THEODORE DALE BARBER (M.D.) – Urology Physician, NPI 1083739205
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
469 UROLOGY in MI
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Provider Addresses for THEODORE DALE BARBER (M.D.)
PO BOX 94670
OKLAHOMA CITY, OK 731434670
Phone: (888) 317-2911
Fax: (405) 792-8910
Type: Mailing
3300, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49525, United States
GRAND RAPIDS, MI 495032558
Phone: (616) 459-4171
Fax: (616) 459-0044
Type: Location
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 480813203
Phone: (586) 771-4820
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $444.
Total Amount is formed as General ($444) + Research ($0) + Ownership ($0) = $444.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Dendreon Pharmaceuticals LLC ($53).
Total Amount
$444
General + Research + Ownership
Payments
21
Total payment records
General Amount
$444
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2007-07-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070711000271 | I | Urology | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73143)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | MI | |
| U R O L O G Y | MI | |
| Radiation Oncology | FL | |
| Nurse Practitioner | MI | |
| U R O L O G Y | MI | |
| U R O L O G Y | MI | |
| U R O L O G Y | MI | |
| Physical Therapist In Private Practice | MI | |
| U R O L O G Y | MI | |
| U R O L O G Y | MI |
Reviews
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