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MICHAEL A BARRETT MD
NPI 1437122603
Internal Medicine in Fishersville, VA

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
78 MEDICAL CENTER DR, FISHERSVILLE, VA 22939(540) 932-4075(540) 932-5199 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 6, 2025, Feb 27, 2025, Jan 2, 2025 and 4 more (7 updates tracked since 2018).

About Michael A Barrett Md NPPES

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

MICHAEL A BARRETT MD (NPI 1437122603) is an individual internal medicine provider in Fishersville, Virginia, licensed in New Mexico (MD2022-0754) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Vcu Health Tappahannock Hospital, and is a graduate of George Washington University School Of Medicine (1986).

NPPES Registry Identity

NPI1437122603
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL A BARRETTCredential: MD
Location Address78 MEDICAL CENTER DRFishersville, VA 22939
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Phone(540) 932-4075
Fax(540) 932-5199
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1986
Enumeration DateFebruary 8, 2006
Last NPPES UpdateOctober 6, 20257 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1437122603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NM · MD2022-0754✔ Licensed in VA · 0101042310✔ Licensed in PA · MD483617
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.
Also ListedHospitalistTaxonomy 208M00000X · License 0101042310 (VA)
78 MEDICAL CENTER DR, Fishersville, VA 22939
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Other Identifiers 7

Other005870259VA · Va Premier
Other1951707VA · First Health
Medicaid005870259VA
Other128435VA · Southern Health
Other174687VA · Anthem
Other6373875VA · Cigna
Other51584VA · Optima

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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 A Barrett Md 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 ID5890747372
PECOS Enrollment IDI20050211000837, I20230822000073
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 5

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.
207 services104 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.
175 services86 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.
116 services115 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
67 services65 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.
18 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Vcu Health Tappahannock Hospital

Acute Care Hospitals · Tappahannock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490084
Location618 Hospital RoadTappahannock, VA 22560 · Essex County
Emergency services

Community Memorial Hospital

Acute Care Hospitals · South Hill, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490098
Location1755 North Mecklenburg AvenueSouth Hill, VA 23970 · Mecklenburg County
Emergency services Birthing friendly

Rappahannock General Hospital

Critical Access Hospitals · Kilmarnock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491308
Location101 Harris RoadKilmarnock, VA 22482 · Lancaster County
Emergency services

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510024
Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22939 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Reported Quality Measures

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
57%102 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
68%519 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
33%519 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%519 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
7%519 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier11 claims132 services$2.16 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$8.39 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$4.97 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$6.06 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$2.64 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
1 supplier11 claims550 services$0.20 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 20

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

DR. NATHAN LEE MAUST MD
Emergency Medicine
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Augusta County (540) 332-4000
SARAH HA DO
Student in an Organized Health Care Education/Training Program
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Augusta County (540) 932-5595
LEWIS ALAN SIEGEL M.D.
Internal Medicine (Interventional Cardiology)
78 MEDICAL CENTER DR, HEART & VASCULAR CENTER, 2ND FLR
FISHERSVILLE, VA 22939
Augusta County (540) 245-7080
BARRY HOWARD BLUMENTHAL MD
Psychiatry & Neurology (Psychiatry)
78 MEDICAL CENTER DR, CROSSROADS
FISHERSVILLE, VA 22939
Augusta County (540) 213-2525
ANASTASIA SNELLING D.O.
Hospitalist
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Augusta County (540) 932-4075
AHEEMA GAZI D.O.
Student in an Organized Health Care Education/Training Program
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Augusta County (540) 245-7987
LAURA L FITZPATRICK MD
Anesthesiology
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Augusta County (540) 332-5757
KATHERINE A. BLACK M.D.
Anesthesiology
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Augusta County (540) 332-5757

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 Barrett's NPI number?

The NPI number for Michael Barrett is 1437122603. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Michael Barrett located?

Michael Barrett practices at 78 Medical Center Dr, Fishersville, VA 22939. The listed phone number is (540) 932-4075.

What is Michael Barrett's specialty?

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

Is Michael Barrett enrolled in Medicare?

Yes. Michael Barrett 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 Barrett accept?

Health plans from Oscar Insurance Company list Michael Barrett 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 Barrett affiliated with any hospitals?

According to CMS data, Michael Barrett is affiliated with Vcu Health Tappahannock Hospital, Community Memorial Hospital, Rappahannock General Hospital and Mon Health Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Barrett was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.