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RACHAEL THOMAS BARTON PA
NPI 1831781087
Physician Assistant in Charlotte, NC

Active since February 09, 2021PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
101 E W T HARRIS BLVD, STE 5500, CHARLOTTE, NC 28262(704) 863-6160 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 7 more (10 updates tracked since 2021).

About Rachael Thomas Barton Pa NPPES

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

RACHAEL THOMAS BARTON PA (NPI 1831781087) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-11555) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1831781087
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRACHAEL THOMAS BARTONCredential: PA
Location Address101 E W T HARRIS BLVD, STE 5500Charlotte, NC 28262-3485
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 863-6160
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 9, 2021
Last NPPES UpdateJuly 15, 202410 updates tracked since enumeration
NPPES CertifiedAugust 23, 2021
✔ NPI 1831781087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-11555
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
101 E W T HARRIS BLVD, Charlotte, NC 28262
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1100 Medical Park Dr, Ste 110Concord, NC 28025-2948 · Phone (704) 403-1370
Location 2945 N 5th StAlbemarle, NC 28001-3417 · Phone (980) 323-7790
Location 31021 Morehead Medical Dr, Ste ACharlotte, NC 28204-2990 · Phone (980) 442-2000
Location 44525 Cameron Valley Pkwy, Ste 3500Charlotte, NC 28211-4369 · Phone (704) 302-8300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Rachael Thomas Barton Pa 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 ID5597131680
PECOS Enrollment IDI20221013003812
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 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.
37 services28 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health University City

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340166
Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County
Emergency services Birthing friendly

St Francis-Downtown

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420023
LocationOne St Francis DrGreenville, SC 29601 · Greenville County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28262 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

SHIBIN THOMAS JACOB MD
Internal Medicine (Pulmonary Disease)
101 E W T HARRIS BLVD, BLDG 5000 SUITE #5101
CHARLOTTE, NC 28262
Mecklenburg County (704) 863-5847
GEOFFREY ANDREW ROSE MD
Internal Medicine (Cardiovascular Disease)
101 E W T HARRIS BLVD, STE 1213
CHARLOTTE, NC 28262
Mecklenburg County (704) 863-1950
BRYAN C. ADAMS MD
Pediatrics
101 E W T HARRIS BLVD, STE 1121
CHARLOTTE, NC 28262
Mecklenburg County (704) 717-2000
AMANDA L. MCDOWELL IVEY MD
Pediatrics
101 E W T HARRIS BLVD, STE 1121
CHARLOTTE, NC 28262
Mecklenburg County (704) 717-2000
ANDY YOUNG JIN KIM NP
Nurse Practitioner
101 E W T HARRIS BLVD
CHARLOTTE, NC 28262
Mecklenburg County (704) 863-9850
DR. KATHLEEN MARIE REARDON MD
Pediatrics
101 E W T HARRIS BLVD, SUITE 1121
CHARLOTTE, NC 28262
Mecklenburg County (704) 717-2000
JOHN STUART SALMON MD
Internal Medicine (Hematology)
101 E W T HARRIS BLVD, STE 5500
CHARLOTTE, NC 28262
Mecklenburg County (704) 863-6160
RICHARD BOESEL MD
Obstetrics & Gynecology
101 E W T HARRIS BLVD, STE 2320
CHARLOTTE, NC 28262
Mecklenburg County (704) 547-0858

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 Rachael Barton's NPI number?

The NPI number for Rachael Barton is 1831781087. It was assigned to this individual provider in the NPPES registry on February 9, 2021.

Where is Rachael Barton located?

Rachael Barton practices at 101 E W T Harris Blvd Ste 5500, Charlotte, NC 28262. The listed phone number is (704) 863-6160.

What is Rachael Barton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Rachael Barton enrolled in Medicare?

Yes. Rachael Barton 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 Rachael Barton accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 2 other insurers list Rachael Barton 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.

Is Rachael Barton affiliated with any hospitals?

According to CMS data, Rachael Barton is affiliated with Carolinas Medical Center/Behav Health, Atrium Health University City and St Francis-Downtown.

When was this NPI record last updated?

The NPPES record for Rachael Barton was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.