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NICHOLAS TANNER BARNES D.O.
NPI 1376939173
Family Medicine in Delta, OH

Active since April 08, 2015PECOS EnrolledAccepts Medicare Assignment
90.06/100
CMS Quality Rating
6696 US HIGHWAY 20A, DELTA, OH 43515(419) 822-3242(419) 822-9008 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicholas Tanner Barnes D.o. NPPES

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

NICHOLAS TANNER BARNES D.O. (NPI 1376939173) is an individual family medicine provider in Delta, Ohio, licensed in Ohio (34.013236) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and maintains a secondary practice location in Toledo.

NPPES Registry Identity

NPI1376939173
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNICHOLAS TANNER BARNESCredential: D.O.
Location Address6696 US HIGHWAY 20ADelta, OH 43515-9799
Mailing Address6696 Us Highway 20aDelta, OH 43515-9799 · (198) 223-2424 · Fax (419) 822-9008
Phone(419) 822-3242
Fax(419) 822-9008
Sole ProprietorYes
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2015
Enumeration DateApril 8, 2015
Last NPPES UpdateJune 9, 2021
NPPES CertifiedJune 9, 2021
✔ NPI 1376939173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34.013236
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6696 US HIGHWAY 20A, Delta, OH 43515
Open in Google Maps ↗

Secondary Practice Location 1

Location 12100 W Central Ave, Suite #200Toledo, OH 43606-3800 · Phone (419) 291-2340 · Fax (419) 479-6952

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Nicholas Tanner Barnes D.o. 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 ID5395058820
PECOS Enrollment IDI20180926003418
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 10

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.
242 services83 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 services31 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.
43 services33 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services23 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.
26 services26 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
23 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Mercy Health - Defiance Hospital

Acute Care Hospitals · Defiance, OH
4/5 CMS rating
OwnershipProprietary
CMS Certification Number360270
Location1404 East Second StreetDefiance, OH 43512 · Defiance County
Emergency services

Fulton County Health Center

Critical Access Hospitals · Wauseon, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361333
Location725 South Shoop AvenueWauseon, OH 43567 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43515 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.11
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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
8 suppliers35 claims62 services$5.73 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
2 suppliers11 claims13 services$13.73 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier16 claims16 services$4.08 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 suppliers20 claims22 services$61.28 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 4

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

MS. ANN MARIE STECK M.D.
Family Medicine
6696 US HIGHWAY 20A
DELTA, OH 43515
Fulton County (419) 822-3242
DR. DEXTER L PHILLIPS JR. D.O.
Family Medicine
6696 US HIGHWAY 20A
DELTA, OH 43515
Fulton County (419) 822-3242
PAUL THOMAS DIAZ
Nurse Practitioner (Family)
6696 US HIGHWAY 20A
DELTA, OH 43515
Fulton County (419) 822-3242
ELIZABETH ANNE BARGA
Family Medicine
6696 US HIGHWAY 20A
DELTA, OH 43515
Fulton County (419) 794-9292

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 Nicholas Barnes's NPI number?

The NPI number for Nicholas Barnes is 1376939173. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is Nicholas Barnes located?

Nicholas Barnes practices at 6696 Us Highway 20A, Delta, OH 43515. The listed phone number is (419) 822-3242.

What is Nicholas Barnes's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicholas Barnes enrolled in Medicare?

Yes. Nicholas Barnes 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 Nicholas Barnes accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Nicholas Barnes 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 Nicholas Barnes affiliated with any hospitals?

According to CMS data, Nicholas Barnes is affiliated with Promedica Toledo Hospital, Mercy St Vincent Medical Center, Mercy Health - Defiance Hospital and Fulton County Health Center.

When was this NPI record last updated?

The NPPES record for Nicholas Barnes was last updated on June 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.