KENNETH R BARBA M.D.
NPI 1265473706
Specialist in Bloomington, IL

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
71.4/100
CMS Quality Rating
1008 N MAIN ST, BLOOMINGTON, IL 61701(309) 829-5311(309) 827-8027 Get Directions Write a Review

NPPES record last updated: November 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth R Barba M.d. NPPES

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

KENNETH R BARBA M.D. (NPI 1265473706) is an individual specialist in Bloomington, Illinois, licensed in Illinois (036-099756) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and is a graduate of Southern Illinois University School Of Medicine (1995).

NPPES Registry Identity

NPI1265473706
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameKENNETH R BARBACredential: M.D.
Location Address1008 N MAIN STBloomington, IL 61701-1784
Mailing Address1008 N Main StBloomington, IL 61701-1784 · (309) 829-5311 · Fax (309) 827-8027
Fax(309) 827-8027
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1995
Enumeration DateJune 8, 2006
Last NPPES UpdateNovember 28, 2016
NPI 1265473706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in IL · 036-099756
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1008 N MAIN ST, Bloomington, IL 61701

Other Identifiers 2

Medicare UPING97900
Medicare PINL71618

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

Kenneth R Barba 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 ID8123192309
PECOS Enrollment IDI20101228000798
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 28

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
5,135 services12 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,270 services512 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,202 services1,134 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
1,056 services661 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
829 services518 patients
Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
780 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140127
Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County
Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

Gibson Community Hospital

Critical Access Hospitals · Gibson City, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141317
Location1120 N Melvin StreetGibson City, IL 60936 · Ford County
Emergency services Birthing friendly

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.

71.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.01
Promoting Interoperability84
Improvement Activities40
Cost19.01

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier44 claims44 services$56.76 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier20 claims34 services$39.02 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier31 claims53 services$52.67 avg. paid by Medicare
U-v lens, per lens V2755
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier46 claims91 services$12.06 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 10

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

Specialist
1008 N MAIN ST
BLOOMINGTON, IL 61701
Optometrist
1008 N MAIN ST
BLOOMINGTON, IL 61701
Optometrist
1008 N MAIN ST
BLOOMINGTON, IL 61701
Ophthalmology
1008 N MAIN ST
BLOOMINGTON, IL 61701
Optometrist
1008 N MAIN ST
BLOOMINGTON, IL 61701
Optometrist
1008 N MAIN ST
BLOOMINGTON, IL 61701
Specialist
1008 N MAIN ST
BLOOMINGTON, IL 61701
Specialist
1008 N MAIN ST
BLOOMINGTON, IL 61701

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 Kenneth Barba's NPI number?

The NPI number for Kenneth Barba is 1265473706. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Kenneth Barba located?

Kenneth Barba practices at 1008 N Main St, Bloomington, IL 61701. The listed phone number is (309) 829-5311.

What is Kenneth Barba's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kenneth Barba enrolled in Medicare?

Yes. Kenneth Barba 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 Kenneth Barba accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Kenneth Barba 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 Kenneth Barba affiliated with any hospitals?

According to CMS data, Kenneth Barba is affiliated with Carle Bromenn Medical Center, St Marys Hospital and Gibson Community Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Barba was last updated on November 28, 2016. 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.