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DR. KELLY MCDONALD BARBOUR MD
NPI 1801816079
Internal Medicine in Midlothian, VA

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
2410 PAGEHURST DR, MIDLOTHIAN, VA 23113(804) 897-6140(804) 897-6141 Get Directions Write a Review

NPPES record last updated: June 27, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kelly Mcdonald Barbour Md NPPES

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

DR. KELLY MCDONALD BARBOUR MD (NPI 1801816079) is an individual internal medicine provider in Midlothian, Virginia, licensed in Virginia (0101054649) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Community Memorial Hospital, and is a graduate of Virginia Commonwealth University, School Of Medicine (1995).

NPPES Registry Identity

NPI1801816079
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KELLY MCDONALD BARBOURCredential: MD
Location Address2410 PAGEHURST DRMidlothian, VA 23113-6411
Mailing Address2410 Pagehurst DrMidlothian, VA 23113 · (804) 897-6140 · Fax (804) 897-6141
Phone(804) 897-6140
Fax(804) 897-6141
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1995
Enumeration DateJuly 20, 2006
Last NPPES UpdateJune 27, 2019
✔ NPI 1801816079 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 VA · 0101054649
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 ListedPediatricsTaxonomy 208000000X · License 0101054649 (VA)
2410 PAGEHURST DR, Midlothian, VA 23113
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Other Names 1

Former Name (1)Dr. Kelly Brandon Mcdonald Md

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

Dr. Kelly Mcdonald Barbour 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 ID2961393665
PECOS Enrollment IDI20040323000299
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

3

Medicare enrollment records show Kelly Barbour reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mcv Associated Physicians
13 mi
Anesthesiology
1250 E MARSHALL ST, MAIN 1-214, BOX 980510
Richmond, VA 23298
  • Reassigned Medicare billing, Virginia enrollment
  • 2,481 clinicians in this Medicare group
NPI 1710959457 (804) 828-8707
Cmh Physician Services, LLC
59 mi
Internal Medicine
1755 N MECKLENBURG AVE
South Hill, VA 23970
  • Reassigned Medicare billing, Virginia enrollment
  • 241 clinicians in this Medicare group
NPI 1194760645 (434) 447-3151
Privia Medical Group, LLC
98 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 1,534 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

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

Areas of Expertise CMS Part B claims 2

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.
72 services57 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
39 services31 patients

Hospital Affiliations CMS Care Compare

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

Community Memorial Hospital

Acute Care Hospitals · South Hill, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490098
Location1755 North Mecklenburg AvenueSouth Hill, VA 23970 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23113 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%1,383 patients3/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
55%252 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%182 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
71%182 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
62%182 patients
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.

Other Providers at the Same Location NPPES 2

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

ROCKWELL PHYSICIANS OF SALISBURY
Internal Medicine
2410 PAGEHURST DR
MIDLOTHIAN, VA 23113
Chesterfield County (804) 897-6140
ROBERT DIXON L.P.C.
Counselor (Professional)
2410 PAGEHURST DR
MIDLOTHIAN, VA 23113
Chesterfield County (804) 897-6140

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 Kelly Barbour's NPI number?

The NPI number for Kelly Barbour is 1801816079. It was assigned to this individual provider in the NPPES registry on July 20, 2006. The provider is also known as Dr. Kelly Brandon Mcdonald MD.

Where is Kelly Barbour located?

Kelly Barbour practices at 2410 Pagehurst Dr, Midlothian, VA 23113. The listed phone number is (804) 897-6140.

What is Kelly Barbour's specialty?

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

Is Kelly Barbour enrolled in Medicare?

Yes. Kelly Barbour 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 Kelly Barbour's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Barbour reassigns Medicare benefits to 3 organizations: Mcv Associated Physicians (Richmond, VA), Cmh Physician Services, LLC (South Hill, VA) and Privia Medical Group, LLC (Arlington, VA). 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 Kelly Barbour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kelly Barbour affiliated with any hospitals?

According to CMS data, Kelly Barbour is affiliated with Community Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Barbour was last updated on June 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.