MARY BARBARA MD
NPI 1497195614
Internal Medicine - Gastroenterology in Fernandina Beach, FL

Q: What is Mary Barbara's NPI number?

The NPI number for Mary Barbara is 1497195614. It was assigned to this individual provider in the NPPES registry on July 2, 2013.

Q: What is Mary Barbara's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Mary Barbara was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since July 02, 2013PECOS EnrolledAccepts Medicare Assignment

77.15/100

CMS Quality Rating

1340 S 18TH ST STE 204, FERNANDINA BEACH, FL 32034(904) 398-7205 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 9, 2024, Oct 21, 2016, Aug 9, 2016 (3 updates tracked since 2016).

On this page

About Mary Barbara Md NPPES

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

MARY BARBARA MD (NPI 1497195614) is an individual gastroenterology provider in Fernandina Beach, Florida, licensed in Florida (ME161241) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1497195614

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameMARY BARBARACredential: MD

Location Address1340 S 18TH ST STE 204Fernandina Beach, FL 32034-4733

Mailing Address4800 Belfort RdJacksonville, FL 32256-6004 · (904) 398-7205

Phone(904) 398-7205

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJuly 2, 2013

Last NPPES UpdateOctober 9, 20243 updates tracked since enumeration

NPPES CertifiedOctober 9, 2024

✔ NPI 1497195614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in FL · ME161241

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1340 S 18TH ST STE 204, Fernandina Beach, FL 32034

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Other Identifiers 2

Medicaid003295030AGA

Medicaid118678700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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 and accepts Medicare assignment

Mary Barbara 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 ID4284926635

PECOS Enrollment IDI20230712001380

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 12

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

214 services141 patients

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.

131 services63 patients

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.

92 services78 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

85 services83 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

73 services73 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

72 services67 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.

69 services65 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.

61 services61 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

47 services45 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

19 services18 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

19 services19 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

13 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Baptist Medical Center - Nassau

Acute Care Hospitals · Fernandina Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100140

Location1250 S 18th StFernandina Beach, FL 32034 · Nassau County

Emergency services

Memorial Satilla Health

Acute Care Hospitals · Waycross, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110003

Location1900 Tebeau StreetWaycross, GA 31501 · Ware County

Emergency services

Southeast Georgia Health System- Brunswick Campus

Acute Care Hospitals · Brunswick, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110025

Location2415 Parkwood DriveBrunswick, GA 31520 · Glynn County

Emergency services

Southeast Georgia Health System -- Camden Campus

Acute Care Hospitals · Saint Marys, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110146

Location2000 Dan Proctor DriveSaint Marys, GA 31558 · Camden County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32034 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

77.15/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

65.95

Promoting Interoperability

Improvement Activities

Cost

61.22

Other Providers at the Same Location NPPES 3

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

MRS. SHARON ANN BURKE ARNP

Nurse Practitioner (Family)

1340 S 18TH ST STE 204
FERNANDINA BEACH, FL 32034

Nassau County (904) 261-0643

BLAKE THOMPSON

Internal Medicine (Gastroenterology)

1340 S 18TH ST STE 204
FERNANDINA BEACH, FL 32034

Nassau County (904) 398-7205

MILLENNIUM PHYSICIAN GROUP LLC

Family Medicine

1340 S 18TH ST STE 204
FERNANDINA BEACH, FL 32034

Nassau County (904) 261-0643

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 Barbara's NPI number?

The NPI number for Mary Barbara is 1497195614. It was assigned to this individual provider in the NPPES registry on July 2, 2013.

Where is Mary Barbara located?

Mary Barbara practices at 1340 S 18th St Ste 204, Fernandina Beach, FL 32034. The listed phone number is (904) 398-7205.

What is Mary Barbara's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mary Barbara enrolled in Medicare?

Yes. Mary Barbara 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 Mary Barbara accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare and Wellpoint list Mary Barbara 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 Mary Barbara affiliated with any hospitals?

According to CMS data, Mary Barbara is affiliated with Baptist Health Medical Center - Jacksonville, Baptist Medical Center - Nassau, Memorial Satilla Health, Southeast Georgia Health System- Brunswick Campus and Southeast Georgia Health System -- Camden Campus.

When was this NPI record last updated?

The NPPES record for Mary Barbara was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.