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NICHOLE V BARTON DO
NPI 1225356751
Internal Medicine in Harrisburg, PA

Active since May 07, 2010PECOS EnrolledAccepts Medicare Assignment
82.54/100
CMS Quality Rating
5400 CHAMBERS HILL RD, HARRISBURG, PA 17111(717) 564-5400(717) 564-7859 Get Directions Write a Review

NPPES record last updated: January 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 23, 2021, Jun 8, 2020, Oct 17, 2018 (3 updates tracked since 2018).

About Nichole V Barton Do NPPES

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

NICHOLE V BARTON DO (NPI 1225356751) is an individual internal medicine provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (OS019454) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Milton S Hershey Medical Center, and maintains a secondary practice location in Warren.

NPPES Registry Identity

NPI1225356751
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNICHOLE V BARTONCredential: DO
Location Address5400 CHAMBERS HILL RDHarrisburg, PA 17111-2545
Mailing Address1025 W Harrisburg PikeMiddletown, PA 17057-4848 · (717) 944-0491
Phone(717) 564-5400
Fax(717) 564-7859
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 7, 2010
Last NPPES UpdateJanuary 23, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2021
✔ NPI 1225356751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in PA · OS019454✔ Licensed in OH · 34-009805
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5400 CHAMBERS HILL RD, Harrisburg, PA 17111
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Secondary Practice Location 1

Location 18600 E Market St, Suite 8Warren, OH 44484-2375 · Phone (330) 372-0260 · Fax (330) 372-0261

Other Identifiers 1

Medicaid103535780PA

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

Nichole V Barton Do 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 ID2567593197
PECOS Enrollment IDI20180913001723
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

2

Medicare enrollment records show Nichole Barton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pinnacle Health Medical Services
Same address
Family Medicine
5400 CHAMBERS HILL RD
Harrisburg, PA 17111
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
NPI 1548708043 (717) 564-5400
Penn State Health Medical Group, LLC
2.2 mi
Hematology & Oncology
4518 UNION DEPOSIT RD
Harrisburg, PA 17111
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 994 clinicians in this Medicare group
NPI 1861988644 (717) 526-1030

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 5

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.

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.
151 services145 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
86 services64 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
80 services77 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
55 services55 patients
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.
40 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Penn State Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390339
Location2160 State RoadLancaster, PA 17601 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17111 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

82.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.62
Promoting Interoperability100
Improvement Activities40
Cost65.18

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%102 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
99%176 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%172 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 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims26 services$5.16 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$16.50 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 20

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

MRS. VALERIE ANN CAP PT
Physical Therapist
5400 CHAMBERS HILL RD, SUITE C
HARRISBURG, PA 17111
Dauphin County (717) 558-4333
SWATARA FAMILY HEALTH & WELLNESS SERVICES, LLC
Family Medicine
5400 CHAMBERS HILL RD, SUITE B
HARRISBURG, PA 17111
Dauphin County (717) 443-9970
ELIZABETH R VOLOSH CRNP
Nurse Practitioner
5400 CHAMBERS HILL RD
HARRISBURG, PA 17111
Dauphin County (717) 564-5400
ZACHARY BELL CRNP
Nurse Practitioner (Family)
5400 CHAMBERS HILL RD
HARRISBURG, PA 17111
Dauphin County (717) 564-5400
JESSICA CARRION LPC
Counselor (Professional)
5400 CHAMBERS HILL RD
HARRISBURG, PA 17111
Dauphin County (717) 525-9804
MICHAEL V. MARCHESE, D M D, P C
Dentist (Oral and Maxillofacial Surgery)
5400 CHAMBERS HILL RD, SUITE B
HARRISBURG, PA 17111
Dauphin County (717) 561-0011
MR. WILLIAM A WERNER PT
Physical Therapist (Orthopedic)
5400 CHAMBERS HILL RD, SUITE C
HARRISBURG, PA 17111
Dauphin County (717) 558-4333
DR. NIRMAL JOSHI MD
Internal Medicine
5400 CHAMBERS HILL RD
HARRISBURG, PA 17111
Dauphin County (717) 564-5400

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 Nichole Barton's NPI number?

The NPI number for Nichole Barton is 1225356751. It was assigned to this individual provider in the NPPES registry on May 7, 2010.

Where is Nichole Barton located?

Nichole Barton practices at 5400 Chambers Hill Rd, Harrisburg, PA 17111. The listed phone number is (717) 564-5400.

What is Nichole Barton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nichole Barton enrolled in Medicare?

Yes. Nichole Barton 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 Nichole Barton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nichole Barton reassigns Medicare benefits to 2 organizations: Pinnacle Health Medical Services (Harrisburg, PA) and Penn State Health Medical Group, LLC (Harrisburg, PA). 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 Nichole Barton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nichole Barton affiliated with any hospitals?

According to CMS data, Nichole Barton is affiliated with Milton S Hershey Medical Center and Penn State Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Nichole Barton was last updated on January 23, 2021. 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.