TONIA BARTON MD
NPI 1255560306
Pediatrics in Clermont, FL

Q: What is Tonia Barton's NPI number?

The NPI number for Tonia Barton is 1255560306. It was assigned to this individual provider in the NPPES registry on July 10, 2009.

Q: What is Tonia Barton's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Tonia Barton was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 10, 2009PECOS Enrolled

706 E GRAND HWY, CLERMONT, FL 34711(352) 557-4965(352) 404-6955 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Tonia Barton Md NPPES

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

TONIA BARTON MD (NPI 1255560306) is an individual pediatrics provider in Clermont, Florida, licensed in Florida (ME124516) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255560306

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameTONIA BARTONCredential: MD

Location Address706 E GRAND HWYClermont, FL 34711-3708

Mailing Address706 E Grand HwyClermont, FL 34711-3708 · (352) 557-4965 · Fax (352) 404-6955

Phone(352) 557-4965

Fax(352) 404-6955

Sole ProprietorNo

Enumeration DateJuly 10, 2009

Last NPPES UpdateMarch 22, 2017

✔ NPI 1255560306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME124516

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

706 E GRAND HWY, Clermont, FL 34711

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health 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 (PECOS)

Tonia Barton Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Tonia Barton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Laird Hospital, Inc

491 mi

Rural Health

1221 24TH AVE
Meridian, MS 39301

Reassigned Medicare billing, Mississippi enrollment
106 clinicians in this Medicare group

NPI 1124466214 (601) 486-4210

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34711 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Other Providers at the Same Location NPPES 10

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

CARRIE E VERHOFF ARNP

Nurse Practitioner (Pediatrics)