PETER FRANCES BARRY D.O. NPI 1609844828

Internal Medicine (Sports Medicine) in Clark, NJ

NPI 1609844828 Individual Male Years of Experience 24 Internal Medicine Sports Medicine PECOS Enrolled Accepts Medicare Approved Payment

NPI Profile for PETER FRANCES BARRY D.O.

Peter Barry is an internal medicine provider established in Clark, New Jersey and his medical specialization is internal medicine (sports medicine) with more than 24 years of experience. He graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 1999. The NPI number of Peter Barry is 1609844828 and was assigned on March 2006. The practitioner's primary taxonomy code is 207RS0010X with license number 25MB07150900 (NJ). The provider is registered as an individual and his NPI record was last updated 3 years ago.

An internist like Peter Frances Barry D.o. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Peter Barry is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Peter Barry is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

NPI

1609844828

Provider Name PETER FRANCES BARRY D.O.
Provider Location Address67 WALNUT AVE STE 202 CLARK, NJ 07066
Provider Mailing Address67 WALNUT AVE SUITE 202 CLARK, NJ 07066
GenderMale
NPI Entity TypeIndividual
Medical School NameNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year1999
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date03-14-2006
Last Update Date07-09-2019


Primary Taxonomy

Taxonomy Code207RS0010X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationSports Medicine
License No.25MB07150900
License StateNJ
Taxonomy DescriptionAn internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.

Business Address

PETER FRANCES BARRY D.O.
67 WALNUT AVE STE 202
CLARK, NJ
ZIP 07066
Phone: (732) 388-7300
Fax: (732) 388-1330

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Mailing Address

PETER FRANCES BARRY D.O.
67 WALNUT AVE
SUITE 202
CLARK, NJ
ZIP 07066
Phone: (732) 388-7300
Fax: (732) 388-1330



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID6507770773
PECOS Enrollment IDI20031113000250
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 182Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 116Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • 42Administration of influenza virus vaccine (HCPCS:G0008)
  • 38Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • 37Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • 36Hemoglobin A1C level (HCPCS:83036)
  • 35Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 20Administration of pneumococcal vaccine (HCPCS:G0009)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineMB71509NJNo

Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609844828
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609164884
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 6 + 4 + 8 + 8 + 4 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1609844828 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801250345 JANAE HUNTER MD
Individual
Family Medicine67 WALNUT AVE STE 202
CLARK, NJ 07066
(732) 388-7300

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Peter Frances Barry D.o. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.