Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Nathaniel Robert Barrows , RN

Nurse Practitioner • Fresno, CA

Active NPI 1497487516 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

1630 E Herndon Ave
Fresno, CA 937203391

Call 5592565200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1630 E Herndon Ave

Fresno, CA 937203391

Telephone 5592565200
Organization at the Same NPPES Address or Phone
Sierra Pacific Surgery Center Llc Facility NPI 1942245725

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Community Foundation Medical Group. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2022

Medicare patients

438 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $102,571 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $70,650 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

1,132 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$16,405 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $16.24 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Nathaniel Barrows has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Nathaniel Barrows as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Fresno and California

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Fresno, CA (2024, 56 clinicians with data). Median for this group: 251. Middle half: 69 to 703.

More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in California (2024, 2,070 clinicians with data). Median for this group: 201. Middle half: 73 to 538.

Medicare-allowed amount

A higher Medicare-allowed amount than 90% of clinicians listed under Nurse Practitioner in Fresno, CA (2024, 56 clinicians with data). Median for this group: $14,723. Middle half: $7,460 to $59,416.

A higher Medicare-allowed amount than 90% of clinicians listed under Nurse Practitioner in California (2024, 2,070 clinicians with data). Median for this group: $18,428. Middle half: $6,851 to $46,917.

Paid by Medicare

A higher Medicare payment amount than 85% of clinicians listed under Nurse Practitioner in Fresno, CA (2024, 56 clinicians with data). Median for this group: $10,273. Middle half: $5,776 to $44,003.

A higher Medicare payment amount than 85% of clinicians listed under Nurse Practitioner in California (2024, 2,070 clinicians with data). Median for this group: $13,640. Middle half: $4,992 to $34,836.

Medicare Part D prescriptions

More Part D prescriptions than 70% of clinicians listed under Nurse Practitioner in Fresno, CA (2024, 81 clinicians with data). Median for this group: 518. Middle half: 76 to 1,238.

More Part D prescriptions than 80% of clinicians listed under Nurse Practitioner in California (2024, 3,221 clinicians with data). Median for this group: 248. Middle half: 63 to 852.

Part D drug cost

Close to the middle for clinicians listed under Nurse Practitioner in Fresno, CA (2024, 81 clinicians with data). Median for this group: $26,390. Middle half: $853 to $258,466.

Close to the middle for clinicians listed under Nurse Practitioner in California (2024, 3,221 clinicians with data). Median for this group: $13,982. Middle half: $995 to $121,041.

211 active clinicians are listed under Nurse Practitioner with a practice address in Fresno, CA (8,237 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fresno

10% of these 211 clinicians have the CMS telehealth indicator.

37.4% of these 211 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $16.24.

Manufacturer Payment Nature Product Type Amount ($)
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
Pico 14 General $16.24

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2022–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg
4,200 11 $4.00 $0.55
J1010 Injection, methylprednisolone acetate, 1 mg
2,360 43 $1.00 $0.13
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg
510 80 $19.51 $0.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
273 239 $405.00 $108.57
20610 Aspiration and/or injection of fluid from large joint
156 114 $267.88 $64.02
27447 Replacement of knee joint, both sides of knee
100 97 $798.30 $170.64
27054 Removal of hip joint lining
87 84 $817.29 $46.78
27130 Replacement of thigh bone and hip joint with prosthesis
86 83 $1315.12 $171.93
73562 X-ray of knee, 3 views
85 74 $130.00 $36.04
J1030 Injection, methylprednisolone acetate, 40 mg
79 65 $22.00 $6.33
73502 X-ray of hip, 2-3 views
75 70 $170.00 $42.06
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
68 66 $285.00 $77.83
73564 X-ray of knee, 4 or more views
39 33 $148.00 $42.09
77073 X-ray for bone length assessment
39 36 $145.00 $40.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
29 29 $521.00 $138.91
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose
25 12 $612.00 $123.14
27335 Incision of knee joint with removal of cartilage of front and back of knee
16 16 $760.00 $52.08
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance
14 13 $334.29 $89.02

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone Hcl Oxycodone Hcl 282 1,831 $1,915.70 207
Gabapentin Gabapentin 207 6,300 $1,296.69 181
Cefadroxil Cefadroxil 174 1,074 $828.24 161
Meloxicam Meloxicam 170 5,160 $445.11 114
Celecoxib Celecoxib 127 4,155 $3,826.07 80
Tramadol Hcl Tramadol Hcl 75 543 $274.93 55
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen 37 236 $368.74 32
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 18 111 $83.76 13
Amoxicillin Amoxicillin 12 33 $13.52 11
Eliquis Apixaban 12 390 $7,352.35 11

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-10-05
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES CA 95022739

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20221104000362

Enrollment State Jurisdiction

CA

PECOS Control ID

1850768870

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Community Foundation Medical Group

1630 E Herndon Ave, Fresno, CA 937203391

Phone: 5592907051

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Gabriel Boyd , PA

Physician Assistant - Surgical

NPI 1922035989

Physician Assistant

Todd Braner

Physician Assistant

NPI 1932182193
Vathany Chea , NP-C

Nurse Practitioner

NPI 1770168544

Nurse Practitioner (Certified)

Joseph Chevalier

Physical Therapist

NPI 1134211691
Breanne Cope

Physical Therapist

NPI 1780097154
Garrett Couchman

Physician Assistant

NPI 1407590888

Career & Practice History

NPI enumerated June 28, 2022.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from July 2022 to August 2026.

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NPI Administrative Meta

NPI Number: 1497487516
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2022
Last Update: October 05, 2022
Sole Proprietor: Yes

Other Nurse Practitioners in Fresno

All Nurse Practitioners in Fresno

Mailing Address

1931 N Langley Ave

Clovis, CA 936190509

Phone: 5599701578

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.