JOHN I BARON MD
NPI 1649263294
Internal Medicine - Cardiovascular Disease in Muscle Shoals, AL

Active since August 30, 2005PECOS EnrolledAccepts Medicare Assignment
86.43/100
CMS Quality Rating
203 AVALON AVE STE 230, MUSCLE SHOALS, AL 35661(256) 766-8570(256) 766-5158 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John I Baron Md NPPES

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

JOHN I BARON MD (NPI 1649263294) is an individual cardiovascular disease provider in Muscle Shoals, Alabama, licensed in Alabama (MD.37014) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of University Of South Carolina School Of Medicine (1987).

NPPES Registry Identity

NPI1649263294
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJOHN I BARONCredential: MD
Location Address203 AVALON AVE STE 230Muscle Shoals, AL 35661-2855
Mailing Address203 Avalon Ave Ste 230Muscle Shoals, AL 35661-2855 · (256) 766-8570 · Fax (256) 766-5158
Fax(256) 766-5158
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1987
Enumeration DateAugust 30, 2005
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
NPI 1649263294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in AL · MD.37014
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
203 AVALON AVE STE 230, Muscle Shoals, AL 35661

Other Identifiers 10

Medicaid001301746CT
Other010030174CT02Anthem Bcbs
Other00130174601Anthem Bcbs
Other060052426Railroad Medicare
Other2083602Aetna
Other010030174CT03Anthem Bcbs
OtherHAS413CT · Oxford
Other628620CT · Connecticare
OtherOV3354CT · Health Net
Other0005252065Aetna

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

John I Baron 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 ID3577650837
PECOS Enrollment IDI20180920000999
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 30

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,176 services545 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.
799 services375 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.
694 services459 patients
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.
610 services149 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
596 services148 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
456 services158 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35661 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

86.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality70.58
Improvement Activities40
Cost93.99

Reported Quality Measures

Controlling High Blood Pressure
69%1,275 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
98%175 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
91%4,153 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
78%1,675 patients4/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 73% · 1,247 patients
Patients screened: 74% · 1,247 patients
90%104 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,091 patients
Patients totalRate: 1% · 1,091 patients
1%1,091 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
203 AVALON AVE STE 230
MUSCLE SHOALS, AL 35661
Nurse Practitioner (Acute Care)
203 AVALON AVE STE 230
MUSCLE SHOALS, AL 35661

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 John Baron's NPI number?

The NPI number for John Baron is 1649263294. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is John Baron located?

John Baron practices at 203 Avalon Ave Ste 230, Muscle Shoals, AL 35661. The listed phone number is (256) 766-8570.

What is John Baron's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is John Baron enrolled in Medicare?

Yes. John Baron 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 John Baron accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list John Baron 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.

When was this NPI record last updated?

The NPPES record for John Baron was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.