ANDREA F BARBER DO
NPI 1437599727
Hospitalist in Muskegon, MI

Active since July 01, 2013PECOS EnrolledAccepts Medicare Assignment
94.5/100
CMS Quality Rating
1500 E SHERMAN BLVD, MUSKEGON, MI 49444(231) 672-3883(231) 672-3973 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 22, 2022, Sep 27, 2019, Nov 3, 2016 and 1 more (4 updates tracked since 2016).

About Andrea F Barber Do NPPES

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

ANDREA F BARBER DO (NPI 1437599727) is an individual hospitalist provider in Muskegon, Michigan, licensed in Michigan (5101020691) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Muskegon Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2013).

NPPES Registry Identity

NPI1437599727
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameANDREA F BARBERCredential: DO
Location Address1500 E SHERMAN BLVDMuskegon, MI 49444-1849
Mailing Address1560 E Sherman Blvd Ste 240Muskegon, MI 49444-1854 · (231) 672-3883 · Fax (231) 672-3973
Fax(231) 672-3973
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2013
Enumeration DateJuly 1, 2013
Last NPPES UpdateApril 22, 20224 updates tracked since enumeration
NPPES CertifiedApril 22, 2022
NPI 1437599727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in MI · 5101020691
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 5101020691 (MI)
1500 E SHERMAN BLVD, Muskegon, MI 49444

Other Names 1

Former Name (1)Andrea F Pease Do

Accepted 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

Andrea F Barber 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 ID8628357308
PECOS Enrollment IDI20161121001734
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 3

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 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.
366 services189 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.
65 services63 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.
28 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County
Emergency services Birthing friendly

Mercy Health Lakeshore Campus

Critical Access Hospitals · Shelby, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231320
Location72 South State StreetShelby, MI 49455 · Oceana County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49444 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $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.

94.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.41
Improvement Activities20
Cost81.3

Referred Medical Equipment & Supplies CMS DME claims 3

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$34.28 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier12 claims12 services$36.14 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$21.75 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 19

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

Anesthesiology
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Nurse Anesthetist, Certified Registered
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Nurse Anesthetist, Certified Registered
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Nurse Anesthetist, Certified Registered
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Anesthesiology
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Anesthesiology
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Anesthesiology
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Anesthesiology
1500 E SHERMAN BLVD
MUSKEGON, MI 49444

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 Andrea Barber's NPI number?

The NPI number for Andrea Barber is 1437599727. It was assigned to this individual provider in the NPPES registry on July 1, 2013. The provider is also known as Andrea F Pease Do.

Where is Andrea Barber located?

Andrea Barber practices at 1500 E Sherman Blvd, Muskegon, MI 49444. The listed phone number is (231) 672-3883.

What is Andrea Barber's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Andrea Barber enrolled in Medicare?

Yes. Andrea Barber 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 Andrea Barber accept?

Health plans from Oscar Insurance Company and Priority Health list Andrea Barber 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 Andrea Barber affiliated with any hospitals?

According to CMS data, Andrea Barber is affiliated with Trinity Health Muskegon Hospital and Mercy Health Lakeshore Campus.

When was this NPI record last updated?

The NPPES record for Andrea Barber was last updated on April 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.