Active NPI 1306889522 Individual Practitioner Male Practitioner

Karl Jay Barton , FNP-C

Nurse Practitioner • Spanish Fork, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Karl Barton, FNP-C is a certified Nurse Practitioner practicing in Spanish Fork, UT. With approximately 26 years of clinical experience since completing medical education in 2000, Karl Barton delivers high-quality medical care to the local community at 24 N 100 E.

Karl Barton is affiliated with Riverside Medical Center Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

24 N 100 E

Spanish Fork, UT 846601802

Telephone 8015046421

Fax 9892600370

Associated Practice Facility / Clinic

🏢 Robert A. Frampton, Md, Pc Facility NPI 1700021383

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Spanish Fork, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +15.3 yrs vs City Avg

City Avg: 10.7 Yrs

State Avg: 8.4 Yrs

Regional Practice Density

10 Specialists

Practicing in Spanish Fork, UT (1143 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Barton (26 Years) 26 Yrs

Spanish Fork Specialty Average (10.7 Years) 10.7 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	18	$361.16	$103.47

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	24	13	$365.81	$102.35

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	18	$200.00	$104.27

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	65	39	$190.52	$106.60
99213 Established patient office or other outpatient visit, typically 15 minutes	41	23	$127.12	$75.00
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	30	29	$60.00	$18.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$199.00	$92.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$105.00	$45.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	71	40	$115.65	$60.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	40	$173.16	$88.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$288.00	$136.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$199.00	$88.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	96	59	$113.53	$61.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	38	$164.03	$89.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$195.10	$89.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$282.95	$136.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	58	30	$105.74	$58.74
99336 Established patient assisted living visit, typically 40 minutes	42	16	$199.20	$110.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	16	$157.43	$86.56
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	18	11	$100.00	$33.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	56	31	$105.74	$58.81
99336 Established patient assisted living visit, typically 40 minutes	35	17	$199.20	$110.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	14	$157.43	$86.47

Medical Specialties & State Licenses

CMS Verified: 2024-09-16

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License UT 198637-4405

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Palmetto

P00230648 (UT)

Commercial Insurance / Payer ID Bcbs Of Utah

01986374401001 (UT)

Hospital & Practice Group Affiliations

Riverside Medical Center Llc

3152 N University Ave, Provo, UT 846044746

Phone: 8013752177

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Robert Frampton , MD

Family Medicine

NPI 1013002898

Doctor of Medicine (M.D.)

Dr. Frank Archer , MD

Family Medicine

NPI 1093710998

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location September 16, 2024

Registered at 24 N 100 E, SPANISH FORK, UT 846601802 (Tel: 8015046421)

📍

Updated Business Mailing Address September 16, 2024

Registered at PO BOX 1769, SPANISH FORK, UT 846607769 (Tel: 8015046421)

✅

NPI Profile Active March 21, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 21, 2014

Registered at 415 N MAIN ST, SPANISH FORK, UT 846601439 (Tel: 8017989715)

📍

Updated Business Mailing Address March 21, 2014

Registered at 3263 SOUTH HIGHWAY 89, SUITE 400, BOUNTIFUL, UT 840108559 (Tel: 8015050821)

👤

Provider Name / Credentials Updated March 21, 2014

Recorded as KARL BARTON, FNP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2014

Nurse Practitioner (License #198637-4405 in UT)

🟢

Initial NPI Registration & Enumeration June 14, 2006

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: 1306889522

Entity Type:

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

Enumeration Date: June 14, 2006

Last Update: September 16, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1769

Spanish Fork, UT 846607769

Phone: 8015046421

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.