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DR. WILLIAM EDRIS BARNES II MD
NPI 1215985148
General Practice in Salem, KY

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
141 HOSPITAL DR STE 102, SALEM, KY 42078(270) 988-3298(270) 988-4642 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 8, 2020, Aug 14, 2019 (2 updates tracked since 2019).

About Dr. William Edris Barnes Ii Md NPPES

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

DR. WILLIAM EDRIS BARNES II MD (NPI 1215985148) is an individual general practice provider in Salem, Kentucky, licensed in Kentucky (21949) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Paducah, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215985148
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. WILLIAM EDRIS BARNES IICredential: MD
Location Address141 HOSPITAL DR STE 102Salem, KY 42078-8043
Mailing Address141 Hospital Drive, Po Box 347Salem, KY 42078-0347 · (270) 988-3298 · Fax (270) 988-4642
Phone(270) 988-3298
Fax(270) 988-4642
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1976
Enumeration DateMay 4, 2006
Last NPPES UpdateDecember 8, 20202 updates tracked since enumeration
NPPES CertifiedDecember 8, 2020
✔ NPI 1215985148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in KY · 21949
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedSurgeryTaxonomy 208600000X · License 21949 (KY)
141 HOSPITAL DR STE 102, Salem, KY 42078
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Other Names 1

Other Name (5)Dr. William Edris Barnes Md

Secondary Practice Locations 2

Location 1141 Hospital Dr Ste 103Salem, KY 42078-8043 · Phone (270) 988-3298 · Fax (270) 988-4642
Location 2308 S Main StMarion, KY 42064-1545 · Phone (270) 965-4377 · Fax (270) 965-9569

Other Identifiers 1

Medicaid64219496KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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

Dr. William Edris Barnes Ii 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 ID3476643057
PECOS Enrollment IDI20100513000387
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

4

Medicare enrollment records show William Barnes reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Livingston Hospital And Healthcare Services, Inc.
3.3 mi
Nurse Anesthetist, Certified Registered
131 HOSPITAL DR
Salem, KY 42078
  • Reassigned Medicare billing, Kentucky enrollment
  • 23 clinicians in this Medicare group
NPI 1427034172 (270) 988-2299
Tri-Rivers Healthcare PLLC
3.4 mi
Rural Health
141 HOSPITAL DR
Salem, KY 42078
  • Reassigned Medicare billing, Kentucky enrollment
  • 13 clinicians in this Medicare group
NPI 1588644496 (270) 988-3298
Crittenden Community Hospital LLC
12 mi
Emergency Medicine
520 W GUM ST
Marion, KY 42064
  • Reassigned Medicare billing, Kentucky enrollment
  • 28 clinicians in this Medicare group
NPI 1275097339 (270) 965-1042
Concord Medical Group Of Kentucky PLLC
107 mi
Emergency Medicine
1011 OLD HIGHWAY 60
Hardinsburg, KY 40143
  • Reassigned Medicare billing, Kentucky enrollment
  • 182 clinicians in this Medicare group
NPI 1346746385 (270) 756-7000

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 12

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
178 services68 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
123 services90 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
84 services65 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
76 services60 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
64 services49 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
38 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180104
Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Livingston Hospital And Healthcare Services, Inc

Critical Access Hospitals · Salem, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181320
Location131 Hospital DriveSalem, KY 42078 · Livingston County
Emergency services

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

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%435 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
23%252 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
65%71 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
17%764 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
4%764 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%764 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
3%764 patients
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 4

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

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
1 supplier11 claims301 services$7.65 avg. paid by Medicare
Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 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 B4160
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims6,873 services$0.88 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers28 claims28 services$108.38 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$213.14 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 3

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

AMERICA RAE GUTHRIE FNP-C
Nurse Practitioner (Family)
141 HOSPITAL DR STE 102
SALEM, KY 42078
Livingston County (270) 988-3298
KARA ANN PHILLIPS APRN
Nurse Practitioner (Family)
141 HOSPITAL DR STE 102
SALEM, KY 42078
Livingston County (270) 988-3298
MRS. LEE ANN GRAINGER KELLER ARNP, RN
Nurse Practitioner (Psychiatric/Mental Health)
141 HOSPITAL DR STE 102
SALEM, KY 42078
Livingston County (270) 988-3298

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 William Barnes's NPI number?

The NPI number for William Barnes is 1215985148. It was assigned to this individual provider in the NPPES registry on May 4, 2006. The provider is also known as Dr. William Edris Barnes MD.

Where is William Barnes located?

William Barnes practices at 141 Hospital Dr Ste 102, Salem, KY 42078. The listed phone number is (270) 988-3298.

What is William Barnes's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is William Barnes enrolled in Medicare?

Yes. William Barnes 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 William Barnes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Barnes reassigns Medicare benefits to 4 organizations: Livingston Hospital And Healthcare Services, Inc. (Salem, KY), Tri-Rivers Healthcare PLLC (Salem, KY), Crittenden Community Hospital LLC (Marion, KY) and Concord Medical Group Of Kentucky PLLC (Hardinsburg, KY). 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 William Barnes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Barnes accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list William Barnes 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 William Barnes affiliated with any hospitals?

According to CMS data, William Barnes is affiliated with Baptist Health Paducah and Livingston Hospital And Healthcare Services, Inc.

When was this NPI record last updated?

The NPPES record for William Barnes was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.