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DR. PAUL JOSEPH BARBARA M.D.
NPI 1811169691
Emergency Medicine in Staten Island, NY

Active since April 01, 2008PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
475 SEAVIEW AVENUE STATEN ISLAND UNIVERSITY HOSPITAL, DEPT OF EMERGENCY MEDICINE, STATEN ISLAND, NY 10305(718) 226-9158 Get Directions Write a Review

NPPES record last updated: March 16, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul Joseph Barbara M.d. NPPES

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

DR. PAUL JOSEPH BARBARA M.D. (NPI 1811169691) is an individual emergency medicine provider in Staten Island, New York, licensed in New York (246185) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Jersey Shore University Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1811169691
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. PAUL JOSEPH BARBARACredential: M.D.
Location Address475 SEAVIEW AVENUE STATEN ISLAND UNIVERSITY HOSPITAL, DEPT OF EMERGENCY MEDICINEStaten Island, NY 10305
Mailing Address133 Willow StGarden City, NY 11530-6646 · (516) 248-0793
Phone(718) 226-9158
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 1, 2008
Last NPPES UpdateMarch 16, 2011
✔ NPI 1811169691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 246185
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.
475 SEAVIEW AVENUE STATEN ISLAND UNIVERSITY HOSPITAL, Staten Island, NY 10305
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Other Identifiers 2

Medicaid03044093NY
Medicare PINA400028729NY

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. Paul Joseph Barbara 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 ID1557437654
PECOS Enrollment IDI20080912000469, I20240801004293
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
158 services157 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
59 services58 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
18 services17 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330160
Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10305 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

SAUD BIN ABDUL SATTAR M.D.
Student in an Organized Health Care Education/Training Program
475 SEAVIEW AVENUE STATEN ISLAND UNIVERSITY HOSPITAL, 1ST FLOOR MAIN HOSPITAL BUILDING
STATEN ISLAND, NY 10305
Richmond County (718) 226-8313
MUSKAAN SHAH M.B.B.S.
Student in an Organized Health Care Education/Training Program
475 SEAVIEW AVENUE STATEN ISLAND UNIVERSITY HOSPITAL
STATEN ISLAND, NY 10305
Richmond County (718) 226-9359

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 Paul Barbara's NPI number?

The NPI number for Paul Barbara is 1811169691. It was assigned to this individual provider in the NPPES registry on April 1, 2008.

Where is Paul Barbara located?

Paul Barbara practices at 475 Seaview Avenue Staten Island University Hospital Dept Of Emergency Medicine, Staten Island, NY 10305. The listed phone number is (718) 226-9158.

What is Paul Barbara's specialty?

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

Is Paul Barbara enrolled in Medicare?

Yes. Paul Barbara 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 Paul Barbara affiliated with any hospitals?

According to CMS data, Paul Barbara is affiliated with Jersey Shore University Medical Center and Staten Island University Hospital.

When was this NPI record last updated?

The NPPES record for Paul Barbara was last updated on March 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.