DR. JEFFREY SCOTT BARTON M.D.
NPI 1295988350
Surgery in New Orleans, LA
NPI Status: Active since November 02, 2008
Contact Information
1542 TULANE AVE
ROOM 734
NEW ORLEANS, LA
ZIP 70112
Phone: (713) 906-0750
- Individual
- Male
- Years of Experience 18
- Surgery
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About JEFFREY BARTON
This page provides the complete NPI Profile along with additional information for Jeffrey Barton, a provider established in New Orleans, Louisiana with a medical specialization in Surgery and more than 18 years of experience. He graduated from University Of Chicago, Pritzker School Of Medicine in 2008. The healthcare provider is registered in the NPI registry with number 1295988350 assigned on November 2008. The practitioner's primary taxonomy code is 208600000X with license number LL17854 (OR). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1295988350
- Provider Name
- DR. JEFFREY SCOTT BARTON M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1542 TULANE AVE ROOM 734 NEW ORLEANS, LA 70112
- Location Phone
- (713) 906-0750
- Mailing Address
- 1542 TULANE AVE ROOM 734 NEW ORLEANS, LA 70112
- Medical School Name
- UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
- Graduation Year
- 2008
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-02-2008
- Last Update Date
- 03-23-2015
- Code Navigator
A surgeon like Jeffrey Barton treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- LL17854
- License State
- OR
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- KP OR Bronze 6000 - EPO
- KP OR Bronze HSA 7100 - EPO
- KP OR Gold 0 - EPO
- KP OR Gold 1750 - EPO
- KP OR Silver 3000 - EPO
- KP OR Silver 4000 - EPO
- KP Oregon Standard Bronze Plan - EPO
- KP Oregon Standard Gold Plan - EPO
- KP Oregon Standard Silver Plan - EPO
- KP OR Family Dental - $100 Ded - EPO
- KP OR Family Dental - $1000 - EPO
- KP OR Family Dental - $1000/$50 Ded - EPO
- Essential Bronze 6500 - POS
- Essential Gold 1500 - POS
- Freedom Silver 4000 - POS
- Savings Bronze 7700 - POS
- Standard Bronze 7500 - POS
- Standard Gold 1500 - POS
- Standard Silver 5000 - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Jeffrey Barton is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Jeffrey Barton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 42455792
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20210909002836, I20220816002422
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Colonoscopy
Hernia repair - groin (open)
A colonoscopy is a medical procedure that allows your doctor to examine your colon (the large intestine). It utilizes a thin, flexible tube with a tiny camera on the end, which is inserted through the rectum. This procedure can help identify issues such as polyps, inflammation, or early signs of cancer. It's usually recommended for people over 50 or those with specific risk factors.
This service was performed for 48 patientsHernia repair in the groin area (open) is a surgical procedure to fix a bulge or protrusion, caused by internal tissues pushing through a weak spot in your abdominal wall. In this operation, a small incision is made in the groin area. The protruding tissue is then placed back into the abdomen, and the weakened area is reinforced with stitches or a mesh.
This service was performed for 1-10 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.69 for a new patient copayment and $17.36 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 70112 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $86.76
- Minimum New Patient Price $55.5
- Maximum New Patient Price $170.3
- Average New Patient Copayment $21.69
- Minimum New Patient Copayment $13.87
- Maximum New Patient Copayment $42.57
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.44
- Minimum Established Patient Price $17.42
- Maximum Established Patient Price $138.03
- Average Established Patient Copayment $17.36
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $34.5
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jeffrey Barton is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| KAISER SUNNYSIDE MEDICAL CENTER | 10180 SE SUNNYSIDE ROAD CLACKAMAS, OR 97015 | (503) 652-2880 | Acute Care Hospitals |
Reviews for DR. JEFFREY SCOTT BARTON M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 9 | 5 | 9 | 8 | 8 | 3 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 18 | 5 | 18 | 8 | 16 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 8 + 5 + 1 + 8 + 8 + 1 + 6 + 3 + 1 + 0 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1295988350 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. DANA MARIE WALTERS M.D.
