DR. NICHOLAS M. BARBARO MD
NPI 1619925443
Neurological Surgery in Austin, TX

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
1601 TRINITY ST, AUSTIN, TX 78712(338) 822-2737 Get Directions Write a Review

NPPES record last updated: April 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nicholas M. Barbaro Md NPPES

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

DR. NICHOLAS M. BARBARO MD (NPI 1619925443) is an individual neurological surgery provider in Austin, Texas, licensed in Texas (S3491) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Dell Seton Med Center At The University Of Tx, and is a graduate of University Of Pittsburgh School Of Medicine (1979).

NPPES Registry Identity

NPI1619925443
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. NICHOLAS M. BARBAROCredential: MD
Location Address1601 TRINITY STAustin, TX 78712-1765
Mailing Address8333 Naab Rd, Suite 250Indianapolis, IN 46260-5924 · (317) 396-1300 · Fax (317) 396-1346
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1979
Enumeration DateMay 4, 2006
Last NPPES UpdateApril 17, 2020
NPPES CertifiedApril 17, 2020
NPI 1619925443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in TX · S3491 Licensed in IN · 01070361A Licensed in CA · G43778
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1601 TRINITY ST, Austin, TX 78712

Other Identifiers 1

Medicaid0G4377800CA

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

Dr. Nicholas M. Barbaro 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 ID9830273697
PECOS Enrollment IDI20191017001834
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.

Hospital Affiliations CMS Care Compare

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

Dell Seton Med Center At The University Of Tx

Acute Care Hospitals · Austin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450124
Location601 E 15th StreetAustin, TX 78701 · Travis County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78712 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Reported Quality Measures

Breast Cancer Screening
17%23 patients1/55-star benchmark: 93%
Cervical Cancer Screening
10%30 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
23%48 patients2/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
45%159 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
4%26 patients1/55-star benchmark: 100%
HIV Screening
2%63 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
23%82 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
9%70 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
34%85 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 72% · 79 patients
70%79 patients
Provide Patients Electronic Access to Their Health Information
91%33 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 4% · 26 patients
Patients totalRate: 4% · 27 patients
7%27 patients4/55-star benchmark: 100%
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.

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.

Social Worker (Clinical)
1601 TRINITY ST
AUSTIN, TX 78712
Psychiatry & Neurology (Psychiatry)
1601 TRINITY ST
AUSTIN, TX 78712
Internal Medicine (Rheumatology)
1601 TRINITY ST
AUSTIN, TX 78712
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
1601 TRINITY ST
AUSTIN, TX 78712
Internal Medicine (Medical Oncology)
1601 TRINITY ST
AUSTIN, TX 78712
Physician Assistant (Medical)
1601 TRINITY ST, SUITE 704
AUSTIN, TX 78712
Social Worker (Clinical)
1601 TRINITY ST
AUSTIN, TX 78712
Internal Medicine (Medical Oncology)
1601 TRINITY ST
AUSTIN, TX 78712

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 Nicholas Barbaro's NPI number?

The NPI number for Nicholas Barbaro is 1619925443. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Nicholas Barbaro located?

Nicholas Barbaro practices at 1601 Trinity St, Austin, TX 78712. The listed phone number is (338) 822-2737.

What is Nicholas Barbaro's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Nicholas Barbaro enrolled in Medicare?

Yes. Nicholas Barbaro 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 Nicholas Barbaro accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Nicholas Barbaro 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 Nicholas Barbaro affiliated with any hospitals?

According to CMS data, Nicholas Barbaro is affiliated with Dell Seton Med Center At The University Of Tx.

When was this NPI record last updated?

The NPPES record for Nicholas Barbaro was last updated on April 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.