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DR. SIMONE ALEXANDRA BARKER MD
NPI 1972063378
Otolaryngology in Folsom, CA

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
1561 CREEKSIDE DR STE 180, FOLSOM, CA 95630(916) 984-8830(916) 984-8834 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 28, 2024, Mar 21, 2019 (2 updates tracked since 2019).

About Dr. Simone Alexandra Barker Md NPPES

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

DR. SIMONE ALEXANDRA BARKER MD (NPI 1972063378) is an individual otolaryngology provider in Folsom, California, licensed in California (A196443) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Texas Medical School At San Antonio (2019).

NPPES Registry Identity

NPI1972063378
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. SIMONE ALEXANDRA BARKERCredential: MD
Location Address1561 CREEKSIDE DR STE 180Folsom, CA 95630-3495
Mailing Address1111 Exposition Blvd Bldg 700Sacramento, CA 95815-4314 · (916) 736-3399 · Fax (916) 736-3350
Phone(916) 984-8830
Fax(916) 984-8834
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2019
Enumeration DateMarch 21, 2019
Last NPPES UpdateJune 28, 20242 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1972063378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in CA · A196443
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1561 CREEKSIDE DR STE 180, Folsom, CA 95630
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Secondary Practice Locations 2

Location 11111 Exposition Blvd Bldg 700Sacramento, CA 95815-4314 · Phone (916) 736-3399 · Fax (916) 736-3350
Location 22 Medical Plaza Dr Ste 225Roseville, CA 95661-3044 · Phone (916) 782-1291 · Fax (916) 782-5992

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. Simone Alexandra 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 ID3678800331
PECOS Enrollment IDI20240805000213
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 9

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.

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.
50 services50 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
45 services44 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.
39 services28 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.
38 services36 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
23 services21 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
22 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95630 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

Other Providers at the Same Location NPPES 3

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

XIAOLING LI
Physician Assistant
1561 CREEKSIDE DR STE 180
FOLSOM, CA 95630
Sacramento County (916) 984-8830
DR. DONALD J CLUTTER MD
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1561 CREEKSIDE DR STE 180
FOLSOM, CA 95630
Sacramento County (916) 984-8830
KIMBERLY KNUDSEN
Audiologist-Hearing Aid Fitter
1561 CREEKSIDE DR STE 180
FOLSOM, CA 95630
Sacramento County (916) 984-8830

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 Simone Barker's NPI number?

The NPI number for Simone Barker is 1972063378. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Simone Barker located?

Simone Barker practices at 1561 Creekside Dr Ste 180, Folsom, CA 95630. The listed phone number is (916) 984-8830.

What is Simone Barker's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Simone Barker enrolled in Medicare?

Yes. Simone Barker 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.

When was this NPI record last updated?

The NPPES record for Simone Barker was last updated on June 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.