DR. WILLIAM DALE BARKER MD
NPI 1639189350
Orthopaedic Surgery in Upper Arlington, OH

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
86.55/100
CMS Quality Rating
4605 SAWMILL RD, UPPER ARLINGTON, OH 43220(614) 827-8700(614) 827-8701 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 4, 2025, Mar 19, 2025, Mar 13, 2025 and 1 more (4 updates tracked since 2023).

About Dr. William Dale Barker Md NPPES

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

DR. WILLIAM DALE BARKER MD (NPI 1639189350) is an individual orthopaedic surgery provider in Upper Arlington, Ohio, licensed in Ohio (35-032505) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Ohio State University College Of Medicine (1970).

NPPES Registry Identity

NPI1639189350
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. WILLIAM DALE BARKERCredential: MD
Location Address4605 SAWMILL RDUpper Arlington, OH 43220-2246
Mailing Address340 Polaris PkwyWesterville, OH 43082-7971
Fax(614) 827-8701
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1970
Enumeration DateAugust 8, 2006
Last NPPES UpdateSeptember 4, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
NPI 1639189350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in OH · 35-032505
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4605 SAWMILL RD, Upper Arlington, OH 43220

Other Identifiers 1

Medicaid0344318OH

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. William Dale 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 ID7911985858
PECOS Enrollment IDI20051027000470
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 9

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
569 services67 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
173 services86 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.
122 services81 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
74 services58 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
40 services40 patients
Hyaluronan or derivative, monovisc, for intra-articular injection, per dose J7327
Monovisc is a treatment involving an injection of hyaluronan or its derivative into a joint, often the knee. This substance, found naturally in joint fluid, helps lubricate and cushion the joint. The injection can help ease pain, improve mobility, and reduce inflammation caused by arthritis.
40 services20 patients

Hospital Affiliations CMS Care Compare

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43220 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

86.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.58
Promoting Interoperability98
Improvement Activities40
Cost75.27

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.

Orthopaedic Surgery (Hand Surgery)
4605 SAWMILL RD
UPPER ARLINGTON, OH 43220
Physical Therapist
4605 SAWMILL RD
UPPER ARLINGTON, OH 43220
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
4605 SAWMILL RD
UPPER ARLINGTON, OH 43220
Physical Therapist
4605 SAWMILL RD
UPPER ARLINGTON, OH 43220
Physician Assistant
4605 SAWMILL RD
UPPER ARLINGTON, OH 43220
Physical Therapist
4605 SAWMILL RD
UPPER ARLINGTON, OH 43220
Occupational Therapist
4605 SAWMILL RD
UPPER ARLINGTON, OH 43220
Physician Assistant (Surgical)
4605 SAWMILL RD
UPPER ARLINGTON, OH 43220

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 William Barker's NPI number?

The NPI number for William Barker is 1639189350. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is William Barker located?

William Barker practices at 4605 Sawmill Rd, Upper Arlington, OH 43220. The listed phone number is (614) 827-8700.

What is William Barker's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is William Barker enrolled in Medicare?

Yes. William 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 William Barker accept?

Health plans from Anthem Blue Cross and Blue Shield and MedMutual list William 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 William Barker affiliated with any hospitals?

According to CMS data, William Barker is affiliated with Riverside Methodist Hospital.

When was this NPI record last updated?

The NPPES record for William Barker was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.