CARLTON B BARNSWELL MD
NPI 1316921844
Urology in Elmont, NY

Active since November 29, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
438 ELMONT RD, ELMONT, NY 11003(516) 328-8775(516) 328-8713 Get Directions Write a Review

NPPES record last updated: May 4, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carlton B Barnswell Md NPPES

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

CARLTON B BARNSWELL MD (NPI 1316921844) is an individual urology provider in Elmont, New York, licensed in New York (181883) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Yale University School Of Medicine (1988).

NPPES Registry Identity

NPI1316921844
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameCARLTON B BARNSWELLCredential: MD
Location Address438 ELMONT RDElmont, NY 11003-3529
Mailing Address438 Elmont RdElmont, NY 11003-3529 · (516) 328-8775 · Fax (516) 328-8713
Fax(516) 328-8713
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 1988
Enumeration DateNovember 29, 2005
Last NPPES UpdateMay 4, 2012
NPI 1316921844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NY · 181883
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
438 ELMONT RD, Elmont, NY 11003

Other Identifiers 3

Medicaid01752198NY
Medicare ID-Type Unspecified56T151NY
Medicare UPING35338

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

Carlton B Barnswell 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 ID7517923592
PECOS Enrollment IDI20041202000272
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 28

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
3,000 services18 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.
962 services579 patients
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.
871 services480 patients
Psa (prostate specific antigen) measurement, total 84153
PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.
661 services435 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
472 services312 patients
Bacterial colony count, urine 87086
A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).
435 services285 patients

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center

Acute Care Hospitals · Rockville Centre, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330259
Location1000 North Village AvenueRockville Centre, NY 11570 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11003 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Durable Medical Equipment & Medical Supplies
438 ELMONT RD
ELMONT, NY 11003
Urology
438 ELMONT RD
ELMONT, NY 11003

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 Carlton Barnswell's NPI number?

The NPI number for Carlton Barnswell is 1316921844. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Carlton Barnswell located?

Carlton Barnswell practices at 438 Elmont Rd, Elmont, NY 11003. The listed phone number is (516) 328-8775.

What is Carlton Barnswell's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Carlton Barnswell enrolled in Medicare?

Yes. Carlton Barnswell 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.

Is Carlton Barnswell affiliated with any hospitals?

According to CMS data, Carlton Barnswell is affiliated with Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for Carlton Barnswell was last updated on May 4, 2012. 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.