MARCELLA L BARKER MD
NPI 1265433148
Family Medicine in Great Falls, MT

Q: What is Marcella Barker's NPI number?

The NPI number for Marcella Barker is 1265433148. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Q: What is Marcella Barker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Marcella Barker was last updated on April 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment

80.46/100

CMS Quality Rating

1401 25TH ST S, GREAT FALLS, MT 59405(406) 731-8888(406) 731-8318 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 5, 2024, Mar 29, 2021, Jul 11, 2019 (3 updates tracked since 2019).

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About Marcella L Barker Md NPPES

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

MARCELLA L BARKER MD (NPI 1265433148) is an individual family medicine provider in Great Falls, Montana, licensed in Montana (8187) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and is a graduate of University Of Washington School Of Medicine (1994).

NPPES Registry Identity

NPI1265433148

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARCELLA L BARKERCredential: MD

Location Address1401 25TH ST SGreat Falls, MT 59405-5183

Mailing AddressPo Box 6010Great Falls, MT 59406-6010 · (406) 731-8888 · Fax (406) 731-8876

Phone(406) 731-8888

Fax(406) 731-8318

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 1994

Enumeration DateAugust 2, 2005

Last NPPES UpdateApril 5, 20243 updates tracked since enumeration

NPPES CertifiedApril 5, 2024

✔ NPI 1265433148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MT · 8187

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1401 25TH ST S, Great Falls, MT 59405

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Other Identifiers 1

Medicaid0107809MT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, PacificSource Health Plans.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

Marcella L Barker 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 ID4981502929

PECOS Enrollment IDI20031229000553

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 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.

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.

95 services90 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

54 services52 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

51 services50 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

36 services36 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.

20 services20 patients

Hospital Affiliations CMS Care Compare

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

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270012

Location1101 26th St SGreat Falls, MT 59405 · Cascade County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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

$87.97 typical visit price

range $56.81 – $172.26

Typical copayment $21.99 (range $14.20 – $43.06)

Most-billed visit code 99203

Established Patient

$100.16 typical visit price

range $18.24 – $140.32

Typical copayment $25.04 (range $4.56 – $35.08)

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.

80.46/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

93.1

Promoting Interoperability

Improvement Activities

Cost

62.61

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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.

RETTE MARIE RILEY OLSEN DNP, APRN, FNP-C

Nurse Practitioner (Family)