Active NPI 1972797058 Individual Practitioner Male Practitioner

Dr. Scott Anthony Barnes , DO

Surgery • Mount Clemens, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Scott Barnes, DO is a certified Surgery practicing in Mount Clemens, MI. With approximately 19 years of clinical experience since graduating from Michigan State University College Of Osteopathic Medicine in 2007, Dr. Barnes delivers high-quality medical care to the local community at 1000 HARRINGTON ST.

Dr. Barnes maintains professional affiliations with Acute Care Surgeons Pc, Henry Ford Macomb Hospital Corporation, Northwest Surgical Associates Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, subsequent hospital care with moderate levelof medical decision making, if using time, at least, 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

1000 Harrington St

Mount Clemens, MI 480432920

Telephone 5864938195

Fax 5864938799

Associated Practice Facility / Clinic

🏢 Mclaren Macomb Facility NPI 1316938327

Medicare Profile & Education

Medical School

Michigan State University College Of Osteopathic Medicine

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Mount Clemens, MI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -0.4 yrs vs City Avg

City Avg: 19.4 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

19 Specialists

Practicing in Mount Clemens, MI (1479 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Barnes (19 Years) 19 Yrs

Mount Clemens Specialty Average (19.4 Years) 19.4 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	222	93	$74.86	$49.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	156	60	$150.50	$79.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	62	60	$272.13	$131.96
99291 Critical care, first 30-74 minutes	38	12	$493.16	$215.90
99238 Hospital discharge day management, 30 minutes or less	34	34	$194.59	$80.84
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	29	18	$207.28	$119.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$450.65	$166.81
99284 Emergency department visit with moderate level of medical decision making	18	18	$384.11	$124.20
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$170.00	$84.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	168	82	$76.13	$51.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	66	40	$154.20	$80.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	47	$275.80	$133.06
99291 Critical care, first 30-74 minutes	33	13	$487.27	$219.42
99238 Hospital discharge day management, 30 minutes or less	31	30	$195.00	$81.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	13	$186.62	$121.14
99284 Emergency department visit with moderate level of medical decision making	17	16	$351.82	$125.25
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$155.00	$85.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$419.17	$176.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	267	110	$78.00	$40.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	93	20	$199.35	$104.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	31	$152.52	$72.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	49	$248.06	$138.92
99238 Hospital discharge day management, 30 minutes or less	42	42	$193.50	$73.30
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$201.11	$105.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	11	$485.42	$204.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	284	118	$79.23	$39.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	113	56	$156.29	$74.19
99238 Hospital discharge day management, 30 minutes or less	66	65	$198.58	$74.29
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	57	20	$212.09	$106.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	57	57	$257.23	$141.22
99291 Critical care, first 30-74 minutes	31	12	$573.87	$230.34
99221 Initial hospital inpatient care per day, typically 30 minutes	30	30	$189.67	$106.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$474.38	$199.38
99219 Hospital observation care, typically 50 minutes	12	12	$285.00	$138.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	254	120	$84.25	$41.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	112	45	$153.16	$75.40
99291 Critical care, first 30-74 minutes	59	16	$476.10	$234.37
99238 Hospital discharge day management, 30 minutes or less	53	51	$198.28	$76.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	45	$259.53	$145.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	44	19	$185.30	$108.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$428.00	$211.66
99219 Hospital observation care, typically 50 minutes	11	11	$285.00	$141.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	353	136	$81.15	$40.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	140	69	$160.66	$75.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	71	71	$273.73	$140.22
99238 Hospital discharge day management, 30 minutes or less	69	69	$198.77	$75.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	51	22	$186.84	$107.16
99291 Critical care, first 30-74 minutes	40	14	$490.00	$231.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$450.71	$209.28
99221 Initial hospital inpatient care per day, typically 30 minutes	27	25	$182.22	$106.08
99220 Hospital observation care, typically 70 minutes	20	20	$391.75	$191.33
99219 Hospital observation care, typically 50 minutes	18	18	$285.00	$140.07
99224 Subsequent observation care, typically 15 minutes per day	13	11	$106.54	$41.12
99217 Hospital observation care on day of discharge	11	11	$200.91	$75.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	351	143	$71.58	$39.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	145	89	$121.61	$73.86
99291 Critical care, first 30-74 minutes	84	29	$489.46	$225.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	82	82	$233.48	$138.32
99238 Hospital discharge day management, 30 minutes or less	56	55	$169.16	$73.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	27	$163.46	$105.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$331.65	$206.24
99217 Hospital observation care on day of discharge	23	23	$169.35	$73.41
99220 Hospital observation care, typically 70 minutes	20	20	$366.25	$185.96
99219 Hospital observation care, typically 50 minutes	20	20	$269.00	$137.65
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$148.42	$104.12
99224 Subsequent observation care, typically 15 minutes per day	18	11	$87.00	$40.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	11	$75.63	$43.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	372	141	$73.39	$38.59
99291 Critical care, first 30-74 minutes	148	43	$489.59	$221.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	113	68	$117.50	$72.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	74	74	$225.88	$135.32
99238 Hospital discharge day management, 30 minutes or less	51	51	$176.06	$70.89
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	50	17	$167.80	$103.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	37	$349.05	$200.79
99220 Hospital observation care, typically 70 minutes	22	22	$365.91	$180.49
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$149.52	$101.64
99217 Hospital observation care on day of discharge	20	20	$179.00	$71.14
99224 Subsequent observation care, typically 15 minutes per day	20	15	$103.20	$38.90
99219 Hospital observation care, typically 50 minutes	19	19	$270.26	$134.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$63.57	$41.90

