WHITNEY BARTON APRN
NPI 1275070229
Nurse Practitioner in Corbin, KY

Active since January 30, 2017PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
14949 N US HIGHWAY 25 E, STE. 6, CORBIN, KY 40701(606) 528-2160(606) 258-2162 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Whitney Barton Aprn NPPES

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

WHITNEY BARTON APRN (NPI 1275070229) is an individual nurse practitioner in Corbin, Kentucky, licensed in Kentucky (3011042) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Corbin, and is a graduate of Lincoln Memorial University Medical Department (2016).

NPPES Registry Identity

NPI1275070229
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameWHITNEY BARTONCredential: APRN
Location Address14949 N US HIGHWAY 25 E, STE. 6Corbin, KY 40701-6285
Mailing AddressPo Box 1325Corbin, KY 40702-1325 · (606) 526-8131 · Fax (606) 528-8661
Fax(606) 258-2162
Sole ProprietorYes
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2016
Enumeration DateJanuary 30, 2017
NPI 1275070229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in KY · 3011042
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
14949 N US HIGHWAY 25 E, Corbin, KY 40701

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

Whitney Barton Aprn 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 ID3173807328
PECOS Enrollment IDI20170307001140
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 6

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.
277 services164 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.
61 services52 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
20 services20 patients
Test for exercise-induced lung stress 94618
An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.
18 services16 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.
12 services12 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40701 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 25

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers23 claims23 services$46.24 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers21 claims41 services$1.90 avg. paid by Medicare
Small volume nonfiltered pneumatic nebulizer, disposable A7004
DME-Other DME · category DE000N
1 supplier17 claims34 services$1.24 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers43 claims43 services$113.54 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers36 claims58 services$42.18 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers17 claims96 services$25.65 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 8

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

Nurse Practitioner
14949 N US HIGHWAY 25 E, SUITE 6
CORBIN, KY 40701
Internal Medicine (Pulmonary Disease)
14949 N US HIGHWAY 25 E, SUITE 6
CORBIN, KY 40701
Nurse Practitioner
14949 N US HIGHWAY 25 E, SUITE 4
CORBIN, KY 40701
Family Medicine
14949 N US HIGHWAY 25 E, STE. 4
CORBIN, KY 40701
Physician Assistant
14949 N US HIGHWAY 25 E, STE. 6
CORBIN, KY 40701
Nurse Practitioner
14949 N US HIGHWAY 25 E
CORBIN, KY 40701
Pharmacist
14949 N US HIGHWAY 25 E
CORBIN, KY 40701
Nurse Practitioner (Psychiatric/Mental Health)
14949 N US HIGHWAY 25 E
CORBIN, KY 40701

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 Whitney Barton's NPI number?

The NPI number for Whitney Barton is 1275070229. It was assigned to this individual provider in the NPPES registry on January 30, 2017.

Where is Whitney Barton located?

Whitney Barton practices at 14949 N Us Highway 25 E Ste. 6, Corbin, KY 40701. The listed phone number is (606) 528-2160.

What is Whitney Barton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Whitney Barton enrolled in Medicare?

Yes. Whitney 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 Whitney Barton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Whitney 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.

Is Whitney Barton affiliated with any hospitals?

According to CMS data, Whitney Barton is affiliated with Baptist Health Corbin.

When was this NPI record last updated?

The NPPES record for Whitney Barton was last updated on January 30, 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.