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MADISON BARNES OD
NPI 1558030221
Optometrist in Sandy Springs, GA

Active since September 07, 2021PECOS EnrolledAccepts Medicare Assignment
5600 ROSWELL RD STE K115, SANDY SPRINGS, GA 30342(404) 665-3140 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2024, Sep 7, 2021 (2 updates tracked since 2021).

About Madison Barnes Od NPPES

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

MADISON BARNES OD (NPI 1558030221) is an individual optometrist in Sandy Springs, Georgia, licensed in Georgia (OPT003366) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1558030221
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMADISON BARNESCredential: OD
Location Address5600 ROSWELL RD STE K115Sandy Springs, GA 30342-1261
Mailing Address5600 Roswell Rd Ste K115Sandy Springs, GA 30342-1261 · (910) 470-0623
Phone(404) 665-3140
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 7, 2021
Last NPPES UpdateDecember 6, 20242 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
✔ NPI 1558030221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in GA · OPT003366
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
5600 ROSWELL RD STE K115, Sandy Springs, GA 30342
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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

Madison Barnes Od 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 ID5698167732
PECOS Enrollment IDI20220121000962
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 30342 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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

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

SEE AND BE SEEN
Optometrist
5600 ROSWELL RD STE K115
SANDY SPRINGS, GA 30342
Fulton County (404) 665-3140

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 Madison Barnes's NPI number?

The NPI number for Madison Barnes is 1558030221. It was assigned to this individual provider in the NPPES registry on September 7, 2021.

Where is Madison Barnes located?

Madison Barnes practices at 5600 Roswell Rd Ste K115, Sandy Springs, GA 30342. The listed phone number is (404) 665-3140.

What is Madison Barnes's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Madison Barnes enrolled in Medicare?

Yes. Madison Barnes 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 Madison Barnes accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Madison Barnes 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 Madison Barnes was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.