ERIC WINTHROP BARNES DO
NPI 1225193022
Internal Medicine - Nephrology in Wright-patterson Afb, OH

NPI Status: Active since December 22, 2006

Contact Information

88 MDG/SGHJ
4881 SUGAR MAPLE DRIVE
WRIGHT-PATTERSON AFB, OH
ZIP 45433
Phone: (937) 257-2432

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  • Individual
  • Male
  • Internal Medicine
  • Nephrology
  • Accepts Insurance
  • PECOS Enrolled
  • Medicare Quality Reporting

About ERIC BARNES

This page provides the complete NPI Profile along with additional information for Eric Barnes, an internist established in Wright-patterson Afb, Ohio with a medical specialization in Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1225193022 assigned on December 2006. The practitioner's primary taxonomy code is 207RN0300X with license number 34.010735 (OH). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1225193022
Provider Name
ERIC WINTHROP BARNES DO
Gender
Male
Entity Type
Individual
Location Address
88 MDG/SGHJ 4881 SUGAR MAPLE DRIVE WRIGHT-PATTERSON AFB, OH 45433
Location Phone
(937) 257-2432
Mailing Address
500 LINCOLN PARK BLVD SUITE 100 KETTERING, OH 45429
Mailing Phone
(937) 222-3118
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
12-22-2006
Last Update Date
06-15-2022
Code Navigator

An internist like Eric Barnes is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Nephrology

Taxonomy Code
207RN0300X
Type
Allopathic & Osteopathic Physicians
License No.
34.010735
License State
OH
Taxonomy Description
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Silver 6000 $20 Generic Drugs - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Eric Barnes is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Dialysis services, 4 or more physician visits per month (20 years or older)

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

This service was performed 37 times for 16 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 43 times for 43 patients

Follow-up hospital inpatient care per day, typically 25 minutes

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.

This service was performed 166 times for 71 patients

Initial hospital inpatient care per day, typically 30 minutes

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

This service was performed 24 times for 24 patients

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist

This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.

This service was performed 20 times for 20 patients

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

This service was performed 1,450 times for 27 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

This service was performed 13 times for 12 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 45433 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $126.12
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.65
  • Average New Patient Copayment $31.53
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.44
  • Minimum Established Patient Price $17.1
  • Maximum Established Patient Price $135.4
  • Average Established Patient Copayment $24.11
  • Minimum Established Patient Copayment $4.27
  • Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients

Reviews for ERIC WINTHROP BARNES DO

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1225193022, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
2
Doubled → 4
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 4 + 5 + 2 + 9 + 6 + 0 + 4 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1225193022.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist (Orthopedic)
88 MDG/SGHJ, 4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Preventive Medicine (Aerospace Medicine)
88 MDG/SGHJ, 4881 SUGAR MAPLE DR.
WRIGHT-PATTERSON AFB, OH 45433
Physical Therapist
88 MDG/SGHJ, 4881 SUGAR MAPLE DR.
WRIGHT PATTERSON AFB, OH 45433
Psychologist
88 MDG/SGHJ, 4881 SUGAR MAPLE DR
WRIGHT-PATTERSON AFB, OH 45433
Surgery
88 MDG/SGHJ, 4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Psychiatry & Neurology (Psychiatry)
88 MDG/SGHJ, 4881 SUGAR MAPLE DR
WRIGHT-PATTERSON AFB, OH 45433
Internal Medicine (Endocrinology, Diabetes & Metabolism)
88 MDG/SGHJ, 4881 SUGAR MAPLE DR.
WRIGHT-PATTERSON AFB, OH 45433
Internal Medicine
88 MDG/SGHJ, 4881 SUGAR MAPLE DRIVE
WRIGHT-PATTERSON AFB, OH 45433
Preventive Medicine (Aerospace Medicine)
88 MDG/SGHJ, 4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Internal Medicine (Infectious Disease)
88 MDG/SGHJ, 4881 SUGAR MAPLE DR
WRIGHT-PATTERSON AFB, OH 45433
Optometrist
88 MDG/SGHJ, 4881 SUGAR MAPLE DR
WRIGHT-PATTERSON AFB, OH 45433
Nurse Practitioner (Family)
88 MDG/SGHJ, 4881 SUGAR MAPLE
WRIGHT-PATTERSON AFB, OH 45433
Emergency Medicine
88 MDG/SGHJ, 4881 SUGAR MAPLE DRIVE
WRIGHT-PATTERSON AFB, OH 45433
Physical Therapist
88 MDG/SGHJ, 4881 SUGAR MAPLE DR
WRIGHT-PATTERSON AFB, AA 45433
Family Medicine
88 MDG/SGHJ, 4881 SUGAR MAPLE DR
WRIGHT-PATTERSON AFB, OH 45433
Family Medicine
88 MDG/SGHJ, 4881 SUGAR MAPLE DR.
WRIGHT-PATTERSON AFB, OH 45433
Optometrist
88 MDG/SGHJ, 4881 SUGAR MAPLE DR.
WRIGHT-PATTERSON AFB, OH 45433
Emergency Medicine
88 MDG/SGHJ, 4881 SUGAR MAPLE DR
WRIGHT-PATTERSON AFB, OH, OH 45433
Nurse Anesthetist, Certified Registered
88 MDG/SGHJ, 4881 SUGAR MAPLE DR
WPAFB, OH 45433
Internal Medicine
88 MDG/SGHJ, 4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225193022, enumerated as an "individual" on December 22, 2006.

The provider is located at 88 MDG/SGHJ 4881 SUGAR MAPLE DRIVE WRIGHT-PATTERSON AFB, OH 45433 and the phone number is (937) 257-2432.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.