Internal Medicine
(Nephrology)
1542 TULANE AVE
NEW ORLEANS, LA
ZIP 70112
CECILIA ANN MOUTON MD
Internal Medicine
(Cardiovascular Disease)
1542 TULANE AVE
BOX T6M-1
NEW ORLEANS, LA
ZIP 70112
CASSANDRA DENISE YOUMANS MD
Internal Medicine
(Cardiovascular Disease)
1542 TULANE AVE
BOX T6M-1
NEW ORLEANS, LA
ZIP 70112
LEO T. HAPPEL JR. PHD
Internal Medicine
(Cardiovascular Disease)
1542 TULANE AVE
BOX T2-1
NEW ORLEANS, LA
ZIP 70112
CARMEN GLADYS ESPINOZA MD
Pathology
(Dermatopathology)
1542 TULANE AVE
NEW ORLEANS, LA
ZIP 70112
DR. CHRISTOPHER C BAKER MD
Surgery
1542 TULANE AVE
ROOM 759
NEW ORLEANS, LA
ZIP 70112
DANIA HERNANDEZ-FLORES
Nurse Anesthetist, Certified Registered
1542 TULANE AVE
NEW ORLEANS, LA
ZIP 70112
BRYAN MARCELL
Nurse Anesthetist, Certified Registered
1542 TULANE AVE
NEW ORLEANS, LA
ZIP 70112
LAURA S BONANNO CRNA
Nurse Anesthetist, Certified Registered
1542 TULANE AVE
NEW ORLEANS, LA
ZIP 70112
MRS. KIM M SERVAY CRNA, M.S.
Nurse Anesthetist, Certified Registered
1542 TULANE AVE
NEW ORLEANS, LA
ZIP 70112
DAVID ISAAC BERAN D.O.
Emergency Medicine
1542 TULANE AVE
RM 459 BOX T4M2
NEW ORLEANS, LA
ZIP 70112
DR. RYAN PHILIP ELLENDER M.D.
Anesthesiology
1542 TULANE AVE
ROOM 653
NEW ORLEANS, LA
ZIP 70112
DR. BAHRI USTUNSOZ MD
Radiology
(Diagnostic Radiology)
1542 TULANE AVE
NEW ORLEANS, LA
ZIP 70112
DIANA ISABEL THIEN M.D.
Internal Medicine
1542 TULANE AVE
SUITE 421, BOX T4M-2
NEW ORLEANS, LA
ZIP 70112
VALERIY KOZMENKO M.D.
Student in an Organized Health Care Education/Training Program
1542 TULANE AVE
SUIT 653
NEW ORLEANS, LA
ZIP 70112
DR. WILLIAM PAUL HUDSON II M.D.
Family Medicine
(Geriatric Medicine)
1542 TULANE AVE
BOX T4M-2
NEW ORLEANS, LA
ZIP 70112
DR. MIHRAN V NALJAYAN M.D.
Internal Medicine
(Nephrology)
1542 TULANE AVE
3RD FLOOR ROOM 330
NEW ORLEANS, LA
ZIP 70112
DR. KRISTINE URBAN OLIVIER M.D.
Psychiatry & Neurology
(Child & Adolescent Psychiatry)
1542 TULANE AVE
2ND FLOOR PSYCHIATRY OFFICE
NEW ORLEANS, LA
ZIP 70112
GUY R ORANGIO MD
Colon & Rectal Surgery
1542 TULANE AVE
747
NEW ORLEANS, LA
ZIP 70112
PAULA SEREEBUTRA SEAL MD, MPH
Internal Medicine
(Infectious Disease)
1542 TULANE AVE
STE 331, BOX T4M-2
NEW ORLEANS, LA
ZIP 70112
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295988350, enumerated as an "individual" on November 02, 2008.
The provider is located at 1542 TULANE AVE ROOM 734 NEW ORLEANS, LA 70112 and the phone number is (713) 906-0750.
Surgery with taxonomy code 208600000X.
The provider might be accepting Accepts: Kaiser Permanente and Primewell Health Services of. Please consult your insurance carrier or call the provider to verify.
Jeffrey Barton is affiliated with: KAISER SUNNYSIDE MEDICAL CENTER.
