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MARK A BARNES DDS
NPI 1427072792
Dentist - General Practice in Wheaton, IL

Active since July 27, 2006PECOS Enrolled
531 E ROOSEVELT RD, SUITE 103, WHEATON, IL 60187(630) 221-8161(630) 221-8168 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mark A Barnes Dds NPPES

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

MARK A BARNES DDS (NPI 1427072792) is an individual general practice provider in Wheaton, Illinois, licensed in Illinois (19017161) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427072792
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMARK A BARNESCredential: DDS
Location Address531 E ROOSEVELT RD, SUITE 103Wheaton, IL 60187-5583
Mailing Address531 E Roosevelt Rd, Suite 103Wheaton, IL 60187-5583 · (630) 221-8161 · Fax (630) 221-8168
Phone(630) 221-8161
Fax(630) 221-8168
Sole ProprietorYes
Enumeration DateJuly 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1427072792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 19017161
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
531 E ROOSEVELT RD, Wheaton, IL 60187
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark A Barnes Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Mark Barnes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Dupage Physician Group
1.4 mi
Family Medicine
5777 DEPARTMENT
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 1,664 clinicians in this Medicare group
NPI 1033149844 (630) 933-3300

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60187 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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 5

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

DR. MARTIN ARTHUR DETTMER D.D.S.
Dentist
531 E ROOSEVELT RD, SUITE 100
WHEATON, IL 60187
Dupage County (630) 665-5550
DETTMER & BAUER LLC
Clinic/Center (Dental)
531 E ROOSEVELT RD, SUITE 100
WHEATON, IL 60187
Dupage County (630) 665-5550
MARTIN A. DETTMER, D.D.S.
Clinic/Center (Dental)
531 E ROOSEVELT RD, STE. 100
WHEATON, IL 60187
Dupage County (630) 665-5550
BRYAN BAUER D.D.S.
Dentist (General Practice)
531 E ROOSEVELT RD, SUITE 100
WHEATON, IL 60187
Dupage County (630) 665-5550
MARK A. BARNES, D.D.S., LTD.
Dentist (General Practice)
531 E ROOSEVELT RD, SUITE 103
WHEATON, IL 60187
Dupage County (630) 221-8161

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 Mark Barnes's NPI number?

The NPI number for Mark Barnes is 1427072792. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Mark Barnes located?

Mark Barnes practices at 531 E Roosevelt Rd Suite 103, Wheaton, IL 60187. The listed phone number is (630) 221-8161.

What is Mark Barnes's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mark Barnes enrolled in Medicare?

Yes. Mark Barnes is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Barnes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Barnes reassigns Medicare benefits to Central Dupage Physician Group (Carol Stream, IL). The 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 Mark Barnes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Barnes accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Guardian and 1 other insurer list Mark 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.

When was this NPI record last updated?

The NPPES record for Mark Barnes was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.