THERESA BARTON MD
NPI 1295760205
Pediatrics - Pediatric Infectious Diseases in Seattle, WA
About Theresa Barton Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA BARTON MD (NPI 1295760205) is an individual pediatric infectious diseases provider in Seattle, Washington, licensed in Washington (MD61577772) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Theresa Barton 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.
Medicare Billing Reassignments
5Medicare enrollment records show Theresa Barton reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Seattle, WA 98105
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: The Association Of Chrmc And University Physicians
- 1,443 clinicians in this Medicare group
Seattle, WA 98104
- Reassigned Medicare billing, Washington enrollment
- 4,364 clinicians in this Medicare group
Boerne, TX 78015
- Reassigned Medicare billing, Texas enrollment
- 2,397 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,296 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Texas Childrens Physician Group
- 2,498 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SEATTLE, WA 98105
SEATTLE, WA 98105
SEATTLE, WA 98105
SEATTLE, WA 98105
SEATTLE, WA 98105
SEATTLE, WA 98105
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 Theresa Barton's NPI number?
The NPI number for Theresa Barton is 1295760205. It was assigned to this individual provider in the NPPES registry on July 11, 2006.
Where is Theresa Barton located?
Theresa Barton practices at 4800 Sand Point Way NE, Seattle, WA 98105. The listed phone number is (206) 987-2073.
What is Theresa Barton's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.
Is Theresa Barton enrolled in Medicare?
Yes. Theresa 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.
Which organizations bill Medicare for Theresa Barton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Barton reassigns Medicare benefits to 5 organizations: Association Of Chmc And University Physicians (Seattle, WA), The Association Of University Physicians (Seattle, WA), University Of Texas Health Science Center At San Antonio (Boerne, TX), Baylor College Of Medicine (Houston, TX) and Texas Children's Physician Group (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Barton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresa Barton accept?
Health plans from Blue Cross and Blue Shield of Texas, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Theresa 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 Theresa Barton was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Theresa Barton, MD · NPI 1295760205
Pediatric Infectious Diseases physician in Seattle, Washington. Individual provider, active in the CMS NPPES registry since July 11, 2006.
## Identity
- **NPI:** 1295760205 (Entity type: Individual)
- **Enumerated:** July 11, 2006
- **Primary specialty:** Pediatrics - Pediatric Infectious Diseases · taxonomy 2080P0208X
- **State license:** MD61577772 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 4800 SAND POINT WAY NE, Seattle, WA 98105-3901
- **Phone:** (206) 987-2073
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Association Of Chmc And University Physicians (NPI 1649497827, Seattle, WA); The Association Of University Physicians (NPI 1023041159, Seattle, WA); University Of Texas Health Science Center At San Antonio (NPI 1417921834, Boerne, TX); Baylor College Of Medicine (NPI 1104867175, Houston, TX); Texas Children's Physician Group (NPI 1861675506, Houston, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** March 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1295760205) · Data from the CMS NPPES public registry.