NATHAN KOALI'I BARRON DO
NPI 1336761196
Hospitalist in Greenville, SC

Q: What is Nathan Barron's NPI number?

The NPI number for Nathan Barron is 1336761196. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Q: What is Nathan Barron's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Barron was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since May 14, 2020PECOS EnrolledAccepts Medicare Assignment

98.3/100

CMS Quality Rating

701 GROVE RD FL 5, GREENVILLE, SC 29605(864) 455-4411(864) 455-4480 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2023, Jun 21, 2023, May 14, 2020 (3 updates tracked since 2020).

On this page

About Nathan Koali'i Barron Do NPPES

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

NATHAN KOALI'I BARRON DO (NPI 1336761196) is an individual hospitalist provider in Greenville, South Carolina, licensed in South Carolina (83223) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Oconee Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1336761196

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameNATHAN KOALI'I BARRONCredential: DO

Location Address701 GROVE RD FL 5Greenville, SC 29605-4210

Mailing Address300 E Mcbee Ave Ste 300Greenville, SC 29601-2899 · (864) 522-8611

Phone(864) 455-4411

Fax(864) 455-4480

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 14, 2020

Last NPPES UpdateAugust 21, 20253 updates tracked since enumeration

NPPES CertifiedAugust 21, 2025

✔ NPI 1336761196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Licenses✔ Licensed in SC · 83223✔ Licensed in NC · 2023-01661

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

701 GROVE RD FL 5, Greenville, SC 29605

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.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

Nathan Koali'i Barron Do 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 ID9032536412

PECOS Enrollment IDI20250819001903

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

232 services82 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

67 services24 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

35 services35 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

29 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Prisma Health Oconee Memorial Hospital

Acute Care Hospitals · Seneca, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420009

Location298 Memorial DrSeneca, SC 29672 · Oconee County

Emergency services Birthing friendly

Prisma Health Baptist Easley Hospital

Acute Care Hospitals · Easley, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420015

Location200 Fleetwood DriveEasley, SC 29640 · Pickens County

Emergency services

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420078

Location701 Grove RoadGreenville, SC 29605 · Greenville County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29605 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

98.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Other Providers at the Same Location NPPES 20

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

BENJAMIN ELLIS RAWLS M.D.

Hospitalist