MICHAEL BARAJAS PA
NPI 1114454733
Physician Assistant in Maryville, IL
NPI Status: Active since May 12, 2017
Contact Information
6812 STATE ROUTE 162
SUITE 120
MARYVILLE, IL
ZIP 62062
Phone: (618) 288-0044
Fax: (618) 288-0066
- Individual
- Male
- Physician Assistant
- PECOS Enrolled
- Medicare Quality Reporting
About MICHAEL BARAJAS
This page provides the complete NPI Profile along with additional information for Michael Barajas, a primary care provider established in Maryville, Illinois with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1114454733 assigned on May 2017. The practitioner's primary taxonomy code is 363A00000X with license number 085.006179 (IL). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1114454733
- Provider Name
- MICHAEL BARAJAS PA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6812 STATE ROUTE 162 SUITE 120 MARYVILLE, IL 62062
- Location Phone
- (618) 288-0044
- Location Fax
- (618) 288-0066
- Mailing Address
- 6812 STATE ROUTE 162 SUITE 120 MARYVILLE, IL 62062
- Mailing Phone
- (618) 288-0044
- Mailing Fax
- (618) 288-0066
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-12-2017
- Last Update Date
- 05-12-2017
- Code Navigator
A primary care provider (PCP) like Michael Barajas sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
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
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 085.006179
- License State
- IL
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
Michael Barajas 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
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.
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 29 times for 29 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 32 times for 31 patientsPhysician Visit Costs
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 62062 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.44
- Minimum New Patient Price $56.28
- Maximum New Patient Price $173.35
- Average New Patient Copayment $22.11
- Minimum New Patient Copayment $14.07
- Maximum New Patient Copayment $43.33
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $70.42
- Minimum Established Patient Price $17.51
- Maximum Established Patient Price $139.99
- Average Established Patient Copayment $17.6
- Minimum Established Patient Copayment $4.37
- Maximum Established Patient Copayment $34.99
* 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.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse) | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 54 |
| Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms | ||
| Annual registration in the Prescription Drug Monitoring Program | Yes | N/A |
| Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months. | ||
| Diabetes: Medical Attention for Nephropathy | 81% | 166 |
| The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period | ||
| Documentation of Current Medications in the Medical Record | 98% | 2181 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Engagement of patients through implementation of improvements in patient portal | Yes | N/A |
| Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bidirectional communication about medication changes and adherence. | ||
| e-Prescribing | 96% | 2765 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Medication Reconciliation | 100% | 23 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 53% | 1198 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Pneumococcal Vaccination Status for Older Adults | 53% | 365 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Practice Improvements for Bilateral Exchange of Patient Information | Yes | N/A |
| Ensure that there is bilateral exchange of necessary patient information to guide patient care, such as Open Notes, that could include one or more of the following: • Participate in a Health Information Exchange if available; and/or • Use structured referral notes. | ||
| Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 97% | 924 |
| Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 82% | 1007 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
| Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 65% | 854 |
| Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user | ||
| Provide Patient Access | 83% | 1202 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 1% | 1202 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
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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. | |||||||||
| 1 | 1 | 1 | 4 | 4 | 5 | 4 | 7 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 8 | 5 | 8 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 8 + 5 + 8 + 7 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1114454733 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1124261219 | MARYVILLE PHYSICIANS SERVICES INC Organization | Orthopaedic Surgery | 6812 STATE ROUTE 162 SUITE 123 MARYVILLE, IL 62062 (618) 288-9460 |
| 1447252978 | DR. BRETT R GREBING MD Individual | Orthopaedic Surgery | 6812 STATE ROUTE 162 SUITE 123 MARYVILLE, IL 62062 (618) 288-9460 |
| 1295728988 | JASON E BARNETT MD Individual | Family Medicine | 6812 STATE ROUTE 162 SUITE 120 MARYVILLE, IL 62062 (618) 288-0044 |
| 1396831780 | DR. KATHRYN FOLLOWELL MD Individual | Family Medicine | 6812 STATE ROUTE 162 SUITE 204 MARYVILLE, IL 62062 (618) 288-6464 |
| 1922159037 | DR. KEVIN BRADLEY GARNER M.D. Individual | Internal Medicine | 6812 STATE ROUTE 162 SUITE 204 MARYVILLE, IL 62062 (618) 288-2120 |
| 1689092132 | ALYSSA RYANNE GODDARD VERHEYEN FNP Individual | Nurse Practitioner (Family) | 6812 STATE ROUTE 162 SUITE 202 MARYVILLE, IL 62062 (618) 288-7605 |
| 1700960572 | MR. RODNEY L. GREELING DO Individual | Internal Medicine | 6812 STATE ROUTE 162 STE 21 MARYVILLE, IL 62062 (618) 288-5566 |
| 1427042381 | SOPHIA ROSTOVTSEVA MD Individual | Family Medicine | 6812 STATE ROUTE 162 STE 120 MARYVILLE, IL 62062 (618) 288-0044 |
| 1922348002 | LAURA E. MCKINZIE NP Individual | Nurse Practitioner | 6812 STATE ROUTE 162 SUITE 21 MARYVILLE, IL 62062 (618) 288-7855 |
| 1043757867 | ALYSSA RUWE MARTZ Individual | Nurse Practitioner (Family) | 6812 STATE ROUTE 162 SUITE 123 MARYVILLE, IL 62062 (618) 288-9460 |
| 1912117912 | EDMUNDO ALEJANDRO RODRIGUEZ-FRIAS MD Individual | Internal Medicine (Gastroenterology) | 6812 STATE ROUTE 162 SUITE 204 MARYVILLE, IL 62062 (618) 391-5070 |
| 1700973351 | DR. JAMES M SIMMERING MD Individual | Internal Medicine | 6812 STATE ROUTE 162 SUITE 120 MARYVILLE, IL 62062 (618) 288-1122 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114454733, enumerated in the NPI registry as an "individual" on May 12, 2017
The provider is located at 6812 State Route 162 Suite 120 Maryville, Il 62062 and the phone number is (618) 288-0044
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
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 $88.44 with an average copayment of $22.11 for new patient appointments. Established patients should expect a typical charge of $70.42 and an average copayment of 17.6. 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: Established patient office or other outpatient visit, 20-29 minutes and Established patient office or other outpatient visit, 30-39 minutes.
This NPI record was last updated on May 12, 2017. 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].
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