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MICHAEL BARTON
NPI 1720036536
Emergency Medicine in Pittsburgh, PA

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
100 S JACKSON AVE, UPMC PASSAVANT HOSPITAL, PITTSBURGH, PA 15202(412) 734-6100 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Barton NPPES

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

MICHAEL BARTON (NPI 1720036536) is an individual emergency medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD069259L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Passavant, and is a graduate of Temple University School Of Medicine (1997).

NPPES Registry Identity

NPI1720036536
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL BARTON
Location Address100 S JACKSON AVE, UPMC PASSAVANT HOSPITALPittsburgh, PA 15202-3428
Mailing Address100 S Jackson Ave, Upmc Passavant HospitalPittsburgh, PA 15202-3428
Phone(412) 734-6100
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1997
Enumeration DateMay 4, 2006
Last NPPES UpdateJanuary 25, 2024
✔ NPI 1720036536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · MD069259L
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
100 S JACKSON AVE, Pittsburgh, PA 15202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Michael Barton 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 ID3678644515
PECOS Enrollment IDI20080619000497
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
182 services180 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
116 services116 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
18 services18 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15202 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

MARCIA J LOGAN MPT
Physical Therapist
100 S JACKSON AVE
PITTSBURGH, PA 15202
Allegheny County (412) 734-6030
STACEY DANKO MOT, OTR/L, CLT
Occupational Therapist
100 S JACKSON AVE
PITTSBURGH, PA 15202
Allegheny County (412) 734-6030
KAYLA KUBIAK OTD, OTR/L
Occupational Therapist
100 S JACKSON AVE
PITTSBURGH, PA 15202
Allegheny County (412) 734-6030
MARK LEGA MD
Internal Medicine (Critical Care Medicine)
100 S JACKSON AVE, 3RD FLOOR
PITTSBURGH, PA 15202
Allegheny County (412) 322-7202
MR. MICHAEL VINCENT PALUMBO PT
Physical Therapist
100 S JACKSON AVE
PITTSBURGH, PA 15202
Allegheny County (412) 734-6030
MORGAN KILPER PT, DPT
Physical Therapist
100 S JACKSON AVE
PITTSBURGH, PA 15202
Allegheny County (412) 734-6030
MR. BRIAN PAUL PFLUGH PA
Physician Assistant (Medical)
100 S JACKSON AVE
PITTSBURGH, PA 15202
Allegheny County (412) 734-6100
TRACY ROMITO OT
Occupational Therapist
100 S JACKSON AVE
PITTSBURGH, PA 15202
Allegheny County (412) 734-6030

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 Michael Barton's NPI number?

The NPI number for Michael Barton is 1720036536. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Michael Barton located?

Michael Barton practices at 100 S Jackson Ave Upmc Passavant Hospital, Pittsburgh, PA 15202. The listed phone number is (412) 734-6100.

What is Michael Barton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Barton enrolled in Medicare?

Yes. Michael Barton 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 Michael Barton accept?

Health plans from CareSource list Michael Barton 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 Michael Barton affiliated with any hospitals?

According to CMS data, Michael Barton is affiliated with Upmc Passavant.

When was this NPI record last updated?

The NPPES record for Michael Barton was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.