DR. MICHAEL JEFFREY BARKOVIAK M.D.
NPI 1609867142
Internal Medicine - Pulmonary Disease in Saint Louis, MO

Q: What is Michael Barkoviak's NPI number?

The NPI number for Michael Barkoviak is 1609867142. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Q: What is Michael Barkoviak's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Michael Barkoviak was last updated on May 29, 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.

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment

11133 DUNN RD, SUITE 2335, SAINT LOUIS, MO 63136(314) 653-5007(314) 653-4149 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Michael Jeffrey Barkoviak M.d. NPPES

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

DR. MICHAEL JEFFREY BARKOVIAK M.D. (NPI 1609867142) is an individual pulmonary disease provider in Saint Louis, Missouri, licensed in Missouri (118286) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and maintains a secondary practice location in Sparta.

NPPES Registry Identity

NPI1609867142

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. MICHAEL JEFFREY BARKOVIAKCredential: M.D.

Location Address11133 DUNN RD, SUITE 2335Saint Louis, MO 63136-6119

Mailing Address11133 Dunn Rd Ste 2335Saint Louis, MO 63136-6165 · (314) 653-5007 · Fax (314) 653-4149

Phone(314) 653-5007

Fax(314) 653-4149

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 1988

Enumeration DateNovember 3, 2005

Last NPPES UpdateMay 29, 2026

NPPES CertifiedMay 29, 2026

✔ NPI 1609867142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in MO · 118286✔ Licensed in IL · 036.081636

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

11133 DUNN RD, Saint Louis, MO 63136

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Secondary Practice Location 1

Location 11300 N Market StSparta, IL 62286-1048 · Phone (618) 443-4138 · Fax (618) 443-3685

Other Identifiers 1

Medicaid204727606MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Dr. Michael Jeffrey Barkoviak M.d. 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 ID4486620325

PECOS Enrollment IDI20040902000666, I20100823000439

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 17

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 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.

359 services160 patients

Test to measure rate of airflow 94375

This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.

193 services112 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

145 services101 patients

Test to measure rate of airflow 94375

138 services102 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

121 services89 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

80 services74 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

80 services74 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

69 services23 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

63 services61 patients

Test to measure lung airway sensitivity 94070

This procedure, called a Bronchial Challenge Test, evaluates how sensitive your lungs are to substances that may cause asthma symptoms. You'll inhale a certain substance, and then your lung function is measured. It aids in diagnosing and managing asthma.

44 services41 patients

Therapy procedure using a positive pressure ventilator 94660

A positive pressure ventilator is a device that helps with breathing. It pushes air into the lungs to assist in maintaining oxygen levels. This can be essential for patients with conditions that affect their ability to breathe independently. It's non-invasive and comfortable.

38 services38 patients

Test to measure largest amount of air breathed in an out 94200

This test, called spirometry, measures your lung capacity. It involves taking a deep breath and then exhaling as forcefully as possible into a machine. The results help assess how well your lungs function.

19 services18 patients

Test to examine how well the lungs exchange gases 94729

19 services18 patients

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.

19 services19 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

12 services12 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

11 services11 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140002

LocationOne Memorial DriveAlton, IL 62002 · Madison County

Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Belleville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140185

Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County

Emergency services Birthing friendly

Fayette County Hospital

Critical Access Hospitals · Vandalia, IL

OwnershipVoluntary non-profit - Other

CMS Certification Number141346

Location650 W Taylor StVandalia, IL 62471 · Fayette County

Emergency services

Sparta Community Hospital

Critical Access Hospitals · Sparta, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141349

Location818 E BroadwaySparta, IL 62286 · Randolph County

Emergency services

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260180

Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63136 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

Most-billed visit code 99214

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.

Reported Quality Measures

Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation

Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented

100%113 patients5/55-star benchmark: 100%

Clinical Information Reconciliation

For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.

100%121 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.

100%1,674 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…

80%741 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

100%120 patients5/55-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…

99%195 patients4/55-star benchmark: 100%

Provide Patient Access

For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…

60%741 patients3/55-star benchmark: 100%

View, Download and Transmit (VDT)

During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.

