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DR. BRANDON BARTHEL MD
NPI 1235454554
Internal Medicine - Endocrinology, Diabetes & Metabolism in Kansas City, MO

Active since March 30, 2010PECOS EnrolledAccepts Medicare Assignment
86.88/100
CMS Quality Rating
2301 HOLMES ST, DEPARTMENT OF INTERNAL MEDICINE, KANSAS CITY, MO 64108(816) 404-4070(816) 404-4075 Get Directions Write a Review

NPPES record last updated: December 21, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 21, 2017, Jul 14, 2017, Apr 10, 2017 (3 updates tracked since 2017).

About Dr. Brandon Barthel Md NPPES

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

DR. BRANDON BARTHEL MD (NPI 1235454554) is an individual endocrinology, diabetes & metabolism provider in Kansas City, Missouri, licensed in Missouri (2013045162) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Truman Medical Center Hospital Hill, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2010).

NPPES Registry Identity

NPI1235454554
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. BRANDON BARTHELCredential: MD
Location Address2301 HOLMES ST, DEPARTMENT OF INTERNAL MEDICINEKansas City, MO 64108-2640
Mailing Address2310 Holmes St, Ste 800Kansas City, MO 64108-2602 · (816) 218-2523 · Fax (816) 285-6923
Phone(816) 404-4070
Fax(816) 404-4075
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2010
Enumeration DateMarch 30, 2010
Last NPPES UpdateDecember 21, 20173 updates tracked since enumeration
✔ NPI 1235454554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in MO · 2013045162
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
2301 HOLMES ST, Kansas City, MO 64108
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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. Brandon Barthel 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 ID5395975601
PECOS Enrollment IDI20140306001952
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
110 services65 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
36 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Truman Medical Center Hospital Hill

Acute Care Hospitals · Kansas City, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260048
Location2301 Holmes StreetKansas City, MO 64108 · Jackson County
Emergency services Birthing friendly

University Health Lakewood Medical Center

Acute Care Hospitals · Kansas City, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260102
Location7900 Lee's Summit RdKansas City, MO 64139 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64108 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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.

86.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.46
Promoting Interoperability100
Improvement Activities40
Cost57.71

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
11 suppliers24 claims92 services$5.02 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
10 suppliers92 claims94 services$201.12 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.

KYLA WESELY
Dietitian, Registered
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-2461
HANNAH BROWN
Nurse Practitioner (Family)
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-4070
AJANTA JINHEE RAMAN APRN
Nurse Practitioner (Adult Health)
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-1325
DR. JORDAN HENRY HELD MD
Student in an Organized Health Care Education/Training Program
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-4175
STEPHEN C SHOE PHARMD
Pharmacist
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-4293
LOVELIGHT N JONAH PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-1000
DIVYA GANESH REDDY
Student in an Organized Health Care Education/Training Program
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (517) 599-4748
DR. STEPHEN M EIKERMANN D.O.
Internal Medicine (Critical Care Medicine)
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-5495

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 Brandon Barthel's NPI number?

The NPI number for Brandon Barthel is 1235454554. It was assigned to this individual provider in the NPPES registry on March 30, 2010.

Where is Brandon Barthel located?

Brandon Barthel practices at 2301 Holmes St Department Of Internal Medicine, Kansas City, MO 64108. The listed phone number is (816) 404-4070.

What is Brandon Barthel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Brandon Barthel enrolled in Medicare?

Yes. Brandon Barthel 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.

What insurance does Brandon Barthel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Brandon Barthel 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 Brandon Barthel affiliated with any hospitals?

According to CMS data, Brandon Barthel is affiliated with Truman Medical Center Hospital Hill and University Health Lakewood Medical Center.

When was this NPI record last updated?

The NPPES record for Brandon Barthel was last updated on December 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.