MR. MARIO ENRIQUE DE LA BARRERA PA-C
NPI 1508244146
Physician Assistant in Wright Patterson Afb, OH

Active since May 15, 2015PECOS Enrolled
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433(937) 713-1237(937) 656-3700 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 15, 2023, Feb 22, 2023, Oct 3, 2022 and 2 more (5 updates tracked since 2021).

About Mr. Mario Enrique De La Barrera Pa-c NPPES

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

MR. MARIO ENRIQUE DE LA BARRERA PA-C (NPI 1508244146) is an individual physician assistant in Wright Patterson Afb, Ohio and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508244146
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MARIO ENRIQUE DE LA BARRERACredential: PA-C
Location Address4881 SUGAR MAPLE DRWright Patterson Afb, OH 45433-5529
Mailing Address4881 Sugar Maple DrWright Patterson Afb, OH 45433-5529 · (937) 713-1237 · Fax (937) 656-3700
Fax(937) 656-3700
Sole ProprietorNo
Enumeration DateMay 15, 2015
Last NPPES UpdateMarch 15, 20235 updates tracked since enumeration
NPPES CertifiedMarch 15, 2023
NPI 1508244146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4881 SUGAR MAPLE DR, Wright Patterson Afb, OH 45433

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Mario Enrique De La Barrera Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45433 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pharmacist
4881 SUGAR MAPLE DR
FAIRBORN, OH 45433
Pharmacist
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Internal Medicine
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Radiology (Nuclear Radiology)
4881 SUGAR MAPLE DR, 88 DTS/SGQX
WRIGHT PATTERSON AFB, OH 45433
Dietitian, Registered
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Radiologic Technologist (Radiation Therapy)
4881 SUGAR MAPLE DR, 88TH MDOS/SGOMR
WRIGHT PATTERSON AFB, OH 45433

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 Mario De La Barrera's NPI number?

The NPI number for Mario De La Barrera is 1508244146. It was assigned to this individual provider in the NPPES registry on May 15, 2015.

Where is Mario De La Barrera located?

Mario De La Barrera practices at 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433. The listed phone number is (937) 713-1237.

What is Mario De La Barrera's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mario De La Barrera enrolled in Medicare?

Yes. Mario De La Barrera is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mario De La Barrera was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.