RONALD BRUCE BARNETT MD
NPI 1477515815
Internal Medicine - Pulmonary Disease in Berwyn, PA

NPI Status: Active since April 03, 2006

Contact Information

1001 CHESTERBROOK BLVD
BERWYN, PA
ZIP 19312
Phone: (610) 576-7500

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  • Individual
  • Male
  • Internal Medicine
  • Pulmonary Disease
  • PECOS Enrolled

About RONALD BARNETT

This page provides the complete NPI Profile along with additional information for Ronald Barnett, an internist established in Berwyn, Pennsylvania with a medical specialization in Internal Medicine, focusing in pulmonary disease . The healthcare provider is registered in the NPI registry with number 1477515815 assigned on April 2006. The practitioner's primary taxonomy code is 207RP1001X with license number MD031467E (PA). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1477515815
Provider Name
RONALD BRUCE BARNETT MD
Gender
Male
Entity Type
Individual
Location Address
1001 CHESTERBROOK BLVD BERWYN, PA 19312
Location Phone
(610) 576-7500
Mailing Address
1001 CHESTERBROOK BLVD BERWYN, PA 19312
Mailing Phone
(610) 576-7500
Is Sole Proprietor?
No
Enumeration Date
04-03-2006
Last Update Date
09-27-2019
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An internist like Ronald Barnett is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Pulmonary Disease

Taxonomy Code
207RP1001X
Type
Allopathic & Osteopathic Physicians
License No.
MD031467E
License State
PA
Taxonomy Description
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

MD031467E (PA)
2207RP1001XAllopathic & Osteopathic Physicians

Internal Medicine
Pulmonary Disease

25MA10041900 (NJ)
3207RS0012XAllopathic & Osteopathic Physicians

Internal Medicine
Sleep Medicine

MD031467E (PA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0011613560004MEDICAID (05)PA 

Medicare Participation & PECOS Enrollment Status

Ronald Barnett is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE001N)

    Tubing with integrated heating element for use with positive airway pressure device (HCPCS:A4604)

    10 DME suppliers used 157 Medicare Claims 157 Services Paid

  • DME-Other DME (DE001N)

    Full face mask used with positive airway pressure device, each (HCPCS:A7030)

    8 DME suppliers used 92 Medicare Claims 92 Services Paid

  • DME-Other DME (DE001N)

    Face mask interface, replacement for full face mask, each (HCPCS:A7031)

    8 DME suppliers used 92 Medicare Claims 257 Services Paid

  • DME-Other DME (DE001N)

    Cushion for use on nasal mask interface, replacement only, each (HCPCS:A7032)

    8 DME suppliers used 72 Medicare Claims 428 Services Paid

  • DME-Other DME (DE001N)

    Pillow for use on nasal cannula type interface, replacement only, pair (HCPCS:A7033)

    11 DME suppliers used 57 Medicare Claims 321 Services Paid

  • DME-Other DME (DE001N)

    Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS:A7034)

    14 DME suppliers used 136 Medicare Claims 136 Services Paid

  • DME-Other DME (DE001N)

    Headgear used with positive airway pressure device (HCPCS:A7035)

    18 DME suppliers used 129 Medicare Claims 129 Services Paid

  • DME-Other DME (DE001N)

    Tubing used with positive airway pressure device (HCPCS:A7037)

    10 DME suppliers used 37 Medicare Claims 37 Services Paid

  • DME-Other DME (DE001N)

    Filter, disposable, used with positive airway pressure device (HCPCS:A7038)

    17 DME suppliers used 212 Medicare Claims 1262 Services Paid

  • DME-Other DME (DE001N)

    Filter, non disposable, used with positive airway pressure device (HCPCS:A7039)

    9 DME suppliers used 85 Medicare Claims 85 Services Paid

  • DME-Other DME (DE001N)

    Water chamber for humidifier, used with positive airway pressure device, replacement, each (HCPCS:A7046)

    15 DME suppliers used 100 Medicare Claims 100 Services Paid

  • DME-Oxygen and Supplies (DC000N)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    3 DME suppliers used 69 Medicare Claims 69 Services Paid

