DR. TOM J BARBERA PHD
NPI 1336122928
Psychologist - Clinical in Noblesville, IN

Active since November 28, 2005PECOS Enrolled
97.58/100
CMS Quality Rating
205 WESTFIELD RD, NOBLESVILLE, IN 46060(317) 770-2841 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2024, Jul 16, 2021, Feb 26, 2019 (3 updates tracked since 2019).

About Dr. Tom J Barbera Phd NPPES

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

DR. TOM J BARBERA PHD (NPI 1336122928) is an individual clinical provider in Noblesville, Indiana, licensed in Indiana (20041728A) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1336122928
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. TOM J BARBERACredential: PHD
Location Address205 WESTFIELD RDNoblesville, IN 46060-1424
Mailing Address395 Westfield RdNoblesville, IN 46060-1425 · (317) 773-0760
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateNovember 28, 2005
Last NPPES UpdateJune 11, 20243 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
NPI 1336122928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in IN · 20041728A
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X · License 20041728A (IN)
205 WESTFIELD RD, Noblesville, IN 46060

Other Identifiers 1

Medicaid200376530IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Tom J Barbera Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315020112
PECOS Enrollment IDI20080218000376
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 3

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
62 services15 patients
Group psychotherapy 90853
Group psychotherapy involves individuals discussing their issues in a group setting, led by a professional therapist. It provides a supportive environment where members can learn from each other's experiences, gain different perspectives, and develop new ways to handle challenges.
31 services16 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46060 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Psychiatric/Mental Health)
205 WESTFIELD RD
NOBLESVILLE, IN 46060
Social Worker
205 WESTFIELD RD
NOBLESVILLE, IN 46060
Psychologist (Clinical)
205 WESTFIELD RD
NOBLESVILLE, IN 46060
Nurse Practitioner (Psychiatric/Mental Health)
205 WESTFIELD RD
NOBLESVILLE, IN 46060

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 Tom Barbera's NPI number?

The NPI number for Tom Barbera is 1336122928. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Where is Tom Barbera located?

Tom Barbera practices at 205 Westfield Rd, Noblesville, IN 46060. The listed phone number is (317) 770-2841.

What is Tom Barbera's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Tom Barbera enrolled in Medicare?

Yes. Tom Barbera is registered in the Medicare PECOS enrollment system.

What insurance does Tom Barbera accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Providence Health Plan and 1 other insurer list Tom Barbera 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.

When was this NPI record last updated?

The NPPES record for Tom Barbera was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.