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MARY J. BARTON CNP
NPI 1437226594
Nurse Practitioner - Adult Health in Lombard, IL

Active since November 30, 2006PECOS Enrolled
2340 S HIGHLAND AVE, SUITE 210, LOMBARD, IL 60148(630) 932-2020(630) 932-4688 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary J. Barton Cnp NPPES

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

MARY J. BARTON CNP (NPI 1437226594) is an individual adult health provider in Lombard, Illinois and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1437226594
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARY J. BARTONCredential: CNP
Location Address2340 S HIGHLAND AVE, SUITE 210Lombard, IL 60148-5371
Mailing Address2340 S Highland Ave, Suite 210Lombard, IL 60148-5371 · (630) 932-2020 · Fax (630) 932-4688
Phone(630) 932-2020
Fax(630) 932-4688
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateNovember 30, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1437226594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
2340 S HIGHLAND AVE, Lombard, IL 60148
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Other Identifiers 2

Medicare UPINP70132IL
Medicare ID-Type Unspecified202954IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 (PECOS)

Mary J. Barton Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698818698
PECOS Enrollment IDI20230919002090
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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
157 services39 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
103 services36 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
66 services28 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
25 services14 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60148 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
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers15 claims18 services$159.43 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.

WESTERN REHABILITATION AND PAIN MANAGEMENT, S.C.
Physical Medicine & Rehabilitation
2340 S HIGHLAND AVE, SUITE 370
LOMBARD, IL 60148
Dupage County (630) 873-5425
DR. MARK SPACCAPANICCIA D.P.M.
Podiatrist
2340 S HIGHLAND AVE
LOMBARD, IL 60148
Dupage County (630) 495-3338
ADVENTIST HEALTH PARTNERS, INC
Family Medicine
2340 S HIGHLAND AVE, SUITE 370
LOMBARD, IL 60148
Dupage County (630) 620-9500
RONG SHANG TU M.D.
Internal Medicine
2340 S HIGHLAND AVE, 230
LOMBARD, IL 60148
Dupage County (630) 932-2040
AMAZEHEALTH WEIGHT LOSS & WELLNESS, SC
Physical Medicine & Rehabilitation
2340 S HIGHLAND AVE, SUITE 370
LOMBARD, IL 60148
Dupage County (630) 873-5245
RAVI MEDICAL GROUP SC
Internal Medicine
2340 S HIGHLAND AVE, SUITE 260
LOMBARD, IL 60148
Dupage County (630) 889-2000
DR. NICOLE S KOTT D.D.S
Dentist (General Practice)
2340 S HIGHLAND AVE, SUITE #320
LOMBARD, IL 60148
Dupage County (630) 932-2085
HILDA FAVELA M.A., CCC-SLP
Speech-Language Pathologist
2340 S HIGHLAND AVE, SUITE 300
LOMBARD, IL 60148
Dupage County (630) 261-1210

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 Mary Barton's NPI number?

The NPI number for Mary Barton is 1437226594. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Mary Barton located?

Mary Barton practices at 2340 S Highland Ave Suite 210, Lombard, IL 60148. The listed phone number is (630) 932-2020.

What is Mary Barton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Mary Barton enrolled in Medicare?

Yes. Mary Barton is registered in the Medicare PECOS enrollment system.

What insurance does Mary Barton accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Mary 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.

When was this NPI record last updated?

The NPPES record for Mary Barton was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.