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Megan Barnaclo , PA-C

Physician Assistant โ€ข Cincinnati, OH

Active NPI 1326548116 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

7500 State Rd
Cincinnati, OH 452552439

Call 5136244500 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

7500 State Rd

Cincinnati, OH 452552439

Telephone 5136244500
Organization at the Same NPPES Address or Phone
Hospitalist Services Medical Group Of Anderson Township, Inc. Facility NPI 1023000536

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: Emergency Medicine Specialists Sc. 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

2017

Medicare-allowed amount

About $9,239 in 2023

The total amount Medicare approved for these services in 2023. 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 โ€“ by Provider and Service, 2023.

Paid by Medicare

About $7,912 in 2023

The part of the Medicare-allowed amount that Medicare itself paid in 2023, 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 โ€“ by Provider and Service, 2023.

30-day fills

81 standardized 30-day fills in 2023

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

$684 in 2023

The total cost of these prescriptions in 2023, 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 โ€“ by Provider and Drug, 2023.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 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

2018

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, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

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)

Megan Barnaclo 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 Megan Barnaclo 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 Cincinnati and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Megan Barnaclo are from 2023.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Megan Barnaclo are from 2023.

423 active clinicians are listed under Physician Assistant with a practice address in Cincinnati, OH (5,329 in Ohio).

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

Telehealth indicator in Cincinnati

7.6% of these 423 clinicians have the CMS telehealth indicator.

54.1% of these 423 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2023.

CMS Part B ยท Data Year 2023
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ€“2022 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 โ€“ by Provider and Service data, 2018โ€“2023; 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
99284 Emergency department visit with moderate level of medical decision making
23 22 $1085.64 $101.30
99285 Emergency department visit with high level of medical decision making
23 23 $1547.40 $140.33
99291 Critical care, first 30-74 minutes
21 21 $2039.58 $175.32

Source: CMS Part B by Provider and Service, 2023; 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 2023.

CMS Part D ยท Data Year 2023
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Naproxen Naproxen 34 1,020 $327.74 17
Cephalexin Cephalexin 22 154 $240.10 22
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 13 87 $62.48 13
Prednisone Prednisone 12 66 $53.40 12

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES OH 50.005436RX

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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: State Medical Board of Ohio.
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 - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20231005003450

Enrollment State Jurisdiction

WI

PECOS Control ID

4587926852

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

Emergency Medicine Specialists Sc

10180 Washington Ave, Mount Pleasant, WI 531771604

Phone: 2626877550

Emergency Medicine Specialists Sc

3807 Spring St, Mount Pleasant, WI 534051667

Phone: 2626878173

Emergency Medicine Specialists Sc

3801 Spring St, Mount Pleasant, WI 534051667

Phone: 2626874011

Emergency Medicine Specialists Sc

5000 W Chambers St, Milwaukee, WI 532101650

Phone: 4144472000

Clinicians Sharing This Practice Address or Phone

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

27 listed
Dr. Kenneth Berg , MD

Emergency Medicine

NPI 1164704953

Doctor of Medicine (M.D.)

Duane Burton , CRNA

Nurse Anesthetist, Certified Registered

NPI 1992368245

Certified Registered Nurse Anesthetist

Anna Callahan

Student in an Organized Health Care Education/Training Program

NPI 1790421436
Dr. Jimmy Chen , MD

Emergency Medicine

NPI 1417302589

Doctor of Medicine (M.D.)

Andrew Crews

Nurse Anesthetist, Certified Registered

NPI 1083286090
Shawn Egan

Nurse Anesthetist, Certified Registered

NPI 1407310444

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
๐Ÿ‘ค
Provider Name / Credentials Updated November 11, 2019

Recorded as MEGAN BARNACLO, PA-C

โœ…
NPI Profile Active February 19, 2018

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) February 19, 2018

Registered at 7500 STATE RD, CINCINNATI, OH 452552439 (Tel: 5136244500)

๐Ÿ“
Business Mailing Address (Initial Record) February 19, 2018

Registered at 3215 OAKLEY STATION BLVD, CINCINNATI, OH 452091271

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) February 19, 2018

Recorded as MEGAN CONNOLLY, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2018

Physician Assistant (license number reported to NPPES: OH 50.005436RX)

๐ŸŸข
Initial NPI Registration & Enumeration February 19, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1326548116
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 19, 2018
Last Update: November 11, 2019
Sole Proprietor: No

Other Physician Assistants in Cincinnati

All Physician Assistants in Cincinnati

Mailing Address

3215 Oakley Station Blvd

Cincinnati, OH 452091271

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.