ESMOND ANTHONY BARKER MD
NPI 1568469377
Internal Medicine - Cardiovascular Disease in Lafayette, LA

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4212 W CONGRESS ST, SUITE 1800 A, LAFAYETTE, LA 70506(337) 981-7677(337) 981-7678 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Esmond Anthony Barker Md NPPES

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

ESMOND ANTHONY BARKER MD (NPI 1568469377) is an individual cardiovascular disease provider in Lafayette, Louisiana, licensed in Louisiana (11510R) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and is a graduate of Medical College Of Wisconsin (1986).

NPPES Registry Identity

NPI1568469377
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameESMOND ANTHONY BARKERCredential: MD
Location Address4212 W CONGRESS ST, SUITE 1800 ALafayette, LA 70506-6765
Mailing AddressPo Box 61030Lafayette, LA 70596-1030 · (337) 981-7677 · Fax (337) 981-7678
Fax(337) 981-7678
Sole ProprietorYes
Medical School CMSMedical College Of WisconsinGraduated 1986
Enumeration DateJuly 7, 2005
Last NPPES UpdateFebruary 24, 2015
NPI 1568469377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in LA · 11510R
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
4212 W CONGRESS ST, Lafayette, LA 70506

Other Names 1

Professional Name (2)Esmond Anthony Barker M.d.

Other Identifiers 2

Medicare PIN5W693CV19LA
Medicare UPINB31599LA

Accepted 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

Esmond Anthony Barker Md 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 ID2264439231
PECOS Enrollment IDI20061106000029
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 31

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
553 services400 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
529 services403 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
312 services278 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
180 services45 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
149 services133 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
148 services54 patients

Hospital Affiliations CMS Care Compare 5

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

Ochsner Lafayette General Medical Center

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190002
Location1214 Coolidge AvenueLafayette, LA 70503 · Lafayette County
Emergency services Birthing friendly

Opelousas General Health System

Acute Care Hospitals · Opelousas, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number190017
Location539 East Prudhomme StreetOpelousas, LA 70570 · St. Landry County
Emergency services Birthing friendly

Abbeville General Hospital

Acute Care Hospitals · Abbeville, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190034
Location118 N Hospital DrAbbeville, LA 70510 · Vermilion County
Emergency services Birthing friendly

Our Lady Of Lourdes Regional Medical Center, Inc

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190102
Location4801 Ambassador Caffery ParkwayLafayette, LA 70508 · Lafayette County
Emergency services Birthing friendly

Ochsner St Martin Hospital

Critical Access Hospitals · Breaux Bridge, LA
OwnershipVoluntary non-profit - Private
CMS Certification Number191302
Location210 Champagne BoulevardBreaux Bridge, LA 70517 · St. Martin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70506 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%557 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,697 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
14%660 patients1/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
2%42 patients1/55-star benchmark: 98%
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet
Percentage of patients 18 years of age and older who were diagnosed with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period, or who had an active…
71%604 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
78%443 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
98%929 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
58%443 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
11%443 patients1/55-star benchmark: 79%
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
1 supplier15 claims15 services$15.93 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier14 claims72 services$2.42 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier27 claims27 services$36.04 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 20

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

Nurse Practitioner
4212 W CONGRESS ST, SUITE 3200
LAFAYETTE, LA 70506
Nurse Anesthetist, Certified Registered
4212 W CONGRESS ST, SUITE 3200
LAFAYETTE, LA 70506
Home Health
4212 W CONGRESS ST, STE. 3300C
LAFAYETTE, LA 70506
Internal Medicine
4212 W CONGRESS ST, SUITE 3600
LAFAYETTE, LA 70506
Dermatology
4212 W CONGRESS ST, STE 2300
LAFAYETTE, LA 70506
Neurological Surgery
4212 W CONGRESS ST, STE 3500
LAFAYETTE, LA 70506
Surgery
4212 W CONGRESS ST, SUITE 1430
LAFAYETTE, LA 70506
Physician Assistant (Surgical)
4212 W CONGRESS ST, SUITE 3200
LAFAYETTE, LA 70506

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 Esmond Barker's NPI number?

The NPI number for Esmond Barker is 1568469377. It was assigned to this individual provider in the NPPES registry on July 7, 2005. The provider is also known as Esmond Anthony Barker M.D..

Where is Esmond Barker located?

Esmond Barker practices at 4212 W Congress St Suite 1800 A, Lafayette, LA 70506. The listed phone number is (337) 981-7677.

What is Esmond Barker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Esmond Barker enrolled in Medicare?

Yes. Esmond Barker 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 Esmond Barker accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Esmond Barker 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.

Is Esmond Barker affiliated with any hospitals?

According to CMS data, Esmond Barker is affiliated with Ochsner Lafayette General Medical Center, Opelousas General Health System, Abbeville General Hospital, Our Lady Of Lourdes Regional Medical Center, Inc and Ochsner St Martin Hospital.

When was this NPI record last updated?

The NPPES record for Esmond Barker was last updated on February 24, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.