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BRIAN C BARTON P.A.
NPI 1548693989
Physician Assistant in Rock Springs, WY

Active since August 20, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1204 HILLTOP DR STE 109, ROCK SPRINGS, WY 82901(307) 212-6082(307) 224-2128 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 22, 2026, Jan 20, 2026, Sep 1, 2020 and 2 more (5 updates tracked since 2017).

About Brian C Barton P.a. NPPES

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

BRIAN C BARTON P.A. (NPI 1548693989) is an individual physician assistant in Rock Springs, Wyoming, licensed in Wyoming (PA579) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rock Springs, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1548693989
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRIAN C BARTONCredential: P.A.
Location Address1204 HILLTOP DR STE 109Rock Springs, WY 82901-5861
Mailing Address1208 Hilltop Dr Ste 103Rock Springs, WY 82901-5858 · (307) 212-6082 · Fax (307) 224-2128
Phone(307) 212-6082
Fax(307) 224-2128
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 20, 2013
Last NPPES UpdateJuly 22, 20265 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1548693989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WY · PA579
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.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License TL579 (WY)
1204 HILLTOP DR STE 109, Rock Springs, WY 82901
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Secondary Practice Location 1

Location 11208 Hilltop Dr Ste 103Rock Springs, WY 82901-5858 · Phone (307) 212-6082 · Fax (307) 224-2128

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, UnitedHealthcare, University of Utah Health Plans.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 C Barton P.a. 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 ID2961631502
PECOS Enrollment IDI20140131000760
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 4

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 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.
444 services346 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
58 services50 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.
19 services19 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82901 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
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.

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

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
1 supplier11 claims11 services$103.03 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
1 supplier11 claims33 services$44.28 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier11 claims66 services$3.23 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers11 claims11 services$108.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

JADEN ROCHELLE BINGHAM APRN, FNP-BC
Nurse Practitioner (Family)
1204 HILLTOP DR STE 109
ROCK SPRINGS, WY 82901
Sweetwater County (307) 212-6082

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 Brian Barton's NPI number?

The NPI number for Brian Barton is 1548693989. It was assigned to this individual provider in the NPPES registry on August 20, 2013.

Where is Brian Barton located?

Brian Barton practices at 1204 Hilltop Dr Ste 109, Rock Springs, WY 82901. The listed phone number is (307) 212-6082.

What is Brian Barton's specialty?

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

Is Brian Barton enrolled in Medicare?

Yes. Brian Barton 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 Brian Barton accept?

Health plans from Blue Cross Blue Shield of Wyoming, UnitedHealthcare and University of Utah Health Plans list Brian Barton 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.

When was this NPI record last updated?

The NPPES record for Brian Barton was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.