KARL JAY BARTON FNP-C - NPI 1306889522 - Nurse Practitioner in Spanish Fork, UT

Q: What is Karl Barton's NPI number?

The NPI number for Karl Barton is 1306889522. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Q: What is Karl Barton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Karl Barton was last updated on September 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Karl Jay Barton Fnp-c NPPES

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

KARL JAY BARTON FNP-C (NPI 1306889522) is an individual nurse practitioner in Spanish Fork, Utah, licensed in Utah (198637-4405) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1306889522

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameKARL JAY BARTONCredential: FNP-C

Location Address24 N 100 ESpanish Fork, UT 84660-1802

Mailing AddressPo Box 1769Spanish Fork, UT 84660-7769 · (801) 504-6421 · Fax (989) 260-0370

Phone(801) 504-6421

Fax(989) 260-0370

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateJune 14, 2006

Last NPPES UpdateSeptember 16, 2024

NPPES CertifiedSeptember 16, 2024

✔ NPI 1306889522 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 UT · 198637-4405

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.

24 N 100 E, Spanish Fork, UT 84660

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Other Identifiers 2

OtherP00230648UT · Palmetto

Other01986374401001UT · Bcbs Of Utah

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Regence BlueCross BlueShield of Utah and more.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

Karl Jay Barton Fnp-c 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 ID244206373

PECOS Enrollment IDI20040909000330

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

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.

36 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84660 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

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

2 suppliers11 claims25 services$5.80 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 5

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

DR. ROBERT A FRAMPTON MD

Family Medicine