DR. BARBIE JEAN FERNELIUS D.O.
NPI 1053670448
Emergency Medicine in Saginaw, MI

NPI Status: Active since May 07, 2012

Contact Information

900 COOPER AVE
SAGINAW, MI
ZIP 48602
Phone: (989) 583-6521

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  • Individual
  • Female
  • Years of Experience 14
  • Emergency Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About BARBIE FERNELIUS

This page provides the complete NPI Profile along with additional information for Barbie Fernelius, a provider established in Saginaw, Michigan with a medical specialization in Emergency Medicine and more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1053670448 assigned on May 2012. The practitioner's primary taxonomy code is 207P00000X with license number 5101019690 (MI). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1053670448
Provider Name
DR. BARBIE JEAN FERNELIUS D.O.
Gender
Female
Entity Type
Individual
Location Address
900 COOPER AVE SAGINAW, MI 48602
Location Phone
(989) 583-6521
Mailing Address
1447 N HARRISON ST SAGINAW, MI 48602
Mailing Phone
(989) 583-6521
Medical School Name
OTHER
Graduation Year
2012
Is Sole Proprietor?
No
Enumeration Date
05-07-2012
Last Update Date
07-07-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
5101019690
License State
MI
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze First - HMO
  • Bronze First Adult Vision & Fitness - HMO
  • Diabetes Gold - HMO
  • Diabetes Gold Adult Vision & Fitness - HMO
  • Diabetes Silver - HMO
  • Diabetes Silver Adult Vision & Fitness - HMO
  • Gold - HMO
  • Gold Adult Vision & Fitness - HMO
  • HDHP Preventive Silver - HMO
  • Healthy Heart Gold - HMO
  • Healthy Heart Gold Adult Vision & Fitness - HMO
  • Healthy Heart Silver - HMO
  • Healthy Heart Silver Adult Vision & Fitness - HMO
  • Low Premium Silver - HMO
  • Low Premium Silver Adult Vision & Fitness - HMO
  • Silver - HMO
  • Silver Adult Vision & Fitness - HMO
  • MyPriority Balanced Silver - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Silver - HMO
  • MyPriority Standard Silver - Travel - HMO
  • MyPriority Value Bronze - HMO
  • MyPriority Value Bronze HSA - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Barbie Fernelius is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Barbie Fernelius is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5294055844

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20160329000657

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Critical care, first 30-74 minutes

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

This service was performed 64 times for 64 patients

Emergency department visit for life threatening or functioning severity

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

This service was performed 196 times for 194 patients

Emergency department visit for problem of high severity

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

This service was performed 92 times for 92 patients

Emergency department visit for problem of moderate severity

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

This service was performed 23 times for 23 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

This service was performed 132 times for 128 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.18 for a new patient copayment and $24.11 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 48602 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.74
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.68
  • Average New Patient Copayment $21.18
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.67

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.44
  • Minimum Established Patient Price $17.09
  • Maximum Established Patient Price $135.4
  • Average Established Patient Copayment $24.11
  • Minimum Established Patient Copayment $4.27
  • Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Barbie Fernelius is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
COVENANT MEDICAL CENTER1447 N HARRISON
SAGINAW, MI 48602
(989) 583-4000Acute Care Hospitals
MCLAREN FLINT401 S BALLENGER HIGHWAY
FLINT, MI 48532
(810) 342-2000Acute Care Hospitals

