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WADE BARTON MD, PHARMD
NPI 1346773231
Obstetrics & Gynecology in Providence, RI

Active since April 06, 2017PECOS EnrolledAccepts Medicare Assignment
101 DUDLEY ST, PROVIDENCE, RI 02905(401) 274-1100 Get Directions Write a Review

NPPES record last updated: July 28, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 28, 2019, Jun 13, 2018 (2 updates tracked since 2018).

About Wade Barton Md, Pharmd NPPES

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

WADE BARTON MD, PHARMD (NPI 1346773231) is an individual obstetrics & gynecology provider in Providence, Rhode Island, licensed in Rhode Island (LP04430) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1346773231
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameWADE BARTONCredential: MD, PHARMD
Location Address101 DUDLEY STProvidence, RI 02905
Mailing Address101 Dudley StProvidence, RI 02905-2401
Phone(401) 274-1100
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2018
Enumeration DateApril 6, 2017
Last NPPES UpdateJuly 28, 20192 updates tracked since enumeration
✔ NPI 1346773231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in RI · LP04430
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
101 DUDLEY ST, Providence, RI 02905
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Secondary Practice Location 1

Location 1500 S Preston St, Room 305Louisville, KY 40202-1702 · Phone (502) 852-8696

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wade Barton Md, Pharmd 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 ID840618211
PECOS Enrollment IDI20260324002773
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Wade Barton reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spring Mills Medical Center
376 mi
Pediatrics
1179 T J JACKSON DR
Falling Waters, WV 25419
  • Reassigned Medicare billing, West Virginia enrollment
  • Medicare enrollment name: West Virginia University Medical Corporation
  • 2,471 clinicians in this Medicare group
NPI 1235489931 (304) 820-1031
United Hospital Center, Inc.
490 mi
Family Medicine
177 MIDDLETOWN RD STE 1
White Hall, WV 26554
  • Reassigned Medicare billing, West Virginia enrollment
  • 441 clinicians in this Medicare group
NPI 1194269589 (304) 363-6600
University Of Alabama Health Services Foundation, PC
1,007 mi
Clinical Medical Laboratory
720 20TH STREET SOUTH
Birmingham, AL 35294
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
NPI 1366638330 (205) 934-4983
Vincentian Physician Services LLC
1,017 mi
Family Medicine
810 SAINT VINCENT'S DRIVE, 3RD FLOOR; PHYSICIAN DEVELOPMENT DEPT
Birmingham, AL 35205
  • Reassigned Medicare billing, Alabama enrollment
  • 263 clinicians in this Medicare group
NPI 1851698310 (205) 930-2346

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510006
Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

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.

CHRISTOPHER DONALD PALMER DO
Internal Medicine
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1122
BRITTANY S HAMPTON MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100
HEIDI FANION LCSW
Social Worker (Clinical)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100
MS. LINDA BEETLESTONE MS
Genetic Counselor, MS
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 453-7515
JULIE ANNA KNUTSON RN, CNM
Advanced Practice Midwife
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1122
BETHANY DAWSON LICSW
Social Worker (Clinical)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100
HEATHER A SMITH MD, MPH
Obstetrics & Gynecology (Obstetrics)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1122
NADINE C KASSIS MD
Obstetrics & Gynecology
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100

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 Wade Barton's NPI number?

The NPI number for Wade Barton is 1346773231. It was assigned to this individual provider in the NPPES registry on April 6, 2017.

Where is Wade Barton located?

Wade Barton practices at 101 Dudley St, Providence, RI 02905. The listed phone number is (401) 274-1100.

What is Wade Barton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Wade Barton enrolled in Medicare?

Yes. Wade Barton 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.

Which organizations bill Medicare for Wade Barton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wade Barton reassigns Medicare benefits to 4 organizations: Spring Mills Medical Center (Falling Waters, WV), United Hospital Center, Inc. (White Hall, WV), University Of Alabama Health Services Foundation, PC (Birmingham, AL) and Vincentian Physician Services LLC (Birmingham, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wade Barton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wade Barton accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list Wade Barton 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 Wade Barton affiliated with any hospitals?

According to CMS data, Wade Barton is affiliated with West Virginia University Hospitals, Inc and United Hospital Center, Inc.

When was this NPI record last updated?

The NPPES record for Wade Barton was last updated on July 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.