Active NPI 1104266865 Individual Practitioner Female Practitioner

Tara Barrack , PA-C

Physician Assistant - Surgical • Maple Grove, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Tara Barrack, PA-C is a certified Physician Assistant - Surgical practicing in Maple Grove, MN. With approximately 13 years of clinical experience since completing medical education in 2013, Tara Barrack delivers high-quality medical care to the local community at 9555 UPLAND LN N.

Tara Barrack maintains professional affiliations with Park Nicollet Clinic, Tria Orthopaedic Center Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include hyaluronan or derivative, durolane, for intra-articular injection, 1 mg, injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9555 Upland Ln N

Maple Grove, MN 553694485

Telephone 9529931440

Associated Practice Facility / Clinic

🏢 Park Nicollet Health Care Products Facility NPI 1821476920

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Maple Grove, MN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -2.4 yrs vs City Avg

City Avg: 15.4 Yrs

State Avg: 13.3 Yrs

Regional Practice Density

10 Specialists

Practicing in Maple Grove, MN (229 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

75.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Barrack (13 Years) 13 Yrs

Maple Grove Specialty Average (15.4 Years) 15.4 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
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	2,040	23	$15.00	$6.51
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,440	101	$3.00	$0.99
20610 Aspiration and/or injection of fluid from large joint	178	116	$328.45	$59.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	150	144	$406.30	$105.58
99213 Established patient office or other outpatient visit, typically 15 minutes	69	63	$287.30	$74.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	22	$180.20	$46.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$357.00	$91.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,256	85	$3.00	$1.05
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	960	13	$25.00	$8.80
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	840	11	$23.00	$6.07
20610 Aspiration and/or injection of fluid from large joint	165	119	$328.60	$62.30
99213 Established patient office or other outpatient visit, typically 15 minutes	131	111	$265.20	$73.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	80	$374.00	$104.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	30	$165.75	$47.08
J1030 Injection, methylprednisolone acetate, 40 mg	36	14	$19.00	$7.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$328.10	$92.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	236	86	$14.00	$6.48
99213 Established patient office or other outpatient visit, typically 15 minutes	130	114	$248.25	$74.63
20610 Aspiration and/or injection of fluid from large joint	122	93	$263.58	$58.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	38	$352.00	$103.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	23	$152.25	$47.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$305.25	$93.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	234	82	$15.00	$5.51
99213 Established patient office or other outpatient visit, typically 15 minutes	172	145	$202.30	$75.81
20610 Aspiration and/or injection of fluid from large joint	121	98	$252.89	$56.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	42	$294.10	$107.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$290.70	$94.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	30	$123.25	$46.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	38	36	$225.12	$60.52
20610 Aspiration and/or injection of fluid from large joint	34	32	$228.58	$52.74
J1040 Injection, methylprednisolone acetate, 80 mg	30	25	$22.40	$11.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$329.16	$90.53
73030 X-ray of shoulder, minimum of 2 views	16	14	$108.00	$24.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	59	48	$18.00	$11.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	53	$395.00	$89.33
20610 Aspiration and/or injection of fluid from large joint	49	44	$260.41	$53.55
73030 X-ray of shoulder, minimum of 2 views	34	30	$108.00	$24.89
99213 Established patient office or other outpatient visit, typically 15 minutes	29	28	$268.00	$62.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$397.00	$89.86
73564 X-ray of knee, 4 or more views	12	12	$146.00	$35.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	54	$395.00	$87.08
73502 X-ray of hip, 2-3 views	35	27	$152.00	$26.13
20610 Aspiration and/or injection of fluid from large joint	33	31	$284.82	$54.59
J1040 Injection, methylprednisolone acetate, 80 mg	33	25	$18.00	$13.01
73030 X-ray of shoulder, minimum of 2 views	30	19	$108.00	$20.22
27245 Treatment of broken neck of thigh bone with bone implant	23	23	$4383.30	$155.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$397.00	$86.65
73562 X-ray of knee, 3 views	17	14	$132.00	$29.33
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	16	16	$4257.90	$146.03
73552 X-ray of thigh bone, minimum 2 views	13	11	$121.00	$16.53
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$373.00	$80.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$313.00	$89.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$312.29	$89.73
J1040 Injection, methylprednisolone acetate, 80 mg	16	14	$18.00	$10.93
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$285.00	$82.83
20610 Aspiration and/or injection of fluid from large joint	15	15	$337.20	$54.64
73562 X-ray of knee, 3 views	12	11	$137.00	$30.39

Medical Specialties & State Licenses

CMS Verified: 2020-04-14

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License MN 11382

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Park Nicollet Clinic

15800 95th Ave N, Maple Grove, MN 553694400

Phone: 9529931440

Tria Orthopaedic Center Llc

8100 Northland Dr, Bloomington, MN 554314800

Phone: 9528318742

Park Nicollet Clinic

5320 Hyland Greens Dr, Bloomington, MN 554373934

Phone: 9529932400

Secondary Practice Locations

2090 Woodwinds Dr Ste 200

Woodbury, MN 551252522

Phone: 6519685201

8100 Northland Dr

Bloomington, MN 554314800

Phone: 9528318742

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Michelle Pemble-Frazey , PhD

Psychologist - Cognitive & Behavioral

NPI 1013116342

Doctor of Philosophy (Ph.D.)

Rebekka Mcclure , MA, LMFT

Marriage & Family Therapist

NPI 1023352226

Master of Arts, Licensed Marriage and Family Therapist

Natasha Mills

Psychologist

NPI 1023443629

Nickolas Williams

Psychiatry & Neurology - Psychiatry

NPI 1053840041

Dr. Reann Mcguire , DNP, APRN, FNP-C

Nurse Practitioner - Family

NPI 1073233292

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Daniel Keeley , MD

Internal Medicine

NPI 1073627220

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location April 14, 2020

Registered at 9555 UPLAND LN N, MAPLE GROVE, MN 553694485 (Tel: 9529931440)

📍

Updated Business Mailing Address April 14, 2020

Registered at 9555 UPLAND LN N, MAPLE GROVE, MN 553694485 (Tel: 9529931440)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2020

Physician Assistant (License #11382 in MN)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2019

Physician Assistant

✅

NPI Profile Active October 17, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 17, 2016

Registered at 2090 WOODWINDS DR STE 200, WOODBURY, MN 551252522 (Tel: 6519685201)

📍

Updated Business Mailing Address October 17, 2016

Registered at 710 COMMERCE DR STE 200, WOODBURY, MN 551254925 (Tel: 6519685201)

👤

Provider Name / Credentials Updated October 17, 2016

Recorded as TARA BARRACK, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2016

Physician Assistant (License #11382 in MN)

🟢

Initial NPI Registration & Enumeration June 26, 2013

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: 1104266865

Entity Type:

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

Enumeration Date: June 26, 2013

Last Update: April 14, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9555 Upland Ln N

Maple Grove, MN 553694485

Phone: 9529931440

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.