THEOPHILE BARLEY M.D.
NPI 1962643478
Family Medicine in Clarinda, IA

Active since March 12, 2009PECOS Enrolled
220 ESSIE DAVISON DR, CLARINDA, IA 51632(712) 542-2176(712) 542-8397 Get Directions Write a Review

NPPES record last updated: May 8, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theophile Barley M.d. NPPES

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

THEOPHILE BARLEY M.D. (NPI 1962643478) is an individual family medicine provider in Clarinda, Iowa, licensed in Iowa (38630) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962643478
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHEOPHILE BARLEYCredential: M.D.
Location Address220 ESSIE DAVISON DRClarinda, IA 51632-2915
Mailing AddressPo Box 217, 220 Essie Davison Dr.,Clarinda, IA 51632-2915 · (712) 542-2176 · Fax (712) 542-8311
Fax(712) 542-8397
Sole ProprietorNo
Enumeration DateMarch 12, 2009
Last NPPES UpdateMay 8, 2014
NPI 1962643478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IA · 38630 Licensed in AL · L.3021R
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.

220 ESSIE DAVISON DR, Clarinda, IA 51632

Other Identifiers 1

Medicare OSCAR/certificationI10723034IA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Theophile Barley M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51632 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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 18

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
3 suppliers34 claims49 services$4.24 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers16 claims16 services$46.21 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers14 claims14 services$113.67 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers15 claims37 services$42.02 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers13 claims13 services$25.04 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers21 claims126 services$3.06 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 20

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

Family Medicine
220 ESSIE DAVISON DR
CLARINDA, IA 51632
Family Medicine
220 ESSIE DAVISON DR
CLARINDA, IA 51632
Surgery
220 ESSIE DAVISON DR
CLARINDA, IA 51632
Urology
220 ESSIE DAVISON DR
CLARINDA, IA 51632
Nurse Practitioner
220 ESSIE DAVISON DR
CLARINDA, IA 51632
Family Medicine
220 ESSIE DAVISON DR
CLARINDA, IA 51632
Family Medicine
220 ESSIE DAVISON DR
CLARINDA, IA 51632
Nurse Anesthetist, Certified Registered
220 ESSIE DAVISON DR
CLARINDA, IA 51632

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 Theophile Barley's NPI number?

The NPI number for Theophile Barley is 1962643478. It was assigned to this individual provider in the NPPES registry on March 12, 2009.

Where is Theophile Barley located?

Theophile Barley practices at 220 Essie Davison Dr, Clarinda, IA 51632. The listed phone number is (712) 542-2176.

What is Theophile Barley's specialty?

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

Is Theophile Barley enrolled in Medicare?

Yes. Theophile Barley is registered in the Medicare PECOS enrollment system.

What insurance does Theophile Barley accept?

Health plans from Medica list Theophile Barley 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 Theophile Barley was last updated on May 8, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.