DR. BARBARA MARIE SCARPA APRN
NPI 1811565237
Nurse Practitioner - Adult Health in Oxford, CT

Active since June 13, 2021PECOS EnrolledAccepts Medicare Assignment
97.27/100
CMS Quality Rating
220 MAIN ST STE 1A, OXFORD, CT 06478(203) 888-5527(203) 888-3727 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2022, Dec 30, 2021, Jun 13, 2021 (3 updates tracked since 2021).

About Dr. Barbara Marie Scarpa Aprn NPPES

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

DR. BARBARA MARIE SCARPA APRN (NPI 1811565237) is an individual adult health provider in Oxford, Connecticut, licensed in Connecticut (9722) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1811565237
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDR. BARBARA MARIE SCARPACredential: APRN
Location Address220 MAIN ST STE 1AOxford, CT 06478-1065
Mailing Address67 Maple AveDerby, CT 06418-1328 · (203) 732-1256 · Fax (203) 732-1539
Fax(203) 888-3727
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 13, 2021
Last NPPES UpdateJanuary 27, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2022
NPI 1811565237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in CT · 9722
Also ListedNurse PractitionerTaxonomy 363L00000X · License 9722 (CT)
220 MAIN ST STE 1A, Oxford, CT 06478

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. Barbara Marie Scarpa Aprn 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 ID7517361900
PECOS Enrollment IDI20210806001783
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 13

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.
309 services182 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
244 services30 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
199 services132 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.
115 services115 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.
98 services75 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
92 services92 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06478 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

97.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Adult Health)
220 MAIN ST STE 1A
OXFORD, CT 06478
Nurse Practitioner (Adult Health)
220 MAIN ST STE 1A
OXFORD, CT 06478
Internal Medicine
220 MAIN ST STE 1A
OXFORD, CT 06478
Internal Medicine
220 MAIN ST STE 1A
OXFORD, CT 06478
Physician Assistant
220 MAIN ST STE 1A
OXFORD, CT 06478
Physician Assistant
220 MAIN ST STE 1A
OXFORD, CT 06478
Nurse Practitioner (Family)
220 MAIN ST STE 1A
OXFORD, CT 06478

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 Barbara Scarpa's NPI number?

The NPI number for Barbara Scarpa is 1811565237. It was assigned to this individual provider in the NPPES registry on June 13, 2021.

Where is Barbara Scarpa located?

Barbara Scarpa practices at 220 Main St Ste 1A, Oxford, CT 06478. The listed phone number is (203) 888-5527.

What is Barbara Scarpa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Barbara Scarpa enrolled in Medicare?

Yes. Barbara Scarpa 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.

When was this NPI record last updated?

The NPPES record for Barbara Scarpa was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.