Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. DONALD ANTHONY BARNHORST JR. M.D.
NPI 1861447138
Ophthalmology in Jacksonville, FL

Q: What is Donald Barnhorst's NPI number?

The NPI number for Donald Barnhorst is 1861447138. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Q: What is Donald Barnhorst's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Donald Barnhorst was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 24, 2006PECOS Enrolled

79.26/100

CMS Quality Rating

6269 BEACH BLVD, SUITE 4, JACKSONVILLE, FL 32216(904) 722-3937(904) 722-3938 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Donald Anthony Barnhorst Jr. M.d. NPPES

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

DR. DONALD ANTHONY BARNHORST JR. M.D. (NPI 1861447138) is an individual ophthalmology provider in Jacksonville, Florida, licensed in Florida (ME 78488) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (1992).

NPPES Registry Identity

NPI1861447138

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. DONALD ANTHONY BARNHORST JR.Credential: M.D.

Location Address6269 BEACH BLVD, SUITE 4Jacksonville, FL 32216-2705

Mailing Address6269 Beach Blvd, Suite 4Jacksonville, FL 32216-2705 · (904) 722-3937 · Fax (904) 722-3938

Phone(904) 722-3937

Fax(904) 722-3938

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 1992

Enumeration DateMay 24, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1861447138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in FL · ME 78488

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

6269 BEACH BLVD, Jacksonville, FL 32216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Dr. Donald Anthony Barnhorst Jr. 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 ID5799706040

PECOS Enrollment IDI20051214000331

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 20

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

1,011 services930 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

831 services772 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.

455 services385 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

357 services333 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

324 services176 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

320 services176 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.

313 services279 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

252 services240 patients

Measurement of corneal curvature and depth of eye 92136

175 services174 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

150 services150 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

136 services90 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

126 services126 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

108 services100 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

83 services75 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

61 services61 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

51 services30 patients

Imaging of front third of eye using a special microscope 92286

This procedure involves capturing detailed images of the front part of your eye using a specialized microscope. It helps in identifying any eye abnormalities or issues, improving the accuracy of diagnosis and treatment planning.

31 services30 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

20 services19 patients

Removal of eyelashes using forceps 67820

The removal of eyelashes using forceps is a simple procedure where a medical professional gently extracts unwanted or problematic eyelashes with a specialized tool. This is often done to alleviate discomfort or to treat conditions like trichiasis, where eyelashes grow inward.

18 services13 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

79.26/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.47

Promoting Interoperability

Improvement Activities

Reported Quality Measures

e-Prescribing

87%751 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

82%1,188 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.

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Other Providers at the Same Location NPPES 9

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

FLORIDA PHYSICIAN SPECIALISTS LLC

Urology

6269 BEACH BLVD, SUITE 2
JACKSONVILLE, FL 32216

Duval County (904) 727-7955

DONALD A. BARNHORST JR. MD PA

Ophthalmology

6269 BEACH BLVD, SUITE 4
JACKSONVILLE, FL 32216

Duval County (904) 722-3937

DR. ALI KASRAEIAN MD

Urology

6269 BEACH BLVD, SUITE 2
JACKSONVILLE, FL 32216

Duval County (904) 727-7955

KASRAEIAN UROLOGY LLC

Urology

6269 BEACH BLVD, SUITE 2
JACKSONVILLE, FL 32216

Duval County (904) 727-7955

VAISHALI B DOOLABH MD

Surgery (Plastic and Reconstructive Surgery)

6269 BEACH BLVD, SUITE 1
JACKSONVILLE, FL 32216

Duval County (904) 854-4800

INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC

Urology

6269 BEACH BLVD, SUITE 2
JACKSONVILLE, FL 32216

Duval County (904) 727-7955

AHMAD KASRAEIAN M.D.

Urology

6269 BEACH BLVD, STE 2
JACKSONVILLE, FL 32216

Duval County (904) 727-7955

NICOLE PAULINE DETRICK

Physician Assistant

6269 BEACH BLVD
JACKSONVILLE, FL 32216

Duval County (904) 727-7955

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 Donald Barnhorst's NPI number?

The NPI number for Donald Barnhorst is 1861447138. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Donald Barnhorst located?

Donald Barnhorst practices at 6269 Beach Blvd Suite 4, Jacksonville, FL 32216. The listed phone number is (904) 722-3937.

What is Donald Barnhorst's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Donald Barnhorst enrolled in Medicare?

Yes. Donald Barnhorst 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 Donald Barnhorst accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Donald Barnhorst 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.

When was this NPI record last updated?

The NPPES record for Donald Barnhorst was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.