THEOPHILE BARLEY (M.D.) – Family Medicine Physician, NPI 1962643478

THEOPHILE BARLEY (M.D.) is a healthcare provider. based in Clarinda, Iowa. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. L.3021R (AL). The NPI Number for THEOPHILE BARLEY (M.D.) is 1962643478

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
THEOPHILE BARLEY (M.D.)
NPI
1962643478
Phone
(712) 542-2176
Address
220 ESSIE DAVISON DR
Enumeration Date
12 March 2009
Last Update Date
8 May 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7128269592
Graduation Year
2005 (21 years ago)
PAC ID
7416095484
Group Practice PAC ID
4587573993
Professional Enrollment ID
I20091111000581
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

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Provider Addresses for THEOPHILE BARLEY (M.D.)

  • Clarinda Regional Health Center, 220, Essie Davison Drive, Clarinda, Page County, Iowa, 51632, United States

    CLARINDA, IA 516322915

    Phone: (712) 542-2176

    Fax: (712) 542-8397

    Type: Location

  • PO BOX 217

    220 ESSIE DAVISON DR.,

    CLARINDA, IA 516322915

    Phone: (712) 542-2176

    Fax: (712) 542-8311

    Type: Mailing

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: 2023-02-13 • Largest payer in this snapshot: SANOFI PASTEUR 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

2023-02-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
SANOFI PASTEUR 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: 2009-11-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20091111000581IFamily PracticeIATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 51632)

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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: 4587573993View full group profile
NameSpecialtyState
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerIA
-IA
Orthopedic Surgery, Sports MedicineSD
Nurse PractitionerNE
H E M A T O L O G Y/ O N C O L O G YOR
P O D I A T R YNE
General PracticeWI
Family Practice, Emergency MedicineIA

Reviews

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Frequently asked questions

What NPI should I save for THEOPHILE BARLEY (M.D.)?
Save NPI 1962643478 if you need a stable reference for THEOPHILE BARLEY (M.D.).
Does this profile mean THEOPHILE BARLEY (M.D.) is currently active?
Yes — THEOPHILE BARLEY (M.D.) appears active in the national provider directory.
Does THEOPHILE BARLEY (M.D.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for THEOPHILE BARLEY (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for THEOPHILE BARLEY (M.D.)?
The page summarizes Clarinda, Iowa for THEOPHILE BARLEY (M.D.); expand the address list for detail.
Is THEOPHILE BARLEY (M.D.) a real provider?
This page reflects official NPPES data for NPI 1962643478. Always confirm identity and privileges with the practice and licensing boards.

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