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MATTHEW BARNES
NPI 1912304031
Nurse Practitioner - Family in Mobile, AL

Active since December 04, 2014PECOS EnrolledAccepts Medicare Assignment
83.85/100
CMS Quality Rating
3301 KNOLLWOOD DR, FOUR MED PK, MOBILE, AL 36693(251) 660-5108(251) 660-5792 Get Directions Write a Review

NPPES record last updated: June 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew Barnes NPPES

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

MATTHEW BARNES (NPI 1912304031) is an individual family provider in Mobile, Alabama, licensed in Alabama (1-134334) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS, is affiliated with Unc Health Nash, and is a graduate of University Of South Alabama College Of Medicine (2014).

NPPES Registry Identity

NPI1912304031
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMATTHEW BARNES
Location Address3301 KNOLLWOOD DR, FOUR MED PKMobile, AL 36693-7003
Mailing AddressPo Box 40480Mobile, AL 36640-0480 · (251) 660-5108 · Fax (251) 660-5792
Phone(251) 660-5108
Fax(251) 660-5792
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2014
Enumeration DateDecember 4, 2014
Last NPPES UpdateJune 18, 2015
✔ NPI 1912304031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1-134334
Also ListedRegistered NurseTaxonomy 163W00000X · License 1-134334 (AL)
3301 KNOLLWOOD DR, Mobile, AL 36693
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama 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

Matthew Barnes 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 ID6406162288
PECOS Enrollment IDI20150825005074, I20251110002568
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
90 services72 patients

Hospital Affiliations CMS Care Compare

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

Unc Health Nash

Acute Care Hospitals · Rocky Mount, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340147
Location2460 Curtis Ellis DriveRocky Mount, NC 27804 · Nash County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36693 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

83.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability81
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

MRS. JANE GILLIG
Speech-Language Pathologist
3301 KNOLLWOOD DR, MEDICAL PARK BLDG. 4
MOBILE, AL 36693
Mobile County (251) 662-2667
ENCORE REHABILITATION, INC.
Clinic/Center (Physical Therapy)
3301 KNOLLWOOD DR, BLDG 4
MOBILE, AL 36693
Mobile County (251) 662-2667
COURTENAY ROCCONI
Speech-Language Pathologist
3301 KNOLLWOOD DR, MEDICAL PARK BLDG. 4
MOBILE, AL 36693
Mobile County (251) 662-2667
UNIVERSITY OF SOUTH ALABAMA HEALTH SERVICES FOUNDATION
Clinic/Center (Multi-Specialty)
3301 KNOLLWOOD DR, MED PK 4
MOBILE, AL 36693
Mobile County (251) 660-5108
CAMMIE RENAY DRINKARD CRNP
Nurse Practitioner
3301 KNOLLWOOD DR, MED PK 4
MOBILE, AL 36693
Mobile County (251) 660-5108
TAMI DUNNE NP
Nurse Practitioner (Family)
3301 KNOLLWOOD DR, MED PARK 4
MOBILE, AL 36693
Mobile County (251) 660-5108
KELLY GABRIELLE DAVIS POSADAS
Occupational Therapist
3301 KNOLLWOOD DR, MEDICAL PARK BLDG. 4
MOBILE, AL 36693
Mobile County (251) 662-2667
MELVILLE J. STERNBERG MD
Internal Medicine
3301 KNOLLWOOD DR, MEDICAL PARK FOUR
MOBILE, AL 36693
Mobile County (251) 660-5787

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 Matthew Barnes's NPI number?

The NPI number for Matthew Barnes is 1912304031. It was assigned to this individual provider in the NPPES registry on December 4, 2014.

Where is Matthew Barnes located?

Matthew Barnes practices at 3301 Knollwood Dr Four Med Pk, Mobile, AL 36693. The listed phone number is (251) 660-5108.

What is Matthew Barnes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Matthew Barnes enrolled in Medicare?

Yes. Matthew Barnes 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 Matthew Barnes accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Matthew Barnes 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 Matthew Barnes affiliated with any hospitals?

According to CMS data, Matthew Barnes is affiliated with Unc Health Nash.

When was this NPI record last updated?

The NPPES record for Matthew Barnes was last updated on June 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.