DR. EDWARD J BARBARITO (MD) – Specialist, NPI 1174503148
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,527 INTERNAL MEDICINE in TN
Provider Addresses for DR. EDWARD J BARBARITO (MD)
1 Medical Park Blvd
Bristol, TN 376207430
Phone: (423) 844-1121
Type: Location
130 W Ravine Rd
Kingsport, TN 376603837
Phone: (423) 224-4000
Type: Location
16, Pocono Road, Denville, Morris County, New Jersey, 07834, United States
STE 201
DENVILLE, NJ 078342901
Phone: (973) 627-4430
Fax: (973) 586-2336
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 151 Open Payments records for all available years, with a total value of $2,740.
Total Amount is formed as General ($2,740) + Research ($0) + Ownership ($0) = $2,740.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($552).
Total Amount
$2,740
General + Research + Ownership
Payments
151
Total payment records
General Amount
$2,740
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $552 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $337 |
| Ardelyx, Inc. | $236 |
| Janssen Biotech, Inc. | $144 |
| Phathom Pharmaceuticals, Inc. | $138 |
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: 2025-10-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040622000164 | I | Gastroenterology | NJ | TBD |
| I20251031002899 | I | Gastroenterology | TN | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 379 | 145 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 239 | 144 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 128 | 120 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 89 | 89 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 80 | 76 | $0 |
Insurance plans in this area (ZIP 37620)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | NJ | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 15 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NJ | |
| P O D I A T R Y | NJ | |
| Internal Medicine | NJ | |
| Internal Medicine | NJ | |
| Internal Medicine | NJ | |
| Internal Medicine | NJ | |
| Internal Medicine | NJ | |
| Nurse Practitioner | NJ | |
| Gastroenterology, Internal Medicine | NJ | |
| Internal Medicine | NJ |
Reviews
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