DR. JAMES IRVIN BARNES IV M.D.
NPI 1255607453
Hospitalist in Seattle, WA

Active since April 01, 2012PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
1959 NE PACIFIC ST., SEATTLE, WA 98195(206) 520-5000 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James Irvin Barnes Iv M.d. NPPES

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

DR. JAMES IRVIN BARNES IV M.D. (NPI 1255607453) is an individual hospitalist provider in Seattle, Washington, licensed in Washington (MD61126229) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with University Of Washington Medical Ctr, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1255607453
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. JAMES IRVIN BARNES IVCredential: M.D.
Location Address1959 NE PACIFIC ST.Seattle, WA 98195-0001
Mailing AddressPo Box 50095Seattle, WA 98145-5095
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 1, 2012
Last NPPES UpdateNovember 4, 2021
NPPES CertifiedNovember 4, 2021
NPI 1255607453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in WA · MD61126229
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License BC61192336 (WA), MD61126229 (WA)
1959 NE PACIFIC ST., Seattle, WA 98195

Accepted 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. James Irvin Barnes Iv M.d. 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 ID1153611421
PECOS Enrollment IDI20210922001525
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 4

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.

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.
134 services39 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.
32 services16 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.
23 services23 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98195 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

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.

Plastic Surgery
1959 NE PACIFIC ST., DEPARTMENT OF SURGERY - DIVISION OF PLASTIC SURGERY
SEATTLE, WA 98195
Nurse Practitioner
1959 NE PACIFIC ST.
SEATTLE, WA 98195
Nurse Practitioner
1959 NE PACIFIC ST.
SEATTLE, WA 98195
Urology
1959 NE PACIFIC ST.
SEATTLE, WA 98195
Family Medicine
1959 NE PACIFIC ST.
SEATTLE, WA 98195
Genetic Counselor, MS
1959 NE PACIFIC ST., BOX 356159
SEATTLE, WA 98195
Nurse Practitioner (Women's Health)
1959 NE PACIFIC ST.
SEATTLE, WA 98195
Student in an Organized Health Care Education/Training Program
1959 NE PACIFIC ST., BOX 356460
SEATTLE, WA 98195

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 James Barnes's NPI number?

The NPI number for James Barnes is 1255607453. It was assigned to this individual provider in the NPPES registry on April 1, 2012.

Where is James Barnes located?

James Barnes practices at 1959 NE Pacific St., Seattle, WA 98195. The listed phone number is (206) 520-5000.

What is James Barnes's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is James Barnes enrolled in Medicare?

Yes. James Barnes 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 James Barnes accept?

Health plans from Molina Healthcare and Premera Blue Cross Blue Shield of Alaska list James Barnes 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 James Barnes affiliated with any hospitals?

According to CMS data, James Barnes is affiliated with University Of Washington Medical Ctr.

When was this NPI record last updated?

The NPPES record for James Barnes was last updated on November 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.