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KAREN SUE BARTON PA-C
NPI 1578700902
Physician Assistant - Medical in Great Falls, MT

Active since January 07, 2009PECOS Enrolled
80.46/100
CMS Quality Rating
3015 18TH AVE S, GREAT FALLS, MT 59405(406) 731-8888(406) 731-8318 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 5, 2024, Jul 11, 2019 (2 updates tracked since 2019).

About Karen Sue Barton Pa-c NPPES

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

KAREN SUE BARTON PA-C (NPI 1578700902) is an individual medical provider in Great Falls, Montana, licensed in Montana (560) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578700902
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKAREN SUE BARTONCredential: PA-C
Location Address3015 18TH AVE SGreat Falls, MT 59405-5155
Mailing AddressPo Box 6010Great Falls, MT 59406-6010 · (406) 455-4470
Phone(406) 731-8888
Fax(406) 731-8318
Sole ProprietorNo
Enumeration DateJanuary 7, 2009
Last NPPES UpdateApril 5, 20242 updates tracked since enumeration
NPPES CertifiedMay 6, 2021
✔ NPI 1578700902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MT · 560
3015 18TH AVE S, Great Falls, MT 59405
Open in Google Maps ↗

Other Identifiers 3

Other0000901563MT · Bcbs Mt
Other1255519591MT · Group Npi
Other000085424MT · Medicare Group

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Sue Barton Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
20 services16 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
14 services14 patients

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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.1
Promoting Interoperability75
Improvement Activities40
Cost62.61

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers32 claims32 services$17.14 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 suppliers47 claims47 services$87.38 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.

RYAN DAWSON
Physical Therapist
3015 18TH AVE S
GREAT FALLS, MT 59405
Cascade County (406) 771-6226

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 Karen Barton's NPI number?

The NPI number for Karen Barton is 1578700902. It was assigned to this individual provider in the NPPES registry on January 7, 2009.

Where is Karen Barton located?

Karen Barton practices at 3015 18th Ave S, Great Falls, MT 59405. The listed phone number is (406) 731-8888.

What is Karen Barton's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Karen Barton enrolled in Medicare?

Yes. Karen Barton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Karen Barton was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.