DR. SHELLY DAWN BARKER M.D.
NPI 1801329388
Surgery in Longmont, CO

Active since April 11, 2017PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1760 E KEN PRATT BLVD STE 205, LONGMONT, CO 80504(720) 718-3930(720) 718-0939 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 3, 2018, Apr 11, 2017 (2 updates tracked since 2017).

About Dr. Shelly Dawn Barker M.d. NPPES

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

DR. SHELLY DAWN BARKER M.D. (NPI 1801329388) is an individual surgery provider in Longmont, Colorado, licensed in Colorado (DR.0069040) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Akron, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2017).

NPPES Registry Identity

NPI1801329388
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. SHELLY DAWN BARKERCredential: M.D.
Location Address1760 E KEN PRATT BLVD STE 205Longmont, CO 80504-5311
Mailing Address1760 E Ken Pratt Blvd Ste 205Longmont, CO 80504-5311 · (720) 718-3930 · Fax (720) 718-0939
Fax(720) 718-0939
Sole ProprietorYes
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2017
Enumeration DateApril 11, 2017
Last NPPES UpdateJune 21, 20222 updates tracked since enumeration
NPPES CertifiedJune 21, 2022
NPI 1801329388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CO · DR.0069040
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.

1760 E KEN PRATT BLVD STE 205, Longmont, CO 80504

Secondary Practice Location 1

Location 1525 E Market StAkron, OH 44304 · Phone (330) 375-3648

Accepted 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

Dr. Shelly Dawn Barker 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 ID2365827029
PECOS Enrollment IDI20220915002140
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 5

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 patients
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.
22 services20 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.
17 services14 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.
13 services13 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80504 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Internal Medicine (Interventional Cardiology)
1760 E KEN PRATT BLVD STE 205
LONGMONT, CO 80504
Internal Medicine (Cardiovascular Disease)
1760 E KEN PRATT BLVD STE 205
LONGMONT, CO 80504
Surgery
1760 E KEN PRATT BLVD STE 205
LONGMONT, CO 80504
Nurse Practitioner (Acute Care)
1760 E KEN PRATT BLVD STE 205
LONGMONT, CO 80504
Nurse Practitioner
1760 E KEN PRATT BLVD STE 205
LONGMONT, CO 80504
Physician Assistant (Surgical)
1760 E KEN PRATT BLVD STE 205
LONGMONT, CO 80504
Internal Medicine (Cardiovascular Disease)
1760 E KEN PRATT BLVD STE 205
LONGMONT, CO 80504
Nurse Practitioner
1760 E KEN PRATT BLVD STE 205
LONGMONT, CO 80504

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 Shelly Barker's NPI number?

The NPI number for Shelly Barker is 1801329388. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Where is Shelly Barker located?

Shelly Barker practices at 1760 E Ken Pratt Blvd Ste 205, Longmont, CO 80504. The listed phone number is (720) 718-3930.

What is Shelly Barker's specialty?

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

Is Shelly Barker enrolled in Medicare?

Yes. Shelly 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 Shelly Barker accept?

Health plans from Medica and UnitedHealthcare list Shelly 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.

When was this NPI record last updated?

The NPPES record for Shelly Barker was last updated on June 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.