JAMES ROBERT BARRETT MD
NPI 1285088591
Surgery in Provo, UT

Active since April 22, 2016PECOS EnrolledAccepts Medicare Assignment
3550 N UNIVERSITY AVE STE 250, PROVO, UT 84604(801) 374-9625(801) 374-9690 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James Robert Barrett Md NPPES

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

JAMES ROBERT BARRETT MD (NPI 1285088591) is an individual surgery provider in Provo, Utah, licensed in Utah (13409575-1205) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and is a graduate of University Of Utah School Of Medicine (2016).

NPPES Registry Identity

NPI1285088591
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJAMES ROBERT BARRETTCredential: MD
Location Address3550 N UNIVERSITY AVE STE 250Provo, UT 84604-6695
Mailing Address3550 N University Ave Ste 250Provo, UT 84604-6695 · (801) 374-9625 · Fax (801) 374-9690
Fax(801) 374-9690
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2016
Enumeration DateApril 22, 2016
Last NPPES UpdateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
NPI 1285088591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in UT · 13409575-1205 Licensed in WI · 6511
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3550 N UNIVERSITY AVE STE 250, Provo, UT 84604

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

James Robert Barrett 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 ID4183917263
PECOS Enrollment IDI20230815003159
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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
50 services31 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
34 services34 patients
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.
31 services19 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.
28 services28 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

American Fork Hospital

Acute Care Hospitals · American Fork, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460023
Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims2,880 services$0.99 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier11 claims11 services$12.63 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 14

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

Nurse Practitioner
3550 N UNIVERSITY AVE STE 250
PROVO, UT 84604
Physician Assistant (Surgical)
3550 N UNIVERSITY AVE STE 250
PROVO, UT 84604
Nurse Practitioner (Family)
3550 N UNIVERSITY AVE STE 250
PROVO, UT 84604
Plastic Surgery
3550 N UNIVERSITY AVE STE 250
PROVO, UT 84604
Surgery
3550 N UNIVERSITY AVE STE 250
PROVO, UT 84604
Nurse Practitioner (Family)
3550 N UNIVERSITY AVE STE 250
PROVO, UT 84604
Surgery
3550 N UNIVERSITY AVE STE 250
PROVO, UT 84604
Nurse Practitioner
3550 N UNIVERSITY AVE STE 250
PROVO, UT 84604

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 Barrett's NPI number?

The NPI number for James Barrett is 1285088591. It was assigned to this individual provider in the NPPES registry on April 22, 2016.

Where is James Barrett located?

James Barrett practices at 3550 N University Ave Ste 250, Provo, UT 84604. The listed phone number is (801) 374-9625.

What is James Barrett's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Barrett enrolled in Medicare?

Yes. James Barrett 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 Barrett accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list James Barrett 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 Barrett affiliated with any hospitals?

According to CMS data, James Barrett is affiliated with Utah Valley Hospital and American Fork Hospital.

When was this NPI record last updated?

The NPPES record for James Barrett was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.