SIDNEY BARNES MD
NPI 1740247162
Surgery in Crisfield, MD

Q: What is Sidney Barnes's NPI number?

The NPI number for Sidney Barnes is 1740247162. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Q: What is Sidney Barnes's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Sidney Barnes was last updated on August 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 28, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

201 HALL HIGHWAY, CRISFIELD, MD 21817(410) 968-1200(410) 968-3005 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Sidney Barnes Md NPPES

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

SIDNEY BARNES MD (NPI 1740247162) is an individual surgery provider in Crisfield, Maryland, licensed in Maryland (D0054422) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Lewisgale Hospital Alleghany, and is a graduate of New York University School Of Medicine (1989).

NPPES Registry Identity

NPI1740247162

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameSIDNEY BARNESCredential: MD

Location Address201 HALL HIGHWAYCrisfield, MD 21817

Mailing Address201 Hall HighwayCrisfield, MD 21817 · (410) 968-1200 · Fax (410) 968-3005

Phone(410) 968-1200

Fax(410) 968-3005

Sole ProprietorNo

Medical School CMSNew York University School Of MedicineGraduated 1989

Enumeration DateApril 28, 2006

Last NPPES UpdateAugust 15, 2019

✔ NPI 1740247162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MD · D0054422

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

201 HALL HIGHWAY, Crisfield, MD 21817

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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

Sidney Barnes 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 ID1850350745

PECOS Enrollment IDI20191106000887

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 straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

232 services178 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.

143 services111 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.

131 services131 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

110 services95 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.

71 services48 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

67 services66 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

64 services64 patients

Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384

This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.

47 services46 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

23 services23 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

20 services20 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

18 services18 patients

Hospital Affiliations CMS Care Compare

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

Lewisgale Hospital Alleghany

Acute Care Hospitals · Low Moor, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490126

LocationOne Arh Lane - PO Box 7Low Moor, VA 24457 · Alleghany County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21817 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

$89.75 typical visit price

range $57.99 – $175.57

Typical copayment $22.43 (range $14.49 – $43.89)

Most-billed visit code 99203

Established Patient

$72.23 typical visit price

range $18.66 – $143.02

Typical copayment $18.05 (range $4.66 – $35.75)

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

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

e-Prescribing

95%91 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%307 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims

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

Canister, disposable, used with suction pump, each A7000

DME-Other DME · category DE000N

2 suppliers11 claims100 services$7.05 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 11

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

MRS. TORY CUSTIS WIDDOWSON IV

Physical Therapist

201 HALL HIGHWAY, MCCREADY FOUNDATION INC
CRISFIELD, MD 21817

Somerset County (410) 968-1200

MS. MARY LYNNE EVERETT MD

Radiology (Diagnostic Radiology)

201 HALL HIGHWAY
CRISFIELD, MD 21817

Somerset County (410) 968-1200

VIJAYKUMAR KARUMBUNATHAN MD

Internal Medicine

201 HALL HIGHWAY
CRISFIELD, MD 21817

Somerset County (410) 968-1200

MS. PATRICIA T BRATEK CRNA

Nurse Anesthetist, Certified Registered

201 HALL HIGHWAY
CRISFIELD, MD 21817

Somerset County (410) 968-1200

GUNTA A WHEELER MD

Emergency Medicine

201 HALL HIGHWAY
CRISFIELD, MD 21817

Somerset County (410) 968-1200

MRS. BEVERLY DAWN BECKETT OTRL CLT

Occupational Therapist

201 HALL HIGHWAY, MCCREADY FOUNDATION INC
CRISFIELD, MD 21817

Somerset County (410) 968-1200

MRS. COLETTE NAIME OUTTEN PT, DPT

Physical Therapist

201 HALL HIGHWAY, MCCREADY FOUNDATION INC
CRISFIELD, MD 21817

Somerset County (410) 968-1200

MRS. MA AMIL PERILLA

Physical Therapist

201 HALL HIGHWAY
CRISFIELD, MD 21817

Somerset County (410) 968-1200

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 Sidney Barnes's NPI number?

The NPI number for Sidney Barnes is 1740247162. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Sidney Barnes located?

Sidney Barnes practices at 201 Hall Highway, Crisfield, MD 21817. The listed phone number is (410) 968-1200.

What is Sidney Barnes's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Sidney Barnes enrolled in Medicare?

Yes. Sidney Barnes 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.

Is Sidney Barnes affiliated with any hospitals?

According to CMS data, Sidney Barnes is affiliated with Lewisgale Hospital Alleghany.

When was this NPI record last updated?

The NPPES record for Sidney Barnes was last updated on August 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.