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JOHN H BARTON M.D.
NPI 1467407429
Internal Medicine - Medical Oncology in Murfreesboro, TN

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
1840 MEDICAL CENTER PKWY, STE 300, MURFREESBORO, TN 37129(615) 848-0488(615) 904-9061 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Dec 20, 2020 (2 updates tracked since 2020).

About John H Barton M.d. NPPES

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

JOHN H BARTON M.D. (NPI 1467407429) is an individual medical oncology provider in Murfreesboro, Tennessee, licensed in Tennessee (29851) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with The Outer Banks Hospital, Inc, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1467407429
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameJOHN H BARTONCredential: M.D.
Location Address1840 MEDICAL CENTER PKWY, STE 300Murfreesboro, TN 37129-2564
Mailing AddressPo Box 440100Nashville, TN 37244-0100 · (615) 329-0570
Phone(615) 848-0488
Fax(615) 904-9061
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateMay 24, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedDecember 20, 2020
✔ NPI 1467407429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in TN · 29851
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
1840 MEDICAL CENTER PKWY, Murfreesboro, TN 37129
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Other Identifiers 5

Other830004323Railroad Medicare
Medicaid64246010KY
Other4562975Aetna
Medicaid3816459TN
Other3089730Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

John H Barton M.d. 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 ID8628166139
PECOS Enrollment IDI20171002000560
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.

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.
193 services124 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
32 services32 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services13 patients

Hospital Affiliations CMS Care Compare

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

The Outer Banks Hospital, Inc

Critical Access Hospitals · Nags Head, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341324
Location4800 South Croatan HighwayNags Head, NC 27959 · Dare County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37129 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
72%156 patients3/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
23%93 patients1/55-star benchmark: 96%
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.
94%35 patients4/55-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.
34%498 patients2/55-star benchmark: 99%
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…
38%498 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…
1%498 patients1/55-star benchmark: 59%
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.

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.

LAUREN HUNT NP
Nurse Practitioner (Family)
1840 MEDICAL CENTER PKWY
MURFREESBORO, TN 37129
Rutherford County (615) 848-0488
AMY DENISE SADLER APRN, BC
Nurse Practitioner (Acute Care)
1840 MEDICAL CENTER PKWY, SUITE 201
MURFREESBORO, TN 37129
Rutherford County (615) 867-5028
DR. CHARLES DILLER WENDT M.D.
Radiology (Radiation Oncology)
1840 MEDICAL CENTER PKWY, SUITE 102
MURFREESBORO, TN 37129
Rutherford County (615) 396-5530
DR. PETER GORDON ROBERTSON MD
Internal Medicine (Clinical Cardiac Electrophysiology)
1840 MEDICAL CENTER PKWY, SUITE 201
MURFREESBORO, TN 37129
Rutherford County (615) 867-5028
WCJ MEDICAL PLLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1840 MEDICAL CENTER PKWY, STE. 404
MURFREESBORO, TN 37129
Rutherford County (615) 396-5003
VICTOR G GIAN M.D.
Internal Medicine (Medical Oncology)
1840 MEDICAL CENTER PKWY, SUITE 300
MURFREESBORO, TN 37129
Rutherford County (615) 848-0488
DR. LANI STEVEN THOMAS MD
Radiology (Vascular & Interventional Radiology)
1840 MEDICAL CENTER PKWY, SUITE 405
MURFREESBORO, TN 37129
Rutherford County (615) 396-4282
KELLY DAVIS MD
Internal Medicine (Interventional Cardiology)
1840 MEDICAL CENTER PKWY
MURFREESBORO, TN 37129
Rutherford County (615) 867-5028

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 John Barton's NPI number?

The NPI number for John Barton is 1467407429. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is John Barton located?

John Barton practices at 1840 Medical Center Pkwy Ste 300, Murfreesboro, TN 37129. The listed phone number is (615) 848-0488.

What is John Barton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is John Barton enrolled in Medicare?

Yes. John Barton 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 John Barton accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list John 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.

Is John Barton affiliated with any hospitals?

According to CMS data, John Barton is affiliated with The Outer Banks Hospital, Inc.

When was this NPI record last updated?

The NPPES record for John Barton was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.