CALEB M BARRERA PA-C
NPI 1538701958
Physician Assistant in Lima, OH

Active since October 17, 2019PECOS EnrolledAccepts Medicare Assignment
78.97/100
CMS Quality Rating
730 W MARKET ST, LIMA, OH 45801(419) 226-4310(419) 226-4315 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 29, 2021, Feb 16, 2021, Nov 21, 2019 and 1 more (4 updates tracked since 2019).

About Caleb M Barrera Pa-c NPPES

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

CALEB M BARRERA PA-C (NPI 1538701958) is an individual physician assistant in Lima, Ohio, licensed in Ohio (50006136RX) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and maintains a secondary practice location in Harrisburg.

NPPES Registry Identity

NPI1538701958
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCALEB M BARRERACredential: PA-C
Location Address730 W MARKET STLima, OH 45801-4602
Mailing AddressPo Box 636930Cincinnati, OH 45263-6930
Fax(419) 226-4315
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 17, 2019
Last NPPES UpdateApril 29, 20214 updates tracked since enumeration
NPPES CertifiedApril 29, 2021
NPI 1538701958 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 OH · 50006136RX Licensed in PA · MA061928
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.
730 W MARKET ST, Lima, OH 45801

Secondary Practice Location 1

Location 12808 Old Post RdHarrisburg, PA 17110-3685 · Phone (717) 920-4400 · Fax (717) 920-4401

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

Caleb M Barrera 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 ID3779917067
PECOS Enrollment IDI20210218003019
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

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.
65 services61 patients

Hospital Affiliations CMS Care Compare

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45801 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.

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.

78.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.63
Promoting Interoperability100
Improvement Activities40
Cost63.26

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.

Internal Medicine
730 W MARKET ST
LIMA, OH 45801
Pharmacist
730 W MARKET ST
LIMA, OH 45801
Student in an Organized Health Care Education/Training Program
730 W MARKET ST
LIMA, OH 45801
Student in an Organized Health Care Education/Training Program
730 W MARKET ST
LIMA, OH 45801
Perfusionist
730 W MARKET ST
LIMA, OH 45801
Nurse Practitioner
730 W MARKET ST
LIMA, OH 45801
Pathology (Anatomic Pathology & Clinical Pathology)
730 W MARKET ST
LIMA, OH 45801
Pharmacist
730 W MARKET ST
LIMA, OH 45801

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 Caleb Barrera's NPI number?

The NPI number for Caleb Barrera is 1538701958. It was assigned to this individual provider in the NPPES registry on October 17, 2019.

Where is Caleb Barrera located?

Caleb Barrera practices at 730 W Market St, Lima, OH 45801. The listed phone number is (419) 226-4310.

What is Caleb Barrera's specialty?

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

Is Caleb Barrera enrolled in Medicare?

Yes. Caleb Barrera 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.

Is Caleb Barrera affiliated with any hospitals?

According to CMS data, Caleb Barrera is affiliated with Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Caleb Barrera was last updated on April 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.