Active NPI 1104800812 Individual Practitioner Male Practitioner

Paul R Barton

Podiatrist • Tyrone, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Paul Barton is a certified Podiatrist practicing in Tyrone, PA. With approximately 36 years of clinical experience since graduating from Temple University School Of Podiatric Medicine in 1990, Paul Barton delivers high-quality medical care to the local community at 1010 LOGAN AVE.

Paul Barton accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of fingernails or toenails, 1-5 nails, trimming of fingernails or toenails, removal of fingernails or toenails. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1010 Logan Ave

Tyrone, PA 166861522

Telephone 8146844334

Fax 8146844414

Associated Practice Facility / Clinic

🏢 Paul R Barton Dpm Llc Facility NPI 1386465862

Medicare Profile & Education

Medical School

Temple University School Of Podiatric Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Tyrone, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs Matches City Avg

City Avg: 36.0 Yrs

State Avg: 31.0 Yrs

Regional Practice Density

1 Specialists

Practicing in Tyrone, PA (744 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

31.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Barton (36 Years) 36 Yrs

Tyrone Specialty Average (36.0 Years) 36.0 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
11720 Removal of fingernails or toenails, 1-5 nails	569	180	$37.00	$28.84
11719 Trimming of fingernails or toenails	552	176	$40.00	$8.90
11721 Removal of fingernails or toenails, 6 or more nails	414	151	$60.00	$39.47
11055 Removal of single thickened skin growth	336	166	$87.00	$61.72
11056 Removal of noncancer thickened skin growth, 2-4 growths	316	125	$87.00	$71.34
11730 Simple separation of fingernail or toenail from nail bed, first nail	128	87	$130.00	$100.09
97597 Removal of tissue from wound, 20.0 sq cm or less	33	12	$122.00	$87.43
11057 Removal of noncancer thickened skin growth, more than 4 growths	22	11	$97.00	$77.86
10060 Simple or single drainage of skin abscess	19	18	$175.00	$112.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$60.00	$49.94
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$120.00	$64.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$150.00	$97.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11720 Removal of fingernails or toenails, 1-5 nails	651	198	$37.00	$31.20
11719 Trimming of fingernails or toenails	646	195	$35.04	$9.20
11721 Removal of fingernails or toenails, 6 or more nails	441	193	$60.00	$42.31
11056 Removal of noncancer thickened skin growth, 2-4 growths	349	139	$87.00	$77.99
11055 Removal of single thickened skin growth	343	165	$76.69	$67.75
11730 Simple separation of fingernail or toenail from nail bed, first nail	130	91	$130.00	$109.69
11057 Removal of noncancer thickened skin growth, more than 4 growths	42	17	$97.00	$85.25
97597 Removal of tissue from wound, 20.0 sq cm or less	35	13	$122.00	$92.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$60.00	$53.98
10060 Simple or single drainage of skin abscess	20	19	$160.00	$119.70
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$106.67	$69.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	773	269	$59.59	$42.92
11719 Trimming of fingernails or toenails	447	144	$40.00	$9.67
11720 Removal of fingernails or toenails, 1-5 nails	443	146	$51.46	$31.42
11055 Removal of single thickened skin growth	311	152	$90.96	$70.04
11056 Removal of noncancer thickened skin growth, 2-4 growths	279	120	$100.00	$80.30
11730 Simple separation of fingernail or toenail from nail bed, first nail	96	73	$140.31	$112.20
11057 Removal of noncancer thickened skin growth, more than 4 growths	44	20	$101.70	$88.23
97597 Removal of tissue from wound, 20.0 sq cm or less	31	11	$115.52	$98.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	24	$110.00	$54.88
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$125.00	$70.71
10060 Simple or single drainage of skin abscess	17	16	$161.76	$120.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$130.00	$108.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,074	343	$60.00	$43.67
11056 Removal of noncancer thickened skin growth, 2-4 growths	328	142	$86.67	$77.79
11055 Removal of single thickened skin growth	295	164	$73.46	$67.63
11720 Removal of fingernails or toenails, 1-5 nails	218	65	$35.00	$32.39
11719 Trimming of fingernails or toenails	207	53	$45.00	$10.85
11730 Simple separation of fingernail or toenail from nail bed, first nail	155	87	$135.00	$114.46
11057 Removal of noncancer thickened skin growth, more than 4 growths	48	21	$96.71	$85.77
97597 Removal of tissue from wound, 20.0 sq cm or less	34	14	$121.32	$97.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	27	$60.00	$54.81
10060 Simple or single drainage of skin abscess	28	22	$130.00	$120.97
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$85.00	$70.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,199	364	$60.00	$43.25
11055 Removal of single thickened skin growth	234	130	$64.00	$58.70
11056 Removal of noncancer thickened skin growth, 2-4 growths	233	91	$75.00	$69.35
