Active NPI 1215985148 Individual Practitioner Male Practitioner

Dr. William Edris Barnes , MD

General Practice • Salem, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. William Barnes, MD is a certified General Practice practicing in Salem, KY. With approximately 50 years of clinical experience since graduating from Loyola University Of Chicago, Stritch School Of Medicine in 1976, Dr. Barnes delivers high-quality medical care to the local community at 141 HOSPITAL DR STE 102.

Dr. Barnes maintains professional affiliations with Tri-Rivers Healthcare Pllc, Livingston Hospital And Healthcare Services, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, insertion of guide wire with dilation of esophagus using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

141 Hospital Dr Ste 102

Salem, KY 420788043

Telephone 2709883298

Fax 2709884642

Associated Practice Facility / Clinic

🏢 Tri-Rivers Healthcare Pllc Facility NPI 1588644496

Medicare Profile & Education

Medical School

Loyola University Of Chicago, Stritch School Of Medicine

Graduation Year

1976

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Salem, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

50 Yrs Matches City Avg

City Avg: 50.0 Yrs

State Avg: 32.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Salem, KY (142 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Barnes (50 Years) 50 Yrs

Salem Specialty Average (50.0 Years) 50.0 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	178	68	$110.00	$73.72
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	123	90	$425.00	$55.87
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	84	65	$780.00	$124.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	76	60	$176.37	$118.26
99238 Hospital discharge day management, 30 minutes or less	64	49	$100.00	$75.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	20	$45.68	$43.31
45378 Diagnostic exam of large bowel using a flexible endoscope	37	32	$536.00	$140.28
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	28	28	$118.00	$75.10
91040 Study of esophageal sensation by balloon distension	27	27	$103.93	$45.59
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	22	20	$1928.82	$1095.18
43499 Esophagus procedure	16	16	$800.00	$315.80
45380 Biopsy of large bowel using an endoscope	13	13	$1015.00	$178.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	187	69	$110.00	$74.52
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	113	84	$425.00	$50.63
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	74	59	$780.00	$118.86
99238 Hospital discharge day management, 30 minutes or less	40	32	$100.00	$74.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	29	$206.00	$123.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	15	$42.00	$41.33
45378 Diagnostic exam of large bowel using a flexible endoscope	30	29	$536.00	$134.37
91040 Study of esophageal sensation by balloon distension	27	27	$50.93	$44.59
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	25	25	$118.00	$71.18
43499 Esophagus procedure	25	24	$800.00	$351.39
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	13	13	$2233.00	$1334.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	115	83	$425.00	$73.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	75	35	$110.00	$67.48
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	67	51	$780.00	$117.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	56	22	$42.00	$36.65
99219 Hospital observation care, typically 50 minutes	45	41	$140.00	$125.36
91040 Study of esophageal sensation by balloon distension	34	33	$52.94	$46.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	30	$206.00	$127.75
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	30	30	$1579.20	$75.18
99238 Hospital discharge day management, 30 minutes or less	29	25	$100.00	$67.59
99225 Subsequent observation care, typically 25 minutes per day	28	19	$143.00	$67.03
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$883.43	$158.02
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	16	16	$1245.19	$921.10
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$155.00	$95.20
99217 Hospital observation care on day of discharge	12	12	$200.00	$67.24
99220 Hospital observation care, typically 70 minutes	12	12	$235.00	$169.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	189	137	$425.00	$68.35
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	96	74	$780.00	$124.05
99219 Hospital observation care, typically 50 minutes	60	53	$140.00	$128.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	25	$110.00	$68.67
45378 Diagnostic exam of large bowel using a flexible endoscope	53	52	$920.00	$163.74
91040 Study of esophageal sensation by balloon distension	52	52	$50.96	$46.80
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	48	48	$1804.00	$77.62
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	17	$42.00	$36.75
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	28	28	$1497.14	$1313.14
99221 Initial hospital inpatient care per day, typically 30 minutes	25	23	$155.00	$96.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	20	$206.00	$129.88
99217 Hospital observation care on day of discharge	22	22	$200.00	$68.49
99225 Subsequent observation care, typically 25 minutes per day	15	14	$143.00	$64.09
47562 Removal of gallbladder using an endoscope	12	12	$2700.00	$636.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	156	113	$425.00	$72.57
99231 Follow-up hospital inpatient care per day, typically 15 minutes	91	42	$42.00	$38.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	72	32	$110.00	$71.26
99219 Hospital observation care, typically 50 minutes	67	57	$140.00	$133.51
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	64	52	$780.00	$131.34
99221 Initial hospital inpatient care per day, typically 30 minutes	56	50	$156.25	$98.40
45378 Diagnostic exam of large bowel using a flexible endoscope	37	37	$920.00	$171.13
91040 Study of esophageal sensation by balloon distension	34	31	$50.74	$49.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	29	$206.00	$135.33
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	27	26	$1804.00	$79.76
99225 Subsequent observation care, typically 25 minutes per day	21	19	$143.00	$71.61
99238 Hospital discharge day management, 30 minutes or less	19	18	$100.00	$71.16
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	18	18	$2563.94	$1467.87
99217 Hospital observation care on day of discharge	13	12	$200.00	$71.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	195	148	$425.00	$65.80
99219 Hospital observation care, typically 50 minutes	78	66	$140.00	$124.66
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	72	54	$780.00	$118.85
99221 Initial hospital inpatient care per day, typically 30 minutes	57	53	$155.00	$97.38
45378 Diagnostic exam of large bowel using a flexible endoscope	56	52	$920.00	$159.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	27	$110.00	$64.94
91040 Study of esophageal sensation by balloon distension	41	40	$53.05	$47.43
43249 Balloon dilation of esophagus using an endoscope	40	36	$495.00	$132.78
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	38	38	$1804.00	$77.67
99217 Hospital observation care on day of discharge	28	26	$200.00	$64.00
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	28	28	$3211.86	$1412.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	26	$206.00	$126.73
99238 Hospital discharge day management, 30 minutes or less	26	25	$100.00	$67.12
99225 Subsequent observation care, typically 25 minutes per day	19	17	$143.00	$61.82
45380 Biopsy of large bowel using an endoscope	18	18	$1015.00	$177.79
47562 Removal of gallbladder using an endoscope	12	12	$2700.00	$636.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	182	140	$457.11	$68.04
99219 Hospital observation care, typically 50 minutes	95	77	$142.31	$130.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	90	38	$98.67	$69.91
43249 Balloon dilation of esophagus using an endoscope	72	60	$508.31	$130.58
99221 Initial hospital inpatient care per day, typically 30 minutes	71	67	$141.48	$97.22
45378 Diagnostic exam of large bowel using a flexible endoscope	55	51	$812.60	$174.14
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	48	47	$729.58	$107.08
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	42	42	$2669.14	$1346.23
99238 Hospital discharge day management, 30 minutes or less	41	36	$90.63	$69.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	32	$189.46	$127.73
99217 Hospital observation care on day of discharge	19	17	$167.37	$69.78
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	13	$558.40	$120.80
45380 Biopsy of large bowel using an endoscope	13	13	$847.62	$183.07
47562 Removal of gallbladder using an endoscope	13	13	$2391.69	$584.07
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	11	11	$1197.64	$81.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	127	98	$407.43	$79.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	98	36	$79.11	$65.44
99219 Hospital observation care, typically 50 minutes	64	57	$144.99	$123.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	63	29	$48.63	$34.22
99221 Initial hospital inpatient care per day, typically 30 minutes	43	40	$117.05	$90.01
45378 Diagnostic exam of large bowel using a flexible endoscope	40	38	$412.38	$172.12
99238 Hospital discharge day management, 30 minutes or less	38	33	$77.26	$63.91
43249 Balloon dilation of esophagus using an endoscope	37	30	$1037.08	$125.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	32	$159.14	$123.94
85610 Blood test, clotting time	28	12	$23.00	$5.28
99217 Hospital observation care on day of discharge	20	18	$76.00	$65.58
47562 Removal of gallbladder using an endoscope	16	16	$821.25	$596.35
99220 Hospital observation care, typically 70 minutes	15	15	$200.33	$168.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$223.25	$183.54
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	12	12	$424.17	$99.90
45380 Biopsy of large bowel using an endoscope	11	11	$565.27	$100.12

