Active NPI 1871953497 Individual Practitioner Male Practitioner

Josh Barnes , NP-C

Preferred Provider Organization • Madison, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Josh Barnes, NP-C is a certified Preferred Provider Organization practicing in Madison, AL. With approximately 10 years of clinical experience since completing medical education in 2016, Josh Barnes delivers high-quality medical care to the local community at 133 HEATHERWOOD DR.

Josh Barnes is affiliated with Doctor-Patient Medicine Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

133 Heatherwood Dr

Madison, AL 357588259

Telephone 2563485147

Fax 2569704161

Associated Practice Facility / Clinic

🏢 North Alabama Homecare. Inc Facility NPI 1285056929

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Preferred Provider Organization in Madison, AL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs Matches City Avg

City Avg: 10.0 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

1 Specialists

Practicing in Madison, AL (4 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

32.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Barnes (10 Years) 10 Yrs

Madison Specialty Average (10.0 Years) 10.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	134	46	$134.00	$98.68
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	40	24	$90.00	$40.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$150.00	$99.76
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	19	17	$185.00	$139.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	226	84	$134.00	$101.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	120	120	$150.00	$100.83
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	28	19	$185.00	$148.58
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	13	$90.00	$40.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	562	155	$140.00	$109.05
99335 Established patient assisted living visit, typically 25 minutes	69	35	$100.00	$76.91
99354 Prolonged office or other outpatient service first hour	65	49	$147.00	$104.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	53	53	$150.00	$104.34
99337 Established patient assisted living visit, typically 60 minutes	46	44	$200.00	$156.35
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	23	23	$180.00	$149.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	848	196	$140.00	$111.65
99354 Prolonged office or other outpatient service first hour	137	95	$147.00	$106.43
99335 Established patient assisted living visit, typically 25 minutes	85	39	$100.00	$78.77
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	66	66	$180.00	$153.42
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	62	14	$134.00	$106.33
99337 Established patient assisted living visit, typically 60 minutes	59	56	$200.00	$159.83
99495 Transitional care management services for problem of at least moderate complexity	26	21	$200.00	$168.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	810	233	$140.10	$110.77
99335 Established patient assisted living visit, typically 25 minutes	234	107	$100.00	$78.23
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	67	67	$180.00	$152.71
99337 Established patient assisted living visit, typically 60 minutes	62	61	$200.00	$159.95
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	61	16	$134.10	$105.65
99354 Prolonged office or other outpatient service first hour	36	31	$147.00	$106.85
99495 Transitional care management services for problem of at least moderate complexity	29	29	$200.00	$147.97
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	24	24	$140.00	$110.64
11719 Trimming of fingernails or toenails	18	18	$20.00	$11.43
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	12	11	$70.00	$56.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	1,115	225	$140.04	$105.32
99335 Established patient assisted living visit, typically 25 minutes	242	96	$100.00	$73.95
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	96	22	$134.17	$100.45
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	75	75	$180.00	$145.05
99337 Established patient assisted living visit, typically 60 minutes	69	67	$199.71	$151.22
99354 Prolonged office or other outpatient service first hour	56	46	$147.00	$101.17
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	41	33	$70.00	$53.44
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	22	22	$220.00	$170.79
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	16	16	$110.00	$70.92
99495 Transitional care management services for problem of at least moderate complexity	16	14	$200.00	$125.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	1,182	272	$146.75	$108.44
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	245	149	$90.00	$72.62
99335 Established patient assisted living visit, typically 25 minutes	180	103	$102.58	$76.08
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	78	23	$138.85	$102.31
99337 Established patient assisted living visit, typically 60 minutes	78	75	$192.18	$154.90
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	68	55	$70.00	$55.42
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	53	53	$244.00	$175.14
99354 Prolonged office or other outpatient service first hour	49	45	$140.39	$104.36
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	48	48	$179.53	$149.52
99495 Transitional care management services for problem of at least moderate complexity	39	35	$176.62	$129.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	631	213	$160.00	$108.27
99337 Established patient assisted living visit, typically 60 minutes	247	132	$173.06	$155.13
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	115	36	$156.00	$103.10
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	80	54	$90.00	$72.98
99354 Prolonged office or other outpatient service first hour	63	51	$120.00	$103.79
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	60	60	$273.00	$175.48
99335 Established patient assisted living visit, typically 25 minutes	59	46	$115.00	$76.25
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	40	28	$175.00	$143.63
99495 Transitional care management services for problem of at least moderate complexity	27	22	$143.00	$128.67
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	21	21	$178.75	$149.35
99496 Transitional care management services for problem of high complexity	19	15	$200.00	$182.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$128.00	$91.09

Medical Specialties & State Licenses

Preferred Provider Organization Primary Specialty

NUCC Taxonomy Code: 305R00000X

State License AL 1-111553

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Hospital & Practice Group Affiliations

Doctor-Patient Medicine Inc

101 Westover Cir, Madison, AL 357584910

Phone: 2563253800

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Shawn Seal

Nurse Practitioner - Family

NPI 1609309343

Jennifer Beatty , CRNP

Nurse Practitioner - Acute Care

NPI 1851681548

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 24, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 24, 2016

Registered at 133 HEATHERWOOD DR, MADISON, AL 357588259 (Tel: 2563485147)

📍

Updated Business Mailing Address February 24, 2016

Registered at 133 HEATHERWOOD DR, MADISON, AL 357588259

👤

Provider Name / Credentials Updated February 24, 2016

Recorded as JOSH BARNES, NP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2016

Preferred Provider Organization (License #1-111553 in AL)

🟢

Initial NPI Registration & Enumeration February 24, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871953497

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 24, 2016

Last Update: February 24, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

133 Heatherwood Dr

Madison, AL 357588259

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.