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TIERA BARRON M.D.
NPI 1700232774
Family Medicine in Albany, GA

Active since May 10, 2016PECOS EnrolledAccepts Medicare Assignment
2336 DAWSON RD, SUITE 1500, ALBANY, GA 31707(229) 312-8800 Get Directions Write a Review

NPPES record last updated: August 1, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 1, 2018, May 10, 2016 (2 updates tracked since 2016).

About Tiera Barron M.d. NPPES

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

TIERA BARRON M.D. (NPI 1700232774) is an individual family medicine provider in Albany, Georgia, licensed in Georgia (075954) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Phoebe Putney Memorial Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (2013).

NPPES Registry Identity

NPI1700232774
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTIERA BARRONCredential: M.D.
Location Address2336 DAWSON RD, SUITE 1500Albany, GA 31707
Mailing Address2336 Dawson Rd Ste 2200Albany, GA 31707-2801 · (229) 312-8800
Phone(229) 312-8800
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2013
Enumeration DateMay 10, 2016
Last NPPES UpdateAugust 1, 20182 updates tracked since enumeration
✔ NPI 1700232774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 075954
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2336 DAWSON RD, Albany, GA 31707
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Tiera Barron M.d. 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 ID8921390501
PECOS Enrollment IDI20160630001869
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.

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.
64 services24 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
62 services62 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.
49 services48 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
45 services32 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.
44 services28 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
29 services12 patients

Hospital Affiliations CMS Care Compare

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

Phoebe Putney Memorial Hospital

Acute Care Hospitals · Albany, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110007
Location417 Third AvenueAlbany, GA 31703 · Dougherty County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31707 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
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.

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms
Lower rates are better for this measure.
52%27 patients2/55-star benchmark: 100%
Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%22 patients
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
41%339 patients2/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
62%469 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
30%223 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%3,072 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
48%197 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
78%264 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
69%1,739 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
41%1,136 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
22%1,066 patients2/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,739 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
30%1,739 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
35%1,739 patients
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers16 claims36 services$6.19 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers12 claims12 services$20.10 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.

SARAH LYNN CODREA D.O.
Family Medicine
2336 DAWSON RD, STE 2200
ALBANY, GA 31707
Dougherty County (229) 312-8871
MRS. MELISSA HOPE FELTS WALL
Speech-Language Pathologist
2336 DAWSON RD, SUITE 1100
ALBANY, GA 31707
Dougherty County (229) 312-8799
MONISOLA MODUPE SANUSI MD
Family Medicine
2336 DAWSON RD, 1100
ALBANY, GA 31707
Dougherty County (229) 312-8871
JILL G SCHROEDER OT
Occupational Therapist
2336 DAWSON RD, STE 1100
ALBANY, GA 31707
Dougherty County (229) 312-8700
DR. DANIELLE PHAM MD
Family Medicine
2336 DAWSON RD
ALBANY, GA 31707
Dougherty County (229) 312-8800
CHINWE UKAONU MD
Family Medicine
2336 DAWSON RD, STE 1500
ALBANY, GA 31707
Dougherty County (229) 312-8800
DR. PEGGY J BERGRAB M.D.
Family Medicine
2336 DAWSON RD, SUITE 2200
ALBANY, GA 31707
Dougherty County (229) 312-8800
AUGUSTO E SOLTERO MD
Family Medicine (Sports Medicine)
2336 DAWSON RD, SUITE 2200
ALBANY, GA 31707
Dougherty County (229) 312-8871

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 Tiera Barron's NPI number?

The NPI number for Tiera Barron is 1700232774. It was assigned to this individual provider in the NPPES registry on May 10, 2016.

Where is Tiera Barron located?

Tiera Barron practices at 2336 Dawson Rd Suite 1500, Albany, GA 31707. The listed phone number is (229) 312-8800.

What is Tiera Barron's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tiera Barron enrolled in Medicare?

Yes. Tiera Barron 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 Tiera Barron accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Tiera Barron 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 Tiera Barron affiliated with any hospitals?

According to CMS data, Tiera Barron is affiliated with Phoebe Putney Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tiera Barron was last updated on August 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.