ANTHONY BARNES (MD) – Family Medicine Physician, NPI 1316903941
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,718 FAMILY PRACTICE in KY
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Provider Addresses for ANTHONY BARNES (MD)
Frankfort Post Office, 21201, South Elsner Road, Frankfort, Will County, Illinois, 60423, United States
FRANKFORT, KY 406044168
Phone: (502) 223-5811
Type: Mailing
HMB Circle - EAST, H M B Circle, Frankfort, Franklin County, Kentucky, United States
FRANKFORT, KY 406015376
Phone: (502) 695-7725
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 351 Open Payments records for all available years, with a total value of $5,195.
Total Amount is formed as General ($5,195) + Research ($0) + Ownership ($0) = $5,195.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novo Nordisk Inc ($753).
Total Amount
$5,195
General + Research + Ownership
Payments
351
Total payment records
General Amount
$5,195
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $753 |
| ABBVIE INC. | $670 |
| AstraZeneca Pharmaceuticals LP | $660 |
| PFIZER INC. | $486 |
| Lilly USA, LLC | $414 |
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: 2005-09-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050906000848 | I | Family Practice | KY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 455 | 150 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 225 | 131 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 109 | 109 | $0 |
| 82044 | Urine microalbumin (protein) analysis | 24 | 24 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 21 | $0 |
Insurance plans in this area (ZIP 40604)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| Orthopedic Surgery | KY | |
| - | TX | |
| Occupational Therapist In Private Practice | KY | |
| Sports Medicine | IL | |
| - | KY | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | KY |
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