Active NPI 1740247162 Individual Practitioner Male Practitioner

Dr. Sidney Barnes , MD

Surgery • Crisfield, MD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sidney Barnes, MD is a certified Surgery practicing in Crisfield, MD. With approximately 37 years of clinical experience since graduating from New York University School Of Medicine in 1989, Dr. Barnes delivers high-quality medical care to the local community at 201 HALL HIGHWAY.

Dr. Barnes is affiliated with Lewis Gale Physicians Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

201 Hall Highway

Crisfield, MD 21817

Telephone 4109681200

Fax 4109683005

Associated Practice Facility / Clinic

🏢 Mccready Foundation, Inc Facility NPI 1881683423

Medicare Profile & Education

Medical School

New York University School Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Crisfield, MD

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs Matches City Avg

City Avg: 37.0 Yrs

State Avg: 28.6 Yrs

Regional Practice Density

1 Specialists

Practicing in Crisfield, MD (717 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Barnes (37 Years) 37 Yrs

Crisfield Specialty Average (37.0 Years) 37.0 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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	232	178	$113.09	$55.04
99213 Established patient office or other outpatient visit, typically 15 minutes	143	111	$187.08	$88.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	131	131	$262.80	$108.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	110	95	$319.31	$125.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	71	48	$92.52	$47.63
45378 Diagnostic exam of large bowel using a flexible endoscope	67	66	$707.87	$174.35
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	64	64	$562.75	$98.85
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	47	46	$897.64	$199.99
45380 Biopsy of large bowel using an endoscope	23	23	$831.39	$152.67
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	20	$480.60	$99.31
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$177.56	$70.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	287	189	$107.00	$56.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	165	165	$262.53	$111.07
99213 Established patient office or other outpatient visit, typically 15 minutes	116	95	$176.00	$89.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	93	82	$326.00	$128.49
99231 Follow-up hospital inpatient care per day, typically 15 minutes	87	49	$95.00	$48.98
45378 Diagnostic exam of large bowel using a flexible endoscope	77	76	$735.00	$180.17
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	73	72	$583.00	$96.44
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	52	51	$917.00	$218.50
45380 Biopsy of large bowel using an endoscope	15	15	$882.00	$147.83
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$495.00	$110.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	307	231	$107.00	$56.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	158	158	$263.00	$112.31
99213 Established patient office or other outpatient visit, typically 15 minutes	141	113	$176.00	$90.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	98	50	$95.00	$38.65
99221 Initial hospital inpatient care per day, typically 30 minutes	72	67	$240.00	$100.49
45378 Diagnostic exam of large bowel using a flexible endoscope	69	69	$735.00	$186.01
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	55	55	$594.33	$108.26
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	50	49	$931.06	$228.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	36	$326.00	$134.60
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	30	$495.00	$96.36
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$182.00	$73.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	334	233	$107.00	$56.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	184	184	$263.00	$113.91
99231 Follow-up hospital inpatient care per day, typically 15 minutes	148	68	$95.00	$38.35
99213 Established patient office or other outpatient visit, typically 15 minutes	80	69	$176.00	$92.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	68	57	$479.00	$198.93
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	62	62	$917.00	$226.73
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	52	51	$583.00	$110.10
99221 Initial hospital inpatient care per day, typically 30 minutes	50	47	$240.00	$101.11
45378 Diagnostic exam of large bowel using a flexible endoscope	49	49	$735.00	$174.95
99202 New patient office or other outpatient visit, typically 20 minutes	41	41	$182.00	$74.05
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	37	35	$495.00	$109.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$326.00	$132.33
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$735.00	$189.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	343	240	$107.00	$45.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	234	234	$262.67	$108.24
99231 Follow-up hospital inpatient care per day, typically 15 minutes	116	54	$94.83	$40.02
99221 Initial hospital inpatient care per day, typically 30 minutes	94	87	$238.56	$102.79
99213 Established patient office or other outpatient visit, typically 15 minutes	77	66	$175.30	$75.66
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	42	42	$583.00	$109.56
45378 Diagnostic exam of large bowel using a flexible endoscope	41	41	$735.00	$184.05
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	37	37	$735.00	$182.18
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$182.00	$76.46
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	33	33	$917.00	$237.72
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	33	32	$495.00	$92.55
45380 Biopsy of large bowel using an endoscope	21	21	$882.00	$161.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	172	136	$103.38	$45.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	145	145	$260.69	$108.29
99213 Established patient office or other outpatient visit, typically 15 minutes	57	53	$136.81	$74.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	39	$59.10	$26.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	23	$95.00	$39.49
45378 Diagnostic exam of large bowel using a flexible endoscope	36	36	$744.73	$193.60
99213 Established patient office or other outpatient visit, typically 15 minutes	35	35	$100.31	$52.30
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	27	$443.67	$108.64
99221 Initial hospital inpatient care per day, typically 30 minutes	26	26	$240.00	$101.63
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$567.63	$133.50
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$735.00	$191.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	164	108	$59.36	$25.67
99213 Established patient office or other outpatient visit, typically 15 minutes	98	90	$92.66	$51.41
45378 Diagnostic exam of large bowel using a flexible endoscope	25	25	$827.74	$184.10
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	18	$47.54	$9.26
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$241.96	$119.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	188	130	$62.93	$24.68
99213 Established patient office or other outpatient visit, typically 15 minutes	105	94	$97.90	$49.44
45378 Diagnostic exam of large bowel using a flexible endoscope	31	31	$739.07	$182.03
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	21	$218.58	$127.93
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	20	19	$49.75	$8.95
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$766.44	$183.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$186.85	$74.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$133.72	$94.39
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	11	11	$738.64	$229.38

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MD D0054422

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.

Hospital & Practice Group Affiliations

Lewis Gale Physicians Llc

1 Arh Lane, Low Moor, VA 244570007

Phone: 5409699293

Lewis Gale Physicians Llc

1802 Braeburn Dr, Salem, VA 241537357

Practice Associates & Co-Workers

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

16 Associated Practitioners

Tory Widdowson

Physical Therapist

NPI 1003083874

Michael Rabel , MPT, DSC, OCS

Physical Therapist - Orthopedic

NPI 1003147422

Master of Physical Therapy, DSC, Orthopedic Clinical Specialist

Dr. James Mcgettigan , MD

Emergency Medicine

NPI 1093766453

Doctor of Medicine (M.D.)

Dr. Mary Everett , MD

Radiology - Diagnostic Radiology

NPI 1154391795

Doctor of Medicine (M.D.)

Dr. Vijaykumar Karumbunathan , MD

Internal Medicine

NPI 1174589386

Doctor of Medicine (M.D.)

Patricia Bratek , CRNA

Nurse Anesthetist, Certified Registered

NPI 1174589535

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

7 Historical Events

👤

Provider Name / Credentials Updated August 15, 2019

Recorded as SIDNEY BARNES, MD

✅

NPI Profile Active June 19, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 19, 2008

Registered at 201 HALL HIGHWAY, CRISFIELD, MD 21817 (Tel: 4109681200)

📍

Updated Business Mailing Address June 19, 2008

Registered at 201 HALL HIGHWAY, CRISFIELD, MD 21817 (Tel: 4109681200)

👤

Provider Name / Credentials Updated June 19, 2008

Recorded as SYDNEY BARNES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2008

Surgery (License #D0054422 in MD)

🟢

Initial NPI Registration & Enumeration April 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1740247162

Entity Type:

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

Enumeration Date: April 28, 2006

Last Update: August 15, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

201 Hall Highway

Crisfield, MD 21817

Phone: 4109681200

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.