Gretchen Barone, NP
NPI 1225380579 · Adult Health Nurse Practitioner · Carthage, MO
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gretchen Barone, NP is a Adult Health Nurse Practitioner provider in Carthage, MO (NPI 1225380579).
Provider details
- NPI number
- 1225380579
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2012034593 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
13 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
382 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 331 | $100 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 34 | $131 |
| Stool Analysis for Blood to Screen for Colon Tumors82270 | 17 | $4 |
Typical Medicare-allowed amounts for these services range $4–$131 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 39 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 545 | 192 |
| Omeprazole | 402 | 124 |
| Famotidine | 256 | 84 |
| Linaclotidebrand: Linzess | 137 | 34 |
| Dicyclomine Hcl | 121 | 44 |
| Colestipol Hcl | 106 | 32 |
| Sucralfate | 79 | 56 |
| Isosorbide Mononitrate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$171 across 10 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-10-11
- Last updated
- 2016-03-17
Frequently asked questions
- What is Gretchen Barone's NPI number?
- Gretchen Barone's National Provider Identifier (NPI) is 1225380579, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gretchen Barone's specialty?
- Gretchen Barone is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Gretchen Barone located?
- Gretchen Barone's practice location on file with NPPES is 3125 Dr Russell Smith Way, Carthage, MO 64836-7402.
- What is Gretchen Barone's phone number?
- The practice phone number listed in the NPPES registry for Gretchen Barone is (417) 358-8121.
- Does Gretchen Barone accept Medicare?
- Gretchen Barone is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gretchen Barone's NPI active?
- Yes — Gretchen Barone's NPI (1225380579) is active in the NPPES registry as of the last update on 2016-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.