Active NPI 1558365130 Individual Practitioner Female Practitioner

Dr. Eniko Kiraly Barthel , MD

Internal Medicine • Grapevine, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Eniko Barthel, MD is a certified Internal Medicine practicing in Grapevine, TX. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Barthel delivers high-quality medical care to the local community at 4100 HERITAGE AVE.

Dr. Barthel accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4100 Heritage Ave
Suite 106

Grapevine, TX 760515714

Telephone 6822154195

Fax 8172831116

Associated Practice Facility / Clinic

🏢 Excel Physicians Group Pllc Facility NPI 1558706119

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Grapevine, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +1.8 yrs vs City Avg

City Avg: 29.2 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

29 Specialists

Practicing in Grapevine, TX (9538 Statewide)

Telehealth Adoption Rate

27.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Barthel (31 Years) 31 Yrs

Grapevine Specialty Average (29.2 Years) 29.2 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	461	114	$111.37	$76.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	65	60	$331.95	$167.42
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	62	36	$178.21	$114.83
99239 Hospital discharge day management, more than 30 minutes	53	47	$211.08	$109.46
99497 Advance care planning, first 30 minutes	41	40	$210.20	$72.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	27	$333.57	$137.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$266.58	$127.42
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	32	32	$436.13	$173.75
99238 Hospital discharge day management, 30 minutes or less	22	21	$110.00	$76.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$242.49	$126.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$180.09	$93.60

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	340	110	$129.67	$77.37
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	107	51	$196.45	$116.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	61	$368.89	$168.85
99239 Hospital discharge day management, more than 30 minutes	56	53	$150.21	$110.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$247.00	$128.14
99238 Hospital discharge day management, 30 minutes or less	32	32	$122.50	$77.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$220.00	$159.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$202.14	$125.93

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	260	92	$150.00	$69.40
99217 Hospital observation care on day of discharge	59	54	$100.00	$68.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	54	51	$446.00	$192.40
99220 Hospital observation care, typically 70 minutes	35	34	$337.00	$171.75
99219 Hospital observation care, typically 50 minutes	30	29	$175.00	$126.72
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	29	23	$224.00	$99.68
99239 Hospital discharge day management, more than 30 minutes	26	25	$140.00	$102.25
99238 Hospital discharge day management, 30 minutes or less	26	25	$160.00	$68.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$200.00	$129.79

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	272	94	$150.00	$70.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	50	$446.00	$196.19
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	48	22	$224.00	$101.75
99217 Hospital observation care on day of discharge	47	47	$100.00	$69.85
99220 Hospital observation care, typically 70 minutes	31	31	$337.00	$176.31
99219 Hospital observation care, typically 50 minutes	23	23	$175.00	$129.79
99238 Hospital discharge day management, 30 minutes or less	22	20	$160.00	$69.96
99239 Hospital discharge day management, more than 30 minutes	17	15	$140.00	$104.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$200.00	$132.33

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	288	118	$146.53	$72.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	69	67	$446.00	$200.78
99238 Hospital discharge day management, 30 minutes or less	42	42	$160.00	$71.79
99220 Hospital observation care, typically 70 minutes	30	30	$337.00	$182.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	30	20	$224.00	$103.86
99217 Hospital observation care on day of discharge	24	24	$100.00	$71.34
99239 Hospital discharge day management, more than 30 minutes	22	20	$140.00	$105.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$200.00	$135.17
99225 Subsequent observation care, typically 25 minutes per day	14	13	$95.00	$71.58

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	403	162	$100.00	$71.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	116	113	$343.78	$198.08
99238 Hospital discharge day management, 30 minutes or less	61	59	$128.52	$71.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	56	35	$168.50	$102.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$200.00	$133.90
99239 Hospital discharge day management, more than 30 minutes	17	17	$140.00	$104.73
99220 Hospital observation care, typically 70 minutes	17	17	$337.00	$181.38
99217 Hospital observation care on day of discharge	15	15	$100.00	$71.16

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	437	187	$100.00	$68.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	126	119	$279.00	$190.22
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	103	57	$140.00	$100.01
99238 Hospital discharge day management, 30 minutes or less	50	50	$100.00	$67.12
99239 Hospital discharge day management, more than 30 minutes	41	40	$140.00	$100.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$200.00	$125.50
99220 Hospital observation care, typically 70 minutes	14	14	$337.00	$166.95

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	543	240	$100.00	$67.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	156	151	$279.00	$190.01
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	66	51	$140.00	$96.46
99239 Hospital discharge day management, more than 30 minutes	50	49	$140.00	$99.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	47	$189.35	$126.89
99238 Hospital discharge day management, 30 minutes or less	48	47	$100.00	$66.03

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX N0635

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License LA 13603R

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

198303301 (TX)

Medicaid State Provider ID

1429627 (LA)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Monalisa Mitra , DO

Internal Medicine

NPI 1710097456

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 October 06, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 06, 2014

Registered at 4100 HERITAGE AVE, SUITE 106, GRAPEVINE, TX 760515714 (Tel: 6822154195)

📍

Updated Business Mailing Address October 06, 2014

Registered at 4100 HERITAGE AVE, SUITE 106, GRAPEVINE, TX 760515714 (Tel: 6822154195)

👤

Provider Name / Credentials Updated October 06, 2014

Recorded as ENIKO BARTHEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2014

Internal Medicine (License #N0635 in TX)

🟢

Initial NPI Registration & Enumeration June 10, 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 Dr. Eniko Barthel. 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: 1558365130

Entity Type:

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

Enumeration Date: June 10, 2005

Last Update: October 06, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4100 Heritage Ave, Suite 106

Grapevine, TX 760515714

Phone: 6822154195

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.