MARIA E BARBE MD
NPI 1699771279
Ophthalmology in Pottsville, PA

Active since June 28, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
201 E LAUREL BLVD, POTTSVILLE, POTTSVILLE, PA 17901(570) 628-4444(570) 628-3088 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maria E Barbe Md NPPES

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

MARIA E BARBE MD (NPI 1699771279) is an individual ophthalmology provider in Pottsville, Pennsylvania, licensed in Pennsylvania (MD068528L) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Albany Medical College Of Union University (1994).

NPPES Registry Identity

NPI1699771279
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameMARIA E BARBECredential: MD
Location Address201 E LAUREL BLVD, POTTSVILLEPottsville, PA 17901-2534
Mailing Address201 E Laurel Blvd, PottsvillePottsville, PA 17901-2534 · (570) 628-4444 · Fax (570) 628-3088
Fax(570) 628-3088
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1994
Enumeration DateJune 28, 2005
Last NPPES UpdateOctober 16, 2012
NPI 1699771279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · MD068528L
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

201 E LAUREL BLVD, Pottsville, PA 17901

Other Identifiers 4

Medicaid01757033PA
Medicare PIN027135PA
Medicare UPING93337
Medicare PIN027135YH3HPA

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

Maria E Barbe 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 ID6002898061
PECOS Enrollment IDI20040603000393
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 5

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.
104 services70 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.
85 services79 patients
Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
32 services32 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
24 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17901 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Ophthalmology
201 E LAUREL BLVD
POTTSVILLE, PA 17901
Optometrist
201 E LAUREL BLVD
POTTSVILLE, PA 17901
Ophthalmology
201 E LAUREL BLVD
POTTSVILLE, PA 17901
Ophthalmology
201 E LAUREL BLVD
POTTSVILLE, PA 17901
Optometrist
201 E LAUREL BLVD
POTTSVILLE, PA 17901
Ophthalmology
201 E LAUREL BLVD
POTTSVILLE, PA 17901
Clinic/Center (Ambulatory Surgical)
201 E LAUREL BLVD
POTTSVILLE, PA 17901
Ophthalmology
201 E LAUREL BLVD
POTTSVILLE, PA 17901

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 Maria Barbe's NPI number?

The NPI number for Maria Barbe is 1699771279. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is Maria Barbe located?

Maria Barbe practices at 201 E Laurel Blvd Pottsville, Pottsville, PA 17901. The listed phone number is (570) 628-4444.

What is Maria Barbe's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Maria Barbe enrolled in Medicare?

Yes. Maria Barbe 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 Maria Barbe accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Maria Barbe 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 Maria Barbe affiliated with any hospitals?

According to CMS data, Maria Barbe is affiliated with Reading Hospital.

When was this NPI record last updated?

The NPPES record for Maria Barbe was last updated on October 16, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.