DR. NEIL G BARRY III MD
NPI 1235125972
Internal Medicine in Middlesboro, KY

Active since September 27, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 18D0323925 · Waiver
3004 CUMBERLAND AVE, MEDICAL ARTS BLDG, MIDDLESBORO, KY 40965(606) 248-4162(606) 242-3429 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Neil G Barry Iii Md NPPES

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

DR. NEIL G BARRY III MD (NPI 1235125972) is an individual internal medicine provider in Middlesboro, Kentucky, licensed in Kentucky (25671) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through December 11, 2026, and is affiliated with Middlesboro Arh Hospital.

NPPES Registry Identity

NPI1235125972
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NEIL G BARRY IIICredential: MD
Location Address3004 CUMBERLAND AVE, MEDICAL ARTS BLDGMiddlesboro, KY 40965-2343
Mailing Address3004 Cumberland Ave, Medical Arts BldgMiddlesboro, KY 40965-2343 · (606) 248-4162 · Fax (606) 242-3429
Fax(606) 242-3429
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1985
Enumeration DateSeptember 27, 2005
Last NPPES UpdateSeptember 26, 2022
NPPES CertifiedSeptember 26, 2022
NPI 1235125972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KY · 25671
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.
3004 CUMBERLAND AVE, Middlesboro, KY 40965

Other Identifiers 1

Medicaid64256712KY

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

Dr. Neil G Barry Iii 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 ID7315844107
PECOS Enrollment IDI20100216000392
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0323925

Neil G Barry III MD · Middlesboro, KY
Active · expires Dec 11, 2026
CLIA Number18D0323925
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorNeil G. Barry III MD
Laboratory Phone(606) 248-4162
Laboratory LocationNeil G Barry III MDMedical Arts Bldg 3004 W Cumberland, Middlesboro, KY 40965
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospital Affiliations CMS Care Compare 5

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

Middlesboro Arh Hospital

Acute Care Hospitals · Middlesboro, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180020
Location3600 West Cumberland AvenueMiddlesboro, KY 40965 · Bell County
Emergency services Birthing friendly

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Pineville Community Health Center, Inc

Acute Care Hospitals · Pineville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180154
Location850 Riverview AvenuePineville, KY 40977 · Bell County
Emergency services

Claiborne Medical Center

Acute Care Hospitals · Tazewell, TN
OwnershipGovernment - Local
CMS Certification Number440057
Location1850 Old Knoxville HighwayTazewell, TN 37879 · Claiborne County
Emergency services

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440120
Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40965 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 21

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
12 suppliers70 claims176 services$6.51 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers34 claims55 services$1.12 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers32 claims62 services$1.88 avg. paid by Medicare
Small volume nonfiltered pneumatic nebulizer, disposable A7004
DME-Other DME · category DE000N
1 supplier19 claims37 services$1.25 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers19 claims19 services$117.94 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers11 claims21 services$42.44 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 4

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

Nurse Practitioner (Family)
3004 CUMBERLAND AVE, MEDICAL ARTS BUILDING
MIDDLESBORO, KY 40965
Internal Medicine
3004 CUMBERLAND AVE, MEDICAL ARTS BLDG
MIDDLESBORO, KY 40965
Nurse Practitioner (Family)
3004 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Surgery
3004 CUMBERLAND AVE
MIDDLESBORO, KY 40965

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 Neil Barry's NPI number?

The NPI number for Neil Barry is 1235125972. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Neil Barry located?

Neil Barry practices at 3004 Cumberland Ave Medical Arts Bldg, Middlesboro, KY 40965. The listed phone number is (606) 248-4162.

What is Neil Barry's specialty?

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

Is Neil Barry enrolled in Medicare?

Yes. Neil Barry 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.

Does Neil Barry hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0323925) is associated with this NPI, valid through December 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Neil Barry affiliated with any hospitals?

According to CMS data, Neil Barry is affiliated with Middlesboro Arh Hospital, Baptist Health Corbin, Pineville Community Health Center, Inc, Claiborne Medical Center and Physicians Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Neil Barry was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.