM HOUSTON PKWY E, SUITE 101Houston, TX 77075-4874
Mailing Address8511 S Sam Houston Pkwy E, Suite 101Houston, TX 77075-4874 · (713) 343-2301
Phone(713) 343-2301
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2001
Enumeration DateDecember 7, 2006
Last NPPES UpdateMay 23, 2013
✔ NPI 1215096029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in TX · L9088
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
8511 S SAM HOUSTON PKWY E, Houston, TX 77075
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINI12435TX
Medicare PIN259974YLGGTX
Medicaid166183702TX

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Patrice Barnum 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 ID3577536226
PECOS Enrollment IDI20040819000579
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

5

Medicare enrollment records show Patrice Barnum reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Journey Medical Care Group PLLC
17 mi
Family Medicine
8313 SOUTHWEST FWY STE 105
Houston, TX 77074
  • Reassigned Medicare billing, Texas enrollment
  • 32 clinicians in this Medicare group
NPI 1144061664 (713) 773-1102
Cs Pacs 3 Southwest, LLC
18 mi
Hospitalist
5800 W BAKER RD
Baytown, TX 77520
  • Reassigned Medicare billing, Texas enrollment
  • 131 clinicians in this Medicare group
NPI 1275398430 (281) 425-1200
Lonestar Hospital Medicine Associates, PA
232 mi
Hospitalist
2700 E BROAD ST
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
  • 994 clinicians in this Medicare group
NPI 1518237429 (682) 622-2000
Ipc Pac Healthcare Services Of Texas PLLC
248 mi
Hospitalist
14131 MIDWAY RD, SUITE 620
Addison, TX 75001
  • Reassigned Medicare billing, Texas enrollment
  • 142 clinicians in this Medicare group
NPI 1194174201 (972) 249-0200
Nv Pacs 2 LLC
1,248 mi
Hospitalist
10550 PARK RUN DR
Las Vegas, NV 89144
  • Reassigned Medicare billing, Texas enrollment
  • 143 clinicians in this Medicare group
NPI 1427534809 (865) 693-1000

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 8

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
848 services93 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
368 services82 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
90 services29 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
68 services31 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
32 services31 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77075 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
$176.98 typical visit price
range $58.24 – $176.98
Typical copayment $44.24 (range $14.56 – $44.24)
Most-billed visit code 99205
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%229 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.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers18 claims732 services$7.14 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims173 services$9.42 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
2 suppliers14 claims1,517 services$0.36 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers20 claims603 services$2.63 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
3 suppliers44 claims1,328 services$4.52 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
3 suppliers56 claims30,910 services$0.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

ANNE NDUNGE NDOLO NP
Nurse Practitioner (Adult Health)
8511 S SAM HOUSTON PKWY E, SUITE 101
HOUSTON, TX 77075
Harris County (713) 343-2301
OMAR A ZANTUA M.D.
Internal Medicine (Geriatric Medicine)
8511 S SAM HOUSTON PKWY E, 101
HOUSTON, TX 77075
Harris County (713) 343-2301
GERIATRIC ASSOCIATES OF AMERICA, P.A.
Family Medicine (Geriatric Medicine)
8511 S SAM HOUSTON PKWY E, 101
HOUSTON, TX 77075
Harris County (713) 343-2300
MELINDA LOUISE SUGG FNP
Nurse Practitioner (Family)
8511 S SAM HOUSTON PKWY E, 101
HOUSTON, TX 77075
Harris County (713) 343-2301
DONNA LEAKE HAMBY
Nurse Practitioner (Acute Care)
8511 S SAM HOUSTON PKWY E, SUITE 101
HOUSTON, TX 77075
Harris County (713) 343-2301
DR. TERESA L ALBRIGHT M.D.
Family Medicine (Geriatric Medicine)
8511 S SAM HOUSTON PKWY E, SUITE 101
HOUSTON, TX 77075
Harris County (713) 343-2300
SARA WASHA APRN, BC
Nurse Practitioner (Gerontology)
8511 S SAM HOUSTON PKWY E, 101
HOUSTON, TX 77075
Harris County (713) 343-2301
DR. DEBORAH MARCIA MCKAY MD
Internal Medicine (Geriatric Medicine)
8511 S SAM HOUSTON PKWY E, SUITE 101
HOUSTON, TX 77075
Harris County (713) 343-2301

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 Patrice Barnum's NPI number?

The NPI number for Patrice Barnum is 1215096029. It was assigned to this individual provider in the NPPES registry on December 7, 2006.

Where is Patrice Barnum located?

Patrice Barnum practices at 8511 S Sam Houston Pkwy E Suite 101, Houston, TX 77075. The listed phone number is (713) 343-2301.

What is Patrice Barnum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Patrice Barnum enrolled in Medicare?

Yes. Patrice Barnum 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 organizations bill Medicare for Patrice Barnum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrice Barnum reassigns Medicare benefits to 5 organizations: Journey Medical Care Group PLLC (Houston, TX), Cs Pacs 3 Southwest, LLC (Baytown, TX), Lonestar Hospital Medicine Associates, PA (Mansfield, TX), Ipc Pac Healthcare Services Of Texas PLLC (Addison, TX) and Nv Pacs 2 LLC (Las Vegas, NV). Each 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 Patrice Barnum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patrice Barnum accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Patrice Barnum 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 Patrice Barnum was last updated on May 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.