DAMON TROY BARTLEY (P.A.) – Physician Assistant, NPI 1780846428

DAMON TROY BARTLEY (P.A.) is a healthcare provider. based in Columbus, Indiana. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 50-003027 (OH). The NPI Number for DAMON TROY BARTLEY (P.A.) is 1780846428

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DAMON TROY BARTLEY (P.A.)
NPI
1780846428
Phone
(812) 314-7617
Address
3019 N NATIONAL RD
Enumeration Date
25 June 2008
Last Update Date
7 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7089220911
Graduation Year
2008 (18 years ago)
PAC ID
9537234992
Group Practice PAC ID
9830437946
Professional Enrollment ID
I20130530000203
Address ID
IN472033066CO3019XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:17State licenses:3Digital endpointsOther names

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for DAMON TROY BARTLEY (P.A.)

  • 3019 N NATIONAL RD

    COLUMBUS, IN 472013235

    Phone: (812) 314-7617

    Fax: (812) 314-7618

    Type: Mailing

  • 2050, Meadowview Parkway, Kingsport, Sullivan County, Tennessee, 37660, United States

    KINGSPORT, TN 37660

    Phone: (423) 230-5000

    Fax: (423) 230-5097

    Type: Mailing

  • Medical Park Boulevard, Bristol, Sullivan County, Tennessee, 37621, United States

    SUITE 458W

    BRISTOL, TN 37620

    Phone: (423) 844-4975

    Fax: (423) 844-4987

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-07-18 • Largest payer in this snapshot: Smith+Nephew, Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$15
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-05-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080819000677IPhysician AssistantTNTBD
I20130530000203IPhysician AssistantINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making8983$0
99285Emergency department visit with high level of medical decision making2424$0
99283Emergency department visit with low level of medical decision making2020$0
View full utilization report →

Insurance plans in this area (ZIP 47201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830437946View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerMI
Nurse PractitionerIL
Nurse PractitionerIN
Physician AssistantIN
Physician AssistantIN
Physician AssistantIL
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN

Reviews

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Frequently asked questions

What federal number belongs to DAMON TROY BARTLEY (P.A.)?
The federal identifier for DAMON TROY BARTLEY (P.A.) is NPI 1780846428.
Is DAMON TROY BARTLEY (P.A.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DAMON TROY BARTLEY (P.A.) work in?
You can think of DAMON TROY BARTLEY (P.A.) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is DAMON TROY BARTLEY (P.A.)'s primary listing?
We display Columbus, Indiana because that is what the record indicates for DAMON TROY BARTLEY (P.A.).
Is DAMON TROY BARTLEY (P.A.) a real provider?
This page reflects official NPPES data for NPI 1780846428. Always confirm identity and privileges with the practice and licensing boards.

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