DANA BARLOW MD
NPI 1760424048
Emergency Medicine in Big Stone Gap, VA

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
80.57/100
CMS Quality Rating
1990 HOLTON AVE E, BIG STONE GAP, VA 24219(276) 523-3111 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dana Barlow Md NPPES

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

DANA BARLOW MD (NPI 1760424048) is an individual emergency medicine provider in Big Stone Gap, Virginia, licensed in Virginia (101041953) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Pineville Community Health Center, Inc, and is a graduate of Eastern Virginia Medical School (1985).

NPPES Registry Identity

NPI1760424048
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDANA BARLOWCredential: MD
Location Address1990 HOLTON AVE EBig Stone Gap, VA 24219
Mailing Address1431 Centerpoint Blvd, Suite 100Knoxville, TN 37932-1984
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 1985
Enumeration DateJune 12, 2006
Last NPPES UpdateAugust 17, 2018
✔ NPI 1760424048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in VA · 101041953✔ Licensed in KY · 29124
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.
1990 HOLTON AVE E, Big Stone Gap, VA 24219

Other Identifiers 1

Medicaid010289769VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dana Barlow 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 ID4284524380
PECOS Enrollment IDI20040319000881
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Dana Barlow reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
850 RIVERVIEW AVE
Pineville, KY 40977
  • Reassigned Medicare billing, Kentucky enrollment
  • 13 clinicians in this Medicare group
Emergency Medicine
907 E LAMAR ALEXANDER PKWY
Maryville, TN 37804
  • Reassigned Medicare billing, Virginia enrollment
  • 60 clinicians in this Medicare group
Emergency Medicine
910 WALLACE AVE
Leitchfield, KY 42754
  • Reassigned Medicare billing, Kentucky enrollment
  • 107 clinicians in this Medicare group
Emergency Medicine
1011 OLD HIGHWAY 60
Hardinsburg, KY 40143
  • Reassigned Medicare billing, Kentucky enrollment
  • 182 clinicians in this Medicare group
Emergency Medicine
229 SAINT JOHN LN
Covington, LA 70433
  • Reassigned Medicare billing, Kentucky enrollment
  • 16 clinicians in this Medicare group
General Acute Care Hospital
US HIGHWAY 160 BLDING 2000
Dennehotso, AZ 86535
  • Reassigned Medicare billing, Texas enrollment
  • 215 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Pineville Community Health Center, Inc

Acute Care Hospitals · Pineville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180154
Location850 Riverview AvenuePineville, KY 40977 · Bell County
Emergency services

Breckinridge Memorial Hospital

Critical Access Hospitals · Hardinsburg, KY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number181319
Location1011 Old Highway 60Hardinsburg, KY 40143 · Breckinridge County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24219 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

80.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.28
Improvement Activities40
Cost20.38

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.

Nurse Practitioner (Family)
1990 HOLTON AVE E
BIG STONE GAP, VA 24219
Family Medicine
1990 HOLTON AVE E
BIG STONE GAP, VA 24219
Physical Therapy Assistant
1990 HOLTON AVE E
BIG STONE GAP, VA 24219
Emergency Medicine
1990 HOLTON AVE E
BIG STONE GAP, VA 24219
Nurse Practitioner (Family)
1990 HOLTON AVE E
BIG STONE GAP, VA 24219
Nurse Practitioner
1990 HOLTON AVE E
BIG STONE GAP, VA 24219
Nurse Practitioner
1990 HOLTON AVE E
BIG STONE GAP, VA 24219
Nurse Anesthetist, Certified Registered
1990 HOLTON AVE E
BIG STONE GAP, VA 24219

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 Dana Barlow's NPI number?

The NPI number for Dana Barlow is 1760424048. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Dana Barlow located?

Dana Barlow practices at 1990 Holton Ave E, Big Stone Gap, VA 24219. The listed phone number is (276) 523-3111.

What is Dana Barlow's specialty?

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

Is Dana Barlow enrolled in Medicare?

Yes. Dana Barlow 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.

Which organizations bill Medicare for Dana Barlow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dana Barlow reassigns Medicare benefits to 6 organizations: Yalinie Medics LLC (Pineville, KY), App Of Tennessee Ed, PLLC (Maryville, TN), Concord Company Of Tennessee PLLC (Leitchfield, KY), Concord Medical Group Of Kentucky PLLC (Hardinsburg, KY), Correct Care, Inc. (Covington, LA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dana Barlow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Dana Barlow affiliated with any hospitals?

According to CMS data, Dana Barlow is affiliated with Pineville Community Health Center, Inc and Breckinridge Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Dana Barlow was last updated on August 17, 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.