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 5101017310

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

Northwest Surgical Associates Pc

27209 Lahser Rd, Southfield, MI 480348402

Phone: 2483530200

Acute Care Surgeons Pc

22101 Moross Rd, Detroit, MI 482362148

Phone: 3133434000

Critical Care Surgeons Pllc

22101 Moross Rd, Detroit, MI 482362148

Phone: 3133434000

Acute Care Surgeons Pc

None, Southfield, MI 48075

Phone: 2488493000

Acute Care Surgeons Pc

47601 Grand River Ave, Novi, MI 483741233

Phone: 2484654100

Henry Ford Macomb Hospital Corporation

15855 19 Mile Rd, Clinton Township, MI 480383504

Phone: 5862632300

Practice Associates & Co-Workers

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

19 Associated Practitioners

Kristin Hofstad , PA

Physician Assistant

NPI 1013646652

Physician Assistant

Micayla Crockett , NP

Nurse Practitioner - Family

NPI 1144828088

Nurse Practitioner

Dr. Kristen Owen , DO

Emergency Medicine

NPI 1194921247

Doctor of Osteopathic Medicine (D.O.)

Dr. Milad Asfar , DO

Emergency Medicine

NPI 1306229083

Doctor of Osteopathic Medicine (D.O.)

Dr. Veronica Takov , DO

Family Medicine

NPI 1316387533

Doctor of Osteopathic Medicine (D.O.)

Dr. Laura Cipa , DO

Emergency Medicine

NPI 1346447968

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 31, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location August 31, 2007

Registered at 1000 HARRINGTON ST, MOUNT CLEMENS, MI 480432920 (Tel: 5864938195)

📍

Updated Business Mailing Address August 31, 2007

Registered at 3415 FAIRMONT RD, APT 23, ROYAL OAK, MI 480736407

👤

Provider Name / Credentials Updated August 31, 2007

Recorded as SCOTT BARNES, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2007

Surgery (License #5101017310 in MI)

🟢

Initial NPI Registration & Enumeration August 31, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1972797058

Entity Type:

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

Enumeration Date: August 31, 2007

Last Update: August 31, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3415 Fairmont Rd, Apt 23

Royal Oak, MI 480736407

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.