11730 Simple separation of fingernail or toenail from nail bed, first nail	154	93	$135.00	$104.22
11720 Removal of fingernails or toenails, 1-5 nails	118	44	$35.00	$30.86
11719 Trimming of fingernails or toenails	106	37	$45.00	$11.43
11721 Removal of fingernails or toenails, 6 or more nails	52	38	$60.00	$24.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	26	$60.00	$42.69
10060 Simple or single drainage of skin abscess	24	20	$130.00	$114.31
97597 Removal of tissue from wound, 20.0 sq cm or less	23	17	$99.00	$90.98
11057 Removal of noncancer thickened skin growth, more than 4 growths	22	12	$83.00	$76.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,444	398	$59.92	$44.28
11056 Removal of noncancer thickened skin growth, 2-4 growths	285	101	$72.30	$64.14
11055 Removal of single thickened skin growth	268	134	$61.21	$53.54
11721 Removal of fingernails or toenails, 6 or more nails	151	61	$59.95	$24.94
11730 Simple separation of fingernail or toenail from nail bed, first nail	132	78	$114.55	$105.34
11720 Removal of fingernails or toenails, 1-5 nails	79	24	$35.00	$32.09
11719 Trimming of fingernails or toenails	58	14	$45.00	$11.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	28	$57.50	$43.44
97597 Removal of tissue from wound, 20.0 sq cm or less	32	15	$91.56	$85.04
10060 Simple or single drainage of skin abscess	21	18	$128.57	$115.26
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$82.78	$73.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,387	413	$59.00	$41.74
11056 Removal of noncancer thickened skin growth, 2-4 growths	340	118	$60.00	$53.51
11055 Removal of single thickened skin growth	289	133	$50.00	$43.76
11721 Removal of fingernails or toenails, 6 or more nails	206	89	$59.00	$23.51
11730 Simple separation of fingernail or toenail from nail bed, first nail	122	76	$110.00	$96.76
11720 Removal of fingernails or toenails, 1-5 nails	100	39	$35.00	$30.25
97597 Removal of tissue from wound, 20.0 sq cm or less	75	16	$90.00	$75.33
11719 Trimming of fingernails or toenails	60	23	$45.00	$11.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	38	$55.00	$39.50
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$80.00	$68.70
11055 Removal of single thickened skin growth	21	15	$50.00	$15.22
10060 Simple or single drainage of skin abscess	20	19	$125.00	$109.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	794	355	$58.95	$40.55
11720 Removal of fingernails or toenails, 1-5 nails	697	283	$35.18	$28.91
11055 Removal of single thickened skin growth	376	181	$50.04	$42.55
11056 Removal of noncancer thickened skin growth, 2-4 growths	359	144	$60.00	$52.16
11721 Removal of fingernails or toenails, 6 or more nails	168	70	$59.06	$23.18
11730 Simple separation of fingernail or toenail from nail bed, first nail	129	83	$103.43	$94.26
11720 Removal of fingernails or toenails, 1-5 nails	56	24	$35.02	$13.71
97597 Removal of tissue from wound, 20.0 sq cm or less	51	18	$90.00	$66.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	39	$55.52	$39.11
10060 Simple or single drainage of skin abscess	31	29	$125.00	$106.00
11057 Removal of noncancer thickened skin growth, more than 4 growths	30	15	$69.67	$58.73
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$79.79	$66.90
11056 Removal of noncancer thickened skin growth, 2-4 growths	18	11	$60.00	$21.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$120.00	$98.28
J1030 Injection, methylprednisolone acetate, 40 mg	16	12	$10.00	$6.01
11719 Trimming of fingernails or toenails	16	16	$42.81	$10.74
11055 Removal of single thickened skin growth	14	11	$50.00	$15.00

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License PA SC003474L

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0012452130005 (PA)

Commercial Insurance / Payer ID Gateway Health Plan

1036225 (NY)

Commercial Insurance / Payer ID Upmc Health Plan

211201 (PA)

Commercial Insurance / Payer ID Eisinger Health Plan

2154 (PA)

Commercial Insurance / Payer ID Medplus Three Rivers Heal

65343 (PA)

Commercial Insurance / Payer ID Aetna

0528847 (TX)

Commercial Insurance / Payer ID Blue Shield

709978 (PA)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 23, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 23, 2011

Registered at 1010 LOGAN AVE, TYRONE, PA 166861522 (Tel: 8146844334)

📍

Updated Business Mailing Address January 23, 2011

Registered at 1010 LOGAN AVE, TYRONE, PA 166861522 (Tel: 8146844334)

👤

Provider Name / Credentials Updated January 23, 2011

Recorded as PAUL BARTON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2011

Podiatrist (License #SC003474L in PA)

🟢

Initial NPI Registration & Enumeration December 06, 2005

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 Paul Barton. 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: 1104800812

Entity Type:

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

Enumeration Date: December 06, 2005

Last Update: January 23, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1010 Logan Ave

Tyrone, PA 166861522

Phone: 8146844334

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.