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PENELOPE ANN BARKER
NPI 1770552382
Internal Medicine in Saint Clair Shores, MI

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
20225 E 9 MILE RD, SAINT CLAIR SHORES, MI 48080(586) 779-8700(586) 498-1425 Get Directions Write a Review

NPPES record last updated: April 13, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Penelope Ann Barker NPPES

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

PENELOPE ANN BARKER (NPI 1770552382) is an individual internal medicine provider in Saint Clair Shores, Michigan, licensed in Michigan (5101013408) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1997).

NPPES Registry Identity

NPI1770552382
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePENELOPE ANN BARKER
Location Address20225 E 9 MILE RDSaint Clair Shores, MI 48080-1775
Mailing Address20225 E 9 Mile RdSaint Clair Shores, MI 48080-1775 · (586) 779-8700 · Fax (586) 498-1425
Phone(586) 779-8700
Fax(586) 498-1425
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1997
Enumeration DateMarch 16, 2006
Last NPPES UpdateApril 13, 2016
✔ NPI 1770552382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 5101013408
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 5101013408 (MI)
20225 E 9 MILE RD, Saint Clair Shores, MI 48080
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Other Identifiers 3

Medicare PINMI3971099MI
Other700E031610MI · Bcbsm Group Pin
Medicare UPINH46767MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Penelope Ann Barker 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 ID6305802141
PECOS Enrollment IDI20041203000489
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 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.
328 services143 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.
94 services94 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.
69 services50 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
47 services46 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
44 services44 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
42 services42 patients

Hospital Affiliations CMS Care Compare 3

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

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230195
Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48080 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers15 claims34 services$6.77 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 19

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

RUBIN PETER GAPPY MD
Pediatrics
20225 E 9 MILE RD, SUITE A
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 772-1090
GIUSEPPINA LOMBARDO NAUGHTON DO
Pediatrics
20225 E 9 MILE RD, SUITE A
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 772-1090
BARBARA CLARE TESS MD
Family Medicine
20225 E 9 MILE RD, SUITE A
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 779-8700
DAVID WALTER KROLL MD
Pediatrics
20225 E 9 MILE RD, SUITE A
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 772-1090
CHRISTOPHER S GOLDSBY MD
Family Medicine
20225 E 9 MILE RD, SUITE A
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 779-8700
KENDRA HELENE MOTYL M.D.
Pediatrics
20225 E 9 MILE RD
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 772-1090
DR. PAUL PADESKY M.D.
Pediatrics
20225 E 9 MILE RD, SUITE A
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 772-1090
CECELIA KITAKUFE M.D.
Family Medicine
20225 E 9 MILE RD
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 779-8700

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 Penelope Barker's NPI number?

The NPI number for Penelope Barker is 1770552382. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Penelope Barker located?

Penelope Barker practices at 20225 E 9 Mile Rd, Saint Clair Shores, MI 48080. The listed phone number is (586) 779-8700.

What is Penelope Barker's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Penelope Barker enrolled in Medicare?

Yes. Penelope Barker 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 Penelope Barker accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Penelope Barker 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 Penelope Barker affiliated with any hospitals?

According to CMS data, Penelope Barker is affiliated with Beaumont Hospital - Grosse Pointe, Ascension St John Hospital and Ascension Macomb Oakland Hosp-Warren Campus.

When was this NPI record last updated?

The NPPES record for Penelope Barker was last updated on April 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.