BILLIE J BARKER MD
NPI 1952307951
Internal Medicine - Critical Care Medicine in Pittsburgh, PA

Q: What is Billie Barker's NPI number?

The NPI number for Billie Barker is 1952307951. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Q: What is Billie Barker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Billie Barker was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since June 23, 2005PECOS EnrolledAccepts Medicare Assignment

490 E NORTH AVE STE 305, PITTSBURGH, PA 15212(412) 359-6656(412) 359-6653 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2025, Nov 14, 2023, Jul 15, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Billie J Barker Md NPPES

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

BILLIE J BARKER MD (NPI 1952307951) is an individual critical care medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD435906) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Allegheny Valley Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1952307951

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameBILLIE J BARKERCredential: MD

Location Address490 E NORTH AVE STE 305Pittsburgh, PA 15212-4740

Mailing Address4 Allegheny Ctr Fl 7Pittsburgh, PA 15212-5227 · (412) 359-6656

Phone(412) 359-6656

Fax(412) 359-6653

Sole ProprietorNo

Medical School CMSMedical College Of OhioGraduated 1999

Enumeration DateJune 23, 2005

Last NPPES UpdateFebruary 25, 20264 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2026

✔ NPI 1952307951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in PA · MD435906

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License 21205 (WV)

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 0101238720 (VA), MD435906 (PA)

490 E NORTH AVE STE 305, Pittsburgh, PA 15212

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11000 Dutch Ridge RdBeaver, PA 15009-9727 · Phone (724) 773-6403 · Fax (724) 770-7943

Location 270 Medical Center Cir Ste 308Fishersville, VA 22939-2273 · Phone (540) 245-7190 · Fax (540) 245-7191

Other Identifiers 3

Medicaid2419813OH

Medicaid1023149530001PA

Medicaid1842052000WV

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

Billie J Barker Md 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 ID6800781121

PECOS Enrollment IDI20090901000190

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 11

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

109 services55 patients

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.

107 services56 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

52 services38 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

42 services42 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

39 services37 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

35 services33 patients

Hospital Affiliations CMS Care Compare 5

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

Allegheny Valley Hospital

Acute Care Hospitals · Natrona, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390032

Location1301 Carlisle StNatrona, PA 15065 · Allegheny County

Emergency services

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390050

Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County

Emergency services

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390090

Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County

Emergency services Birthing friendly

Canonsburg General Hospital

Acute Care Hospitals · Canonsburg, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390160

Location100 Medical BoulevardCanonsburg, PA 15317 · Washington County

Emergency services

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390334

Location12351 Perry HighwayWexford, PA 15090 · Allegheny County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15212 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

7 suppliers13 claims13 services$81.26 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

6 suppliers11 claims29 services$32.30 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

3 suppliers12 claims69 services$14.32 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

4 suppliers13 claims13 services$53.19 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

9 suppliers15 claims15 services$18.17 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

10 suppliers17 claims99 services$1.97 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 7

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

NICHOLAS CHERONIS M.D.

Internal Medicine (Critical Care Medicine)