7%741 patients

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 37

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

16 suppliers101 claims101 services$36.65 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

10 suppliers79 claims159 services$1.57 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

8 suppliers37 claims37 services$17.08 avg. paid by Medicare

Aerosol mask, used with dme nebulizer A7015

DME-Other DME · category DE000N

4 suppliers22 claims22 services$1.13 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

24 suppliers128 claims128 services$93.20 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

21 suppliers133 claims325 services$35.06 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

10 suppliers44 claims230 services$19.62 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

9 suppliers35 claims209 services$15.61 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

17 suppliers84 claims85 services$59.60 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

27 suppliers138 claims138 services$19.43 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

8 suppliers11 claims11 services$8.73 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

16 suppliers93 claims93 services$17.32 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

24 suppliers201 claims1,006 services$2.26 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

9 suppliers18 claims18 services$6.58 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

22 suppliers94 claims94 services$12.18 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

9 suppliers145 claims150 services$17.74 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

5 suppliers28 claims28 services$45.12 avg. paid by Medicare

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465

DME-Other DME · category DE005N

1 supplier12 claims12 services$922.57 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

7 suppliers39 claims39 services$896.83 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

7 suppliers57 claims57 services$107.66 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

7 suppliers15 claims15 services$159.62 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

10 suppliers71 claims72 services$14.86 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

12 suppliers207 claims209 services$6.57 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

15 suppliers123 claims124 services$43.20 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

17 suppliers422 claims432 services$93.39 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

10 suppliers139 claims139 services$32.77 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary G0333

DME-Other DME · category DE000N

6 suppliers15 claims15 services$44.93 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

4 suppliers99 claims6,180 services$4.22 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

4 suppliers65 claims4,020 services$6.57 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

20 suppliers178 claims42,752 services$0.03 avg. paid by Medicare

Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg J7614

DME-Drugs Administered Through DME · category DG006N

5 suppliers13 claims4,757 services$0.05 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

13 suppliers103 claims11,550 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

7 suppliers158 claims8,790 services$0.82 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

5 suppliers29 claims1,579 services$0.16 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

2 suppliers80 claims420,000 services$0.15 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

6 suppliers43 claims43 services$35.41 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

25 suppliers396 claims396 services$25.41 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.

ALEXANDER SEXTRO CAA

Anesthesiologist Assistant

11133 DUNN RD
SAINT LOUIS, MO 63136

St. Louis County (314) 653-5000

DR. HILTON I PRICE MD

Radiology (Diagnostic Radiology)

11133 DUNN RD, DEPT RADIOLOGY
SAINT LOUIS, MO 63136

St. Louis County (314) 362-7200

LESLEY ANN HANSON D.O.

Internal Medicine (Critical Care Medicine)

11133 DUNN RD
SAINT LOUIS, MO 63136

St. Louis County (314) 317-0600

MARY A. RUDLOFF M.D.

Pathology (Anatomic Pathology)

11133 DUNN RD, DEPT. OF PATHOLOGY
SAINT LOUIS, MO 63136

St. Louis County (314) 653-5630

ELYSHA M KACHEVAS

Nurse Practitioner (Family)

11133 DUNN RD, SUITE 2335
SAINT LOUIS, MO 63136

St. Louis County (314) 653-5007

DR. GRACE ELIZABETH MONTES MD

Emergency Medicine

11133 DUNN RD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63136

St. Louis County (314) 362-9123

MS. CHRISTIE MARIE KEEN FNP

Nurse Practitioner

11133 DUNN RD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63136

St. Louis County (314) 362-9123

CHRISTIAN HOSPITAL NORTHEAST

Psychiatric Unit

11133 DUNN RD
SAINT LOUIS, MO 63136

St. Louis County (314) 653-5582

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 Michael Barkoviak's NPI number?

The NPI number for Michael Barkoviak is 1609867142. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Michael Barkoviak located?

Michael Barkoviak practices at 11133 Dunn Rd Suite 2335, Saint Louis, MO 63136. The listed phone number is (314) 653-5007.

What is Michael Barkoviak's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Michael Barkoviak enrolled in Medicare?

Yes. Michael Barkoviak 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 Michael Barkoviak accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Michael Barkoviak 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 Michael Barkoviak affiliated with any hospitals?

According to CMS data, Michael Barkoviak is affiliated with Alton Memorial Hospital, Memorial Hospital, Fayette County Hospital, Sparta Community Hospital and Christian Hospital Northeast.

When was this NPI record last updated?

The NPPES record for Michael Barkoviak was last updated on May 29, 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.