Reviews for DR. BARBIE JEAN FERNELIUS D.O.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1053670448
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20103127048
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 1 + 2 + 7 + 0 + 4 + 8 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1053670448 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295953214MR. MICHAEL F JONES PA-C
Individual
Physician Assistant900 COOPER AVE
SAGINAW, MI 48602
(989) 583-4220
1841463577MID MICHIGAN PEDIATRIC CARDIOLOGY, PC
Organization
Specialist900 COOPER AVE SUITE #4200
SAGINAW, MI 48602
(989) 752-8669
1548423155DR. JAMES ROBERT MLEJNEK II M.D.
Individual
Emergency Medicine900 COOPER AVE
SAGINAW, MI 48602
(989) 583-6166
1922368919COVENANT MEDICAL GROUP
Organization
Emergency Medicine900 COOPER AVE
SAGINAW, MI 48602
(989) 583-3000
1679790117 PEARL N NWANKWO APRN
Individual
Nurse Practitioner900 COOPER AVE SUITE 4100
SAGINAW, MI 48602
(989) 497-9395
1386861599 VIRGINIA ROLAND N.P.
Individual
Nurse Practitioner900 COOPER AVE SUITE 4100
SAGINAW, MI 48602
(989) 497-9395
1790771319DR. KONDARAMVALAPPIL K RAVINDRAN MD
Individual
Internal Medicine (Cardiovascular Disease)900 COOPER AVE SUITE 4100
SAGINAW, MI 48602
(989) 497-9395
1912955014DR. ALLISON N GORMLEY DO
Individual
Emergency Medicine900 COOPER AVE EMERGENCY DEPARTMENT
SAGINAW, MI 48602
(989) 583-6521
1700833514DR. FIRAS ALANI M.D.
Individual
Internal Medicine (Interventional Cardiology)900 COOPER AVE SUITE 4100
SAGINAW, MI 48602
(989) 497-9395
1093778185 JASON MAXA P.A.
Individual
Physician Assistant (Medical)900 COOPER AVE SUITE 3100
SAGINAW, MI 48602
(989) 583-7450
1356446116MS. FRANCES RUTH VITALIS ARNP-C
Individual
Nurse Practitioner900 COOPER AVE
SAGINAW, MI 48602
(989) 583-4401
1073703187 MICHAEL JAMES TUCKER D.O.
Individual
Orthopaedic Surgery900 COOPER AVE SUITE 3100
SAGINAW, MI 48602
(989) 583-7450
1790791994 KRISTA ANNE ZEHNDER PA-C
Individual
Physician Assistant900 COOPER AVE SUITE 4100
SAGINAW, MI 48602
(989) 497-9395
1235156175 DENNIS BOYSEN M.D.
Individual
Surgery900 COOPER AVE SUITE 4400
SAGINAW, MI 48602
(989) 583-4401
1952374597DR. NOEL DAVID WAGNER M.D.
Individual
Emergency Medicine900 COOPER AVE
SAGINAW, MI 48602
(989) 583-6521
1467427682DR. DAVID KEVIN GUSTAVISON D.O.
Individual
Family Medicine900 COOPER AVE SUITE 4400
SAGINAW, MI 48602
(989) 583-4401
1295136935 YOLANDA BRENNER LLPC
Individual
Counselor (Professional)900 COOPER AVE
SAGINAW, MI 48602
(989) 792-9732
1760737993DR. ASHLEY NOELLE HUFF M.D.
Individual
Emergency Medicine900 COOPER AVE
SAGINAW, MI 48602
(989) 583-6521
1164650834DR. PARTHIV AMIN MD
Individual
Internal Medicine (Cardiovascular Disease)900 COOPER AVE SUITE 4100
SAGINAW, MI 48602
(989) 497-9395
1912294521DR. ADAM C HUNT D.O.
Individual
Emergency Medicine900 COOPER AVE
SAGINAW, MI 48602
(989) 583-6521

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053670448, enumerated in the NPI registry as an "individual" on May 07, 2012

The provider is located at 900 Cooper Ave Saginaw, Mi 48602 and the phone number is (989) 583-6521

The provider's speciality is Emergency Medicine with taxonomy code 207P00000X

The provider has more than 14 years of experience.

The provider might be accepting Accepts: HAP CareSource and Priority Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $84.74 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $96.44 and an average copayment of 24.11. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Critical care, first 30-74 minutes, Emergency department visit for life threatening or functioning severity, Emergency department visit for problem of high severity, Emergency department visit for problem of moderate severity and Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only.

The practitioner is affiliated to the following hospital(s): COVENANT MEDICAL CENTER and MCLAREN FLINT. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on May 07, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.