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MICHAEL T BARBARA DO
NPI 1376513549
Internal Medicine in Indianapolis, IN

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
8101 CLEARVISTA PKWY STE 200, INDIANAPOLIS, IN 46256(317) 621-5390 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2024, Apr 18, 2022, Oct 6, 2020 and 1 more (4 updates tracked since 2015).

About Michael T Barbara Do NPPES

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

MICHAEL T BARBARA DO (NPI 1376513549) is an individual internal medicine provider in Indianapolis, Indiana, licensed in Indiana (02000737A) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Community Hospital East, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1376513549
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL T BARBARACredential: DO
Location Address8101 CLEARVISTA PKWY STE 200Indianapolis, IN 46256-4675
Mailing Address6626 E 75th St, Ste 500Indianapolis, IN 46250-2805
Phone(317) 621-5390
Sole ProprietorNo
Medical School CMSKansas City College Of Medicine And SurgeryGraduated 1978
Enumeration DateJanuary 23, 2006
Last NPPES UpdateDecember 10, 20244 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1376513549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 02000737A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8101 CLEARVISTA PKWY STE 200, Indianapolis, IN 46256
Open in Google Maps ↗

Secondary Practice Location 1

Location 11011 Main St Ste 110Indianapolis, IN 46224-6978 · Phone (317) 957-9150 · Fax (317) 957-9965

Other Identifiers 3

Medicaid100073070IN
OtherP01512386IN · Railroad Ptan
Other000000718449IN · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.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

Michael T Barbara 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 ID9032290317
PECOS Enrollment IDI20100625000238
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 9

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.
295 services121 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
214 services196 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
79 services74 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
59 services24 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.
48 services48 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 services34 patients

Hospital Affiliations CMS Care Compare 5

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

Community Hospital East

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Parkview Huntington Hospital

Acute Care Hospitals · Huntington, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150091
Location2001 Stults RdHuntington, IN 46750 · Huntington County
Emergency services Birthing friendly

Community Hospital North

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150169
Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County
Emergency services Birthing friendly

Parkview Wabash Hospital, Inc

Critical Access Hospitals · Wabash, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151310
Location10 John Kissinger DriveWabash, IN 46992 · Wabash County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46256 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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
11 suppliers28 claims74 services$6.03 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
1 supplier12 claims12 services$15.37 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
2 suppliers24 claims24 services$62.25 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
4 suppliers19 claims1,920 services$0.09 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
5 suppliers22 claims22 services$24.82 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 5

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

PRAVLEEN BAINS DO
Internal Medicine
8101 CLEARVISTA PKWY STE 200
INDIANAPOLIS, IN 46256
Marion County (317) 621-5390
DR. SIRSHENDU BANERJEE M.D.
Internal Medicine
8101 CLEARVISTA PKWY STE 200
INDIANAPOLIS, IN 46256
Marion County (317) 621-4139
MOLLY MARIE SPEARING NP
Nurse Practitioner
8101 CLEARVISTA PKWY STE 200
INDIANAPOLIS, IN 46256
Marion County (317) 621-5390
JACQUELINE CHANDLER FNP-C
Nurse Practitioner (Family)
8101 CLEARVISTA PKWY STE 200
INDIANAPOLIS, IN 46256
Marion County (317) 621-5390
NUR UN NISA NABIL
Internal Medicine
8101 CLEARVISTA PKWY STE 200
INDIANAPOLIS, IN 46256
Marion County (317) 621-5390

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 Michael Barbara's NPI number?

The NPI number for Michael Barbara is 1376513549. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Michael Barbara located?

Michael Barbara practices at 8101 Clearvista Pkwy Ste 200, Indianapolis, IN 46256. The listed phone number is (317) 621-5390.

What is Michael Barbara's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Barbara enrolled in Medicare?

Yes. Michael Barbara 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 Michael Barbara accept?

Health plans from CareSource and UnitedHealthcare list Michael Barbara 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 Michael Barbara affiliated with any hospitals?

According to CMS data, Michael Barbara is affiliated with Community Hospital East, Ascension St Vincent Hospital, Parkview Huntington Hospital, Community Hospital North and Parkview Wabash Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Michael Barbara was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.