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ANTHONY BARNES MD
NPI 1316903941
Family Medicine in Frankfort, KY

Active since April 22, 2006PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
4 HMB CIR, FRANKFORT, KY 40601(502) 695-7725 Get Directions Write a Review

NPPES record last updated: December 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anthony Barnes Md NPPES

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

ANTHONY BARNES MD (NPI 1316903941) is an individual family medicine provider in Frankfort, Kentucky, licensed in Kentucky (30374) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of University Of Louisville School Of Medicine (1994).

NPPES Registry Identity

NPI1316903941
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANTHONY BARNESCredential: MD
Location Address4 HMB CIRFrankfort, KY 40601-5376
Mailing AddressPo Box 4168Frankfort, KY 40604-4168 · (502) 223-5811
Phone(502) 695-7725
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1994
Enumeration DateApril 22, 2006
Last NPPES UpdateDecember 28, 2011
✔ NPI 1316903941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 30374
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4 HMB CIR, Frankfort, KY 40601
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Other Identifiers 3

Medicare PIN0404702KY
Medicare UPINF35712
Medicaid64303746KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Anthony Barnes 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 ID6002848512
PECOS Enrollment IDI20050906000848
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 10

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.
452 services155 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
187 services115 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
117 services117 patients
Urine microalbumin (protein) analysis 82044
Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.
40 services40 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
38 services35 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
36 services33 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Frankfort Regional Medical Center

Acute Care Hospitals · Frankfort, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180127
Location299 Kings Daughters DriveFrankfort, KY 40601 · Franklin County
Emergency services

Saint Joseph East

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180143
Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40601 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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
5 suppliers34 claims63 services$6.49 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims15 services$1.11 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers34 claims34 services$19.37 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers64 claims64 services$110.66 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 6

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

STEVEN CRUM MD
Family Medicine
4 HMB CIR
FRANKFORT, KY 40601
Franklin County (502) 695-7725
MYRA PIERATT APRN
Nurse Practitioner
4 HMB CIR
FRANKFORT, KY 40601
Franklin County (502) 695-9990
ANGELA WILKINS PA
Physician Assistant
4 HMB CIR
FRANKFORT, KY 40601
Franklin County (502) 695-7725
CAPITAL FAMILY PHYSICIANS
Nurse Practitioner
4 HMB CIR
FRANKFORT, KY 40601
Franklin County (502) 223-5811
REBECCA LUKING DO
Family Medicine
4 HMB CIR
FRANKFORT, KY 40601
Franklin County (502) 695-7725
KIMBERLY RENEE HAYES PA
Physician Assistant (Medical)
4 HMB CIR
FRANKFORT, KY 40601
Franklin County (502) 223-5811

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 Anthony Barnes's NPI number?

The NPI number for Anthony Barnes is 1316903941. It was assigned to this individual provider in the NPPES registry on April 22, 2006.

Where is Anthony Barnes located?

Anthony Barnes practices at 4 Hmb Cir, Frankfort, KY 40601. The listed phone number is (502) 695-7725.

What is Anthony Barnes's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anthony Barnes enrolled in Medicare?

Yes. Anthony Barnes 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 Anthony Barnes accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Anthony Barnes 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 Anthony Barnes affiliated with any hospitals?

According to CMS data, Anthony Barnes is affiliated with Baptist Health Lexington, Frankfort Regional Medical Center and Saint Joseph East.

When was this NPI record last updated?

The NPPES record for Anthony Barnes was last updated on December 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.