GARY M BARTON M.D.
NPI 1265473821
Specialist in North Little Rock, AR

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3401 SPRINGHILL DR, STE 400, NORTH LITTLE ROCK, AR 72117(501) 945-3343(501) 945-0770 Get Directions Write a Review

NPPES record last updated: August 20, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Gary M Barton M.d. NPPES

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

GARY M BARTON M.D. (NPI 1265473821) is an individual specialist in North Little Rock, Arkansas, licensed in Arkansas (C6788) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (1985).

NPPES Registry Identity

NPI1265473821
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameGARY M BARTONCredential: M.D.
Location Address3401 SPRINGHILL DR, STE 400North Little Rock, AR 72117-2924
Mailing Address3401 Springhill Dr, Ste 400North Little Rock, AR 72117-2924 · (501) 945-3343 · Fax (501) 945-0770
Fax(501) 945-0770
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1985
Enumeration DateJune 8, 2006
Last NPPES UpdateAugust 20, 2010
✔ NPI 1265473821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AR · C6788
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.
3401 SPRINGHILL DR, North Little Rock, AR 72117

Other Identifiers 12

Other4205588AR · Aetna Healthcare
Other710644504003AR · United Healthcare
Medicare UPINE81893AR
Medicaid119072001AR
Other100005495AR · Uhc Railroad Medicare
Other12914000000AR · Qualchoice
Medicare ID-Type Unspecified54517AR
Other7106445040014AR · Cigna Healthcare
Other54517AR · Ar Blue Cross Blue Shield
Other54517AR · Blue Advantage
Other54517AR · First Source
Other54517AR · Health Adavantage

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

Gary M Barton 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 ID8820077217
PECOS Enrollment IDI20101013000346
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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
135 services81 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
59 services56 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
56 services53 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
41 services41 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
26 services26 patients

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
Percentage of patients aged 50 to 75 years of age receiving a screening colonoscopy without biopsy or polypectomy who had a recommended follow-up interval of at least 10 years for repeat colonoscopy documented in their colonoscopy report
100%109 patients
Appropriate indication for colonoscopy
Percentage of colonoscopy procedures performed for an indication that is included in a published standard list of appropriate indications and the indication is documented
99%996 patients5/55-star benchmark: 99%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
91%276 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
83%59 patients4/55-star benchmark: 100%
NHCR4: Repeat screening or surveillance colonoscopy recommended within one year due to inadequate/poor bowel preparation
Percentage of patients recommended for repeat screening or surveillance colonoscopy within one year or less due to inadequate/poor bowel preparation quality
25%24 patients
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
31%143 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
31%405 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Physician Assistant
3401 SPRINGHILL DR, SUITE 460
NORTH LITTLE ROCK, AR 72117
Specialist
3401 SPRINGHILL DR, SUITE 390
NORTH LITTLE ROCK, AR 72117
Specialist
3401 SPRINGHILL DR, STE 400
NORTH LITTLE ROCK, AR 72117
Pediatrics
3401 SPRINGHILL DR, SUITE 245
NORTH LITTLE ROCK, AR 72117
Surgery
3401 SPRINGHILL DR, STE 400
NORTH LITTLE ROCK, AR 72117
Surgery
3401 SPRINGHILL DR, STE 400
NORTH LITTLE ROCK, AR 72117
Nurse Practitioner (Pediatrics)
3401 SPRINGHILL DR, SUITE 245
NORTH LITTLE ROCK, AR 72117
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
3401 SPRINGHILL DR, STE. 290
N LITTLE ROCK, AR 72117

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 Gary Barton's NPI number?

The NPI number for Gary Barton is 1265473821. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Gary Barton located?

Gary Barton practices at 3401 Springhill Dr Ste 400, North Little Rock, AR 72117. The listed phone number is (501) 945-3343.

What is Gary Barton's specialty?

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

Is Gary Barton enrolled in Medicare?

Yes. Gary Barton 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 Gary Barton accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Gary Barton 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.

When was this NPI record last updated?

The NPPES record for Gary Barton was last updated on August 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.