BRIAN KYLE BARNES PA-C
NPI 1528463379
Physician Assistant in Spartanburg, SC

Q: What is Brian Barnes's NPI number?

The NPI number for Brian Barnes is 1528463379. It was assigned to this individual provider in the NPPES registry on October 22, 2014.

Q: What is Brian Barnes's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brian Barnes was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 October 22, 2014PECOS EnrolledAccepts Medicare Assignment

72.28/100

CMS Quality Rating

1330 BOILING SPRINGS RD STE 1600, SPARTANBURG, SC 29303(864) 582-6396(864) 582-1608 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2025, Feb 14, 2025, Mar 10, 2020 (3 updates tracked since 2020).

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About Brian Kyle Barnes Pa-c NPPES

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

BRIAN KYLE BARNES PA-C (NPI 1528463379) is an individual physician assistant in Spartanburg, South Carolina, licensed in South Carolina (5814) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and maintains a secondary practice location in Shavano Park.

NPPES Registry Identity

NPI1528463379

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameBRIAN KYLE BARNESCredential: PA-C

Location Address1330 BOILING SPRINGS RD STE 1600Spartanburg, SC 29303-4219

Mailing Address3503 Paesanos Pkwy Ste 201Shavano Park, TX 78231-1225 · (210) 504-3650 · Fax (210) 519-3045

Phone(864) 582-6396

Fax(864) 582-1608

Sole ProprietorYes

Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2014

Enumeration DateOctober 22, 2014

Last NPPES UpdateJuly 29, 20253 updates tracked since enumeration

NPPES CertifiedJuly 29, 2025

✔ NPI 1528463379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in SC · 5814✔ Licensed in AZ · 5904✔ Licensed in TX · PA13355

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.

1330 BOILING SPRINGS RD STE 1600, Spartanburg, SC 29303

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Secondary Practice Location 1

Location 13503 Paesanos Pkwy Ste 201Shavano Park, TX 78231-1225 · Phone (210) 504-3650 · Fax (210) 519-3045

Other Identifiers 2

Other5814SC · Scllr

OtherPA13355TX · Texas Medical Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, BlueCross BlueShield of South Carolina, InStil Health 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

Brian Kyle Barnes Pa-c 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 ID9830412428

PECOS Enrollment IDI20250701000709

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 8

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.

114 services77 patients

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

64 services27 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

40 services13 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.

39 services39 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

30 services29 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

27 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420007

Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County

Emergency services Birthing friendly

Pelham Medical Center

Acute Care Hospitals · Greer, SC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420103

Location250 Westmoreland RoadGreer, SC 29651 · Greenville County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

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.

72.28/100

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

Scored as part of a group practice

Quality

63.73

Promoting Interoperability

Improvement Activities

Cost

52.22

Reported Quality Measures

Documentation of Current Medications in the Medical Record

28%431 patients1/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%143 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

0%322 patients1/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 154 patients

0%154 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 154 patients

Patients totalRate: 3% · 154 patients

3%154 patients4/55-star benchmark: 100%

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.

NICOLE ELIZABETH LONGO FNP

Nurse Practitioner