  • DME-Other DME (DE005N)

    Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) (HCPCS:E0466)

    1 DME suppliers used 11 Medicare Claims 11 Services Paid

  • DME-Other DME (DE000N)

    Nebulizer, with compressor (HCPCS:E0570)

    1 DME suppliers used 35 Medicare Claims 35 Services Paid

  • DME-Other DME (DE001N)

    Continuous positive airway pressure (cpap) device (HCPCS:E0601)

    8 DME suppliers used 130 Medicare Claims 130 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    9 DME suppliers used 192 Medicare Claims 192 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Portable oxygen concentrator, rental (HCPCS:E1392)

    4 DME suppliers used 58 Medicare Claims 58 Services Paid

  • DME-Other DME (DE000N)

    Pharmacy dispensing fee for inhalation drug(s); per 30 days (HCPCS:Q0513)

    10 DME suppliers used 20 Medicare Claims 20 Services Paid

Drugs Administered Through DME

  • DME-Drugs Administered Through DME (DG006N)

    Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg (HCPCS:J7613)

    9 DME suppliers used 21 Medicare Claims 7485 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 19312 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $137.17
  • Minimum New Patient Price $59.88
  • Maximum New Patient Price $180.99
  • Average New Patient Copayment $34.29
  • Minimum New Patient Copayment $14.97
  • Maximum New Patient Copayment $45.24

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $105.21
  • Minimum Established Patient Price $19.3
  • Maximum Established Patient Price $147.29
  • Average Established Patient Copayment $26.3
  • Minimum Established Patient Copayment $4.82
  • Maximum Established Patient Copayment $36.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1477515815, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 4 + 7 + 1 + 0 + 1 + 1 + 0 + 8 + 2 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1477515815.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Family Medicine
1001 CHESTERBROOK BLVD
BERWYN, PA 19312
Non-Pharmacy Dispensing Site
1001 CHESTERBROOK BLVD, 2ND FLOOR EAST
BERWYN, PA 19312
Family Medicine
1001 CHESTERBROOK BLVD
BERWYN, PA 19312
Radiology (Radiation Oncology)
1001 CHESTERBROOK BLVD, ABRAMSON CANCER CENTER AT VALLEY FORGE
BERWYN, PA 19312
Psychiatry & Neurology (Neurology)
1001 CHESTERBROOK BLVD, 3RD FLOOR EAST
BERWYN, PA 19312
Pharmacy
1001 CHESTERBROOK BLVD, 1ST FLOOR
BERWYN, PA 19312
Internal Medicine
1001 CHESTERBROOK BLVD
BERWYN, PA 19312
Nurse Practitioner (Family)
1001 CHESTERBROOK BLVD
BERWYN, PA 19312
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1001 CHESTERBROOK BLVD
BERWYN, PA 19312
Family Medicine
1001 CHESTERBROOK BLVD
BERWYN, PA 19312
Nurse Practitioner (Family)
1001 CHESTERBROOK BLVD
BERWYN, PA 19312
Surgery
1001 CHESTERBROOK BLVD, 3RD FLOOR
BERWYN, PA 19312
Family Medicine
1001 CHESTERBROOK BLVD, SUITE 200
BERWYN, PA 19312
Surgery
1001 CHESTERBROOK BLVD
BERWYN, PA 19312
Radiology (Diagnostic Radiology)
1001 CHESTERBROOK BLVD
BERWYN, PA 19312
Nurse Practitioner (Primary Care)
1001 CHESTERBROOK BLVD
BERWYN, PA 19312
Nurse Practitioner (Primary Care)
1001 CHESTERBROOK BLVD
BERWYN, PA 19312
Internal Medicine
1001 CHESTERBROOK BLVD
BERWYN, PA 19312
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1001 CHESTERBROOK BLVD, 3RD FLOOR EAST
BERWYN, PA 19312

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477515815, enumerated as an "individual" on April 03, 2006.

The provider is located at 1001 CHESTERBROOK BLVD BERWYN, PA 19312 and the phone number is (610) 576-7500.

Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.