JAMES BARRON MD
NPI 1295776441
Internal Medicine in Grand Rapids, MI
About James Barron Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES BARRON MD (NPI 1295776441) is an individual internal medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301079591) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and is a graduate of Michigan State University College Of Human Medicine (1994).
NPPES Registry Identity
Specialties & Licenses
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
James Barron 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
6Medicare enrollment records show James Barron reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 2,446 clinicians in this Medicare group
Big Rapids, MI 49307
- Reassigned Medicare billing, Michigan enrollment
- 151 clinicians in this Medicare group
Columbus, OH 43213
- Reassigned Medicare billing, Ohio enrollment
- 776 clinicians in this Medicare group
Ashtabula, OH 44004
- Reassigned Medicare billing, Ohio enrollment
- 272 clinicians in this Medicare group
Chillicothe, OH 45601
- Reassigned Medicare billing, Ohio enrollment
- 763 clinicians in this Medicare group
Scottsdale, AZ 85254
- Reassigned Medicare billing, Michigan enrollment
- 143 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.
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Spectrum Health United Hospital
Acute Care Hospitals · Greenville, MICorewell Health Big Rapids Hospital
Acute Care Hospitals · Big Rapids, MICorewell Health Reed City Hospital
Critical Access Hospitals · Reed City, MICorewell Health Gerber Hospital
Critical Access Hospitals · Fremont, MIAdena Regional Medical Center
Acute Care Hospitals · Chillicothe, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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.
GRAND RAPIDS, MI 49503
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 Barron's NPI number?
The NPI number for James Barron is 1295776441. It was assigned to this individual provider in the NPPES registry on June 9, 2006.
Where is James Barron located?
James Barron practices at 100 Michigan St NE Suite A721, Grand Rapids, MI 49503. The listed phone number is (616) 776-7430.
What is James Barron's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is James Barron enrolled in Medicare?
Yes. James Barron 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 James Barron's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Barron reassigns Medicare benefits to 6 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI), Mecosta County Medical Center (Big Rapids, MI), Hospitalist Medicine Physicians Of Ohio, Professional Corporation (Columbus, OH), Apogee Medical Group Ohio Inc (Ashtabula, OH), Adena Medical Group LLC (Chillicothe, OH) and 1 more organization, listed in the Medicare section above. 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 James Barron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Barron accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 4 other insurers list James Barron 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 Barron affiliated with any hospitals?
According to CMS data, James Barron is affiliated with Spectrum Health United Hospital, Corewell Health Big Rapids Hospital, Corewell Health Reed City Hospital, Corewell Health Gerber Hospital and Adena Regional Medical Center.
When was this NPI record last updated?
The NPPES record for James Barron was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# James Barron, MD · NPI 1295776441
Internal Medicine physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since June 9, 2006.
## Identity
- **NPI:** 1295776441 (Entity type: Individual)
- **Enumerated:** June 9, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 4301079591 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 MICHIGAN ST NE, SUITE A721, Grand Rapids, MI 49503-2560
- **Phone:** (616) 776-7430
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Spectrum Health Primary Care Partners (NPI 1790093763, Grand Rapids, MI); Mecosta County Medical Center (NPI 1508146457, Big Rapids, MI); Hospitalist Medicine Physicians Of Ohio, Professional Corporation (NPI 1043572290, Columbus, OH); Apogee Medical Group Ohio Inc (NPI 1477500999, Ashtabula, OH); Adena Medical Group LLC (NPI 1235468083, Chillicothe, OH); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Human Medicine, class of 1994
## Record status
- **NPPES last updated:** April 5, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1295776441) · Data from the CMS NPPES public registry.