ELIZABETH BARNICA DPM
NPI 1649694431
Podiatrist in Madison, WI

Active since February 13, 2014PECOS EnrolledAccepts Medicare Assignment
2500 OVERLOOK TER, MADISON, WI 53705(608) 256-1901 Get Directions Write a Review

NPPES record last updated: February 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Barnica Dpm NPPES

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

ELIZABETH BARNICA DPM (NPI 1649694431) is an individual podiatrist in Madison, Wisconsin, licensed in Wisconsin (17898-875) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Joplin, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1649694431
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameELIZABETH BARNICACredential: DPM
Location Address2500 OVERLOOK TERMadison, WI 53705-2254
Mailing Address2500 Overlook TerMadison, WI 53705-2254 · (608) 256-1901
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 13, 2014
NPI 1649694431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in WI · 17898-875
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
2500 OVERLOOK TER, Madison, WI 53705

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

Elizabeth Barnica Dpm 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 ID345533568
PECOS Enrollment IDI20160726002392
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 11

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.

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.
531 services289 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
189 services114 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
135 services55 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.
103 services87 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
93 services56 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.
90 services90 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Joplin

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260001
Location100 Mercy WayJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

Mercy Hospital Carthage

Critical Access Hospitals · Carthage, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261338
Location3125 Dr Russell Smith WayCarthage, MO 64836 · Jasper County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53705 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
3 suppliers27 claims54 services$59.06 avg. paid by Medicare
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5513
DME-Orthotic Devices · category DF000N
2 suppliers19 claims111 services$37.36 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers16 claims16 services$25.43 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.

Social Worker
2500 OVERLOOK TER
MADISON, WI 53705
Pharmacist
2500 OVERLOOK TER
MADISON, WI 53705
Social Worker (Clinical)
2500 OVERLOOK TER
MADISON, WI 53705
Registered Nurse (Wound Care)
2500 OVERLOOK TER
MADISON, WI 53705
Registered Nurse
2500 OVERLOOK TER
MADISON, WI 53705
Registered Nurse
2500 OVERLOOK TER
MADISON, WI 53705
Pharmacist
2500 OVERLOOK TER
MADISON, WI 53705
Registered Nurse (Medical-Surgical)
2500 OVERLOOK TER
MADISON, WI 53705

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 Elizabeth Barnica's NPI number?

The NPI number for Elizabeth Barnica is 1649694431. It was assigned to this individual provider in the NPPES registry on February 13, 2014.

Where is Elizabeth Barnica located?

Elizabeth Barnica practices at 2500 Overlook Ter, Madison, WI 53705. The listed phone number is (608) 256-1901.

What is Elizabeth Barnica's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Elizabeth Barnica enrolled in Medicare?

Yes. Elizabeth Barnica 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 Elizabeth Barnica accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Elizabeth Barnica 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 Elizabeth Barnica affiliated with any hospitals?

According to CMS data, Elizabeth Barnica is affiliated with Mercy Hospital Joplin and Mercy Hospital Carthage.

When was this NPI record last updated?

The NPPES record for Elizabeth Barnica was last updated on February 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.