Medical Specialties & State Licenses

CMS Verified: 2020-12-08

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License KY 21949

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Surgery

NUCC Taxonomy Code: 208600000X

State License KY 21949

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64219496 (KY)

Hospital & Practice Group Affiliations

Tri-Rivers Healthcare Pllc

131 Hospital Dr, Salem, KY 420788043

Phone: 2709882299

Livingston Hospital And Healthcare Services, Inc.

131 Hospital Dr, Salem, KY 420788043

Phone: 2709887208

Secondary Practice Locations

141 Hospital Dr Ste 103

Salem, KY 420788043

Phone: 2709883298

308 S Main St

Marion, KY 420641545

Phone: 2709654377

Practice Associates & Co-Workers

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

11 Associated Practitioners

Jennifer Alexander , APRN, PMHMP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1144933235

Advanced Practice Registered Nurse, PMHMPBC

Dr. James Bergin , MD

Surgery

NPI 1396708566

Doctor of Medicine (M.D.)

Robert Wilkinson , APRN

Nurse Practitioner

NPI 1457378044

Advanced Practice Registered Nurse

Dr. Ghassan Yazigi , MD

Internal Medicine

NPI 1538127378

Doctor of Medicine (M.D.)

Justin Lewis , PA-C

Physician Assistant

NPI 1538696356

Physician Assistant (Certified)

Kristee Shoulders , APRN

Nurse Practitioner - Family

NPI 1558784769

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location August 14, 2019

Registered at 141 HOSPITAL DR STE 102, SALEM, KY 420788043 (Tel: 2709883298)

✅

NPI Profile Active February 10, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 10, 2014

Registered at 141 HOSPITAL DR, SALEM, KY 420788043 (Tel: 2709883298)

📍

Updated Business Mailing Address February 10, 2014

Registered at 141 HOSPITAL DRIVE, PO BOX 347, SALEM, KY 420780347 (Tel: 2709883298)

👤

Provider Name / Credentials Updated February 10, 2014

Recorded as WILLIAM BARNES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2014

Surgery (License #21949 in KY)

🟢

Initial NPI Registration & Enumeration May 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. William Barnes. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1215985148

Entity Type:

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

Enumeration Date: May 04, 2006

Last Update: December 08, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

141 Hospital Drive, Po Box 347

Salem, KY 420780347

Phone: 2709883298

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.