ANDREW GAYLORD BARNES (PH.D) – Clinical Psychologist, NPI 1295979805

ANDREW GAYLORD BARNES (PH.D) is a healthcare provider. based in Portland, Oregon. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D. They hold a License No. 1855 (OR). The NPI Number for ANDREW GAYLORD BARNES (PH.D) is 1295979805

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW GAYLORD BARNES (PH.D)
NPI
1295979805
Phone
(503) 215-6494
Address
PO BOX 3158
Enumeration Date
27 April 2009
Last Update Date
26 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032161800
Graduation Year
2008 (18 years ago)
PAC ID
0547301533
Group Practice PAC ID
0648183608
Professional Enrollment ID
I20100113000480
Address ID
OR972255924PO417XXAVEX403
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

647 CLINICAL PSYCHOLOGIST in OR

Provider Addresses for ANDREW GAYLORD BARNES (PH.D)

  • PO BOX 3158

    PORTLAND, OR 972083158

    Phone: (503) 215-6494

    Type: Mailing

  • 9400 SW Beaverton Hillsdale Hwy

    Suite 205

    Beaverton, OR 970053315

    Phone: (503) 684-7246

    Fax: (503) 624-0724

    Type: Location

  • Edison High School, 9400, Southwest Beaverton Hillsdale Highway, Denny-Whitford-Raleigh West, Raleigh West, Beaverton, Metro, Washington County, Oregon, 97005, United States

    SUITE 205

    BEAVERTON, OR 970053315

    Phone: (503) 684-7246

    Fax: (503) 624-0724

    Type: Mailing

  • 417 SW 117TH AVE STE 200

    PORTLAND, OR 972255924

    Phone: (503) 216-1800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-01-13

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
I20100113000480IClinical PsychologistORTBD

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
90832Psychotherapy, 30 minutes12043$0
View full utilization report →

Insurance plans in this area (ZIP 97208)

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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: 0648183608View full group profile
NameSpecialtyState
Internal MedicineOR
Physician AssistantOR
-OR
N E U R O L O G YOR
Nurse PractitionerOR
Infectious Disease, Internal MedicineOR
Thoracic SurgeryOR
Nurse PractitionerOR
Physician AssistantWA
Clinical PsychologistOR

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Frequently asked questions

What federal number belongs to ANDREW GAYLORD BARNES (PH.D)?
The federal identifier for ANDREW GAYLORD BARNES (PH.D) is NPI 1295979805.
Is ANDREW GAYLORD BARNES (PH.D)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ANDREW GAYLORD BARNES (PH.D)?
The page reflects Clinical Psychologist for ANDREW GAYLORD BARNES (PH.D). Clinical services aligned with this taxonomy classification.
Where does public data place ANDREW GAYLORD BARNES (PH.D)?
The snapshot lists Portland, Oregon for ANDREW GAYLORD BARNES (PH.D); download NPPES for the complete set.
How can I contact ANDREW GAYLORD BARNES (PH.D)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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