✓ Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) (207R00000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

PAUL F BARRATT, M.D. (NPI #1528007432)

Internal Medicine • WAKEFIELD, RI • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1528007432
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207R00000X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
481 KINGSTOWN RD, WAKEFIELD, RI, 02879-3626
✓ 9-Digit EDI 837 ZIP+4 (02879-3626)
Practice Phone & Referral Fax
Fax: (401) 789-0314
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1528007432 (PAUL F BARRATT, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1528007432)

Medicare Beneficiaries
360
Total Billed Services
1,367
Distinct CPT/HCPCS Codes
25
Medicare Allowed Total
$99,382.09

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more85
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more147
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more366
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit173
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's419

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Acyclovir
Acyclovir
22<11
Albuterol Sulfate Hfa
Albuterol Sulfate
15952
Allopurinol
Allopurinol
9529
Alprazolam
Alprazolam
15030
Amlodipine Besylate
Amlodipine Besylate
384105
Amoxicillin
Amoxicillin
3424
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
2318
Atenolol
Atenolol
17044

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1528007432 (NPI-1 Individual Practitioner)
Provider / Legal NamePAUL F BARRATT, M.D.
Plain-English SpecialtyBoard-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
NUCC Code: 207R00000X (Internal Medicine)
Certifying / Licensing BodyAmerican Board of Internal Medicine (ABIM)
Practice Location Address481 KINGSTOWN RD, WAKEFIELD, RI, 02879-3626
Practice Telephone / FaxTel: (401) 789-0283 | Fax: (401) 789-0314
Administrative Mailing Address481 KINGSTOWN RD, WAKEFIELD, RI, 02879-3626
Enumeration & Last SyncEnumerated: 2006-06-06 | CMS Record Updated: 2025-07-28

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

481 KINGSTOWN RD, WAKEFIELD, RI, 02879-3626

🗺️ Open in Google Maps 🏥 More Providers in WAKEFIELD

Plain-English Taxonomy & CMS Crosswalk (207R00000X)

What Does Taxonomy Code 207R00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207R00000X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine)
Certifying / Accrediting Authority: American Board of Internal Medicine (ABIM)
Clinical Scope: Managing multiple adult chronic conditions (diabetes, high blood pressure, high cholesterol, thyroid disorders) or investigating unexplained adult symptoms.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (PAUL F BARRATT, M.D.)

Typical CPT / Diagnostic Procedures:
  • Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
  • Preoperative Medical Risk Assessment & Cardiac Clearance
  • Chronic Kidney, Hepatic & Metabolic Panel Interpretation
  • Adult Inpatient Hospitalist Management & Discharge Coordination
Common Therapeutic Classes:
  • Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
  • Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
  • Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
  • Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207R00000X — Internal Medicine
Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
State: RI | License: MD05119 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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