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DR. JOSEPH C BARBARA M.D.
NPI 1831119486
Family Medicine in Gilroy, CA

Active since July 19, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D0605650 · Waiver
91.98/100
CMS Quality Rating
7880 WREN AVE STE C133, GILROY, CA 95020(408) 842-0278(408) 842-8907 Get Directions Write a Review

NPPES record last updated: August 24, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Joseph C Barbara M.d. NPPES

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

DR. JOSEPH C BARBARA M.D. (NPI 1831119486) is an individual family medicine provider in Gilroy, California, licensed in California (G28075) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through October 2, 2027, and is a graduate of Medical College Of Wisconsin (1974).

NPPES Registry Identity

NPI1831119486
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOSEPH C BARBARACredential: M.D.
Location Address7880 WREN AVE STE C133Gilroy, CA 95020-7801
Mailing Address7880 Wren Ave Ste C133Gilroy, CA 95020-7801 · (408) 842-0278 · Fax (408) 842-8907
Phone(408) 842-0278
Fax(408) 842-8907
Sole ProprietorYes
Medical School CMSMedical College Of WisconsinGraduated 1974
Enumeration DateJuly 19, 2006
Last NPPES UpdateAugust 24, 2010
✔ NPI 1831119486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G28075
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7880 WREN AVE STE C133, Gilroy, CA 95020
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Other Identifiers 4

Medicare ID-Type Unspecified00G280750CA
Medicare UPINA43600CA
Medicaid00G280750CA
Medicare PINZZZ04587ZCA

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. Joseph C 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 ID9335245067
PECOS Enrollment IDI20150707002554
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0605650

Joseph C Barbara MD, Inc · Gilroy, CA
Active · expires Oct 2, 2027
CLIA Number05D0605650
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2025
Certificate Expiration DateOctober 2, 2027
Laboratory DirectorJoseph Barbara
Laboratory Phone(408) 842-0278
Laboratory LocationJoseph C Barbara MD, Inc7880 Wren Ave Ste C133, Gilroy, CA 95020
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

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.

Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
592 services276 patients
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.
442 services264 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.
306 services306 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
124 services79 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.
68 services61 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.
38 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95020 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

91.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality84.02
Promoting Interoperability93
Improvement Activities40
Cost78.42

Reported Quality Measures

Advance Care Plan
3%996 patients1/55-star benchmark: 100%
Appropriate Treatment for Upper Respiratory Infection (URI)
21%294 patients1/55-star benchmark: 100%
Breast Cancer Screening
46%716 patients2/55-star benchmark: 93%
Cervical Cancer Screening
32%1,362 patients2/55-star benchmark: 98%
Chlamydia Screening for Women
9%132 patients
Closing the Referral Loop: Receipt of Specialist Report
30%410 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
39%2,013 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
52%977 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
26%519 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
42%519 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
83%9,002 patients4/55-star benchmark: 100%
e-Prescribing
100%545 patients5/55-star benchmark: 100%
HIV Screening
6%3,069 patients1/55-star benchmark: 60%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
32%4,620 patients3/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
53%2,018 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%704 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 1,078 patients
Patients totalRate: 7% · 1,084 patients
7%1,084 patients4/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 13

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
18 suppliers87 claims218 services$5.67 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers43 claims59 services$0.94 avg. paid by Medicare
Tracheal suction catheter, any type other than closed system, each A4624
DME-Other DME · category DE000N
1 supplier11 claims930 services$2.55 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers11 claims11 services$35.81 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers12 claims72 services$1.32 avg. paid by Medicare
Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
1 supplier11 claims301 services$3.27 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 3

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

AMY BANNISTER FNP
Family Medicine
7880 WREN AVE STE C133
GILROY, CA 95020
Santa Clara County (408) 842-0278
JOHN PAUL BARBARA
Physician Assistant (Medical)
7880 WREN AVE STE C133
GILROY, CA 95020
Santa Clara County (408) 842-0278
JOSEPH C BARBARA MD INC
Family Medicine
7880 WREN AVE STE C133
GILROY, CA 95020
Santa Clara County (408) 842-0278

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 Joseph Barbara's NPI number?

The NPI number for Joseph Barbara is 1831119486. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Joseph Barbara located?

Joseph Barbara practices at 7880 Wren Ave Ste C133, Gilroy, CA 95020. The listed phone number is (408) 842-0278.

What is Joseph Barbara's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joseph Barbara enrolled in Medicare?

Yes. Joseph 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.

Does Joseph Barbara hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0605650) is associated with this NPI, valid through October 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Joseph Barbara was last updated on August 24, 2010. 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.