DR. WILLIAM RAY BARTLEY MD
NPI 1134112097
Internal Medicine in Alton, IL
NPI Status: Active since August 25, 2005
Contact Information
1 PROFESSIONAL DR
SUITE 220
ALTON, IL
ZIP 62002
Phone: (618) 463-8626
Fax: (618) 463-8688
- Individual
- Male
- Years of Experience 51
- Internal Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About WILLIAM BARTLEY
This page provides the complete NPI Profile along with additional information for William Bartley, an internist established in Alton, Illinois with a medical specialization in Internal Medicine and more than 51 years of experience. He graduated from Meharry Medical College School Of Medicine in 1975. The healthcare provider is registered in the NPI registry with number 1134112097 assigned on August 2005. The practitioner's primary taxonomy code is 207R00000X with license number 036-071248 (IL). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1134112097
- Provider Name
- DR. WILLIAM RAY BARTLEY MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1 PROFESSIONAL DR SUITE 220 ALTON, IL 62002
- Location Phone
- (618) 463-8626
- Location Fax
- (618) 463-8688
- Mailing Address
- 660 MASON RIDGE CENTER DR STE 300 SAINT LOUIS, MO 63141
- Mailing Phone
- (314) 448-3791
- Mailing Fax
- (618) 463-8688
- Medical School Name
- MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
- Graduation Year
- 1975
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-25-2005
- Last Update Date
- 04-11-2024
- Code Navigator
An internist like William Bartley is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036-071248
- License State
- IL
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
- Bronze S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Gold S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
- Silver 5 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Silver S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Silver S: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - EPO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
William Bartley 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.
William Bartley 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: 7012811987
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: I20040717000055
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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
18 DME suppliers used 78 Medicare Claims 187 Services Paid
DME-Medical/Surgical Supplies (DA000N)
Lancets, per box of 100 (HCPCS:A4259)
13 DME suppliers used 41 Medicare Claims 41 Services Paid
DME-Other DME (DE001N)
Full face mask used with positive airway pressure device, each (HCPCS:A7030)
6 DME suppliers used 11 Medicare Claims 11 Services Paid
DME-Other DME (DE001N)
Face mask interface, replacement for full face mask, each (HCPCS:A7031)
6 DME suppliers used 15 Medicare Claims 38 Services Paid
DME-Other DME (DE001N)
Tubing used with positive airway pressure device (HCPCS:A7037)
3 DME suppliers used 11 Medicare Claims 11 Services Paid
DME-Other DME (DE001N)
Filter, disposable, used with positive airway pressure device (HCPCS:A7038)
5 DME suppliers used 11 Medicare Claims 54 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
3 DME suppliers used 33 Medicare Claims 33 Services Paid
DME-Oxygen and Supplies (DC002N)
Portable oxygen concentrator, rental (HCPCS:E1392)
1 DME suppliers used 23 Medicare Claims 23 Services Paid
DME-Other DME (DE017N)
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)
4 DME suppliers used 34 Medicare Claims 34 Services Paid
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.
Administration of influenza virus vaccine
Administration of pneumococcal vaccine
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Influenza vaccine split virus, preservative free
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage
Insertion of needle into vein for collection of blood sample
Screening 3d breast mammography
Screening mammography
X-ray of chest, 2 views
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
This service was performed 45 times for 45 patientsThe pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
This service was performed 17 times for 17 patientsAn annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
This service was performed 158 times for 158 patientsThis 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 200 times for 135 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 264 times for 165 patientsThe Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
This service was performed 31 times for 31 patientsThe quadrivalent influenza vaccine is a shot to protect you from four different flu viruses. It's preservative-free and given in a 0.5 ml dose. It helps your body build immunity to the flu, reducing your risk of getting sick.
This service was performed 15 times for 15 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 296 times for 162 patientsScreening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
This service was performed 43 times for 22 patientsScreening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
This service was performed 43 times for 22 patientsA chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
This service was performed 61 times for 27 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $32.78 for a new patient copayment and $24.92 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 62002 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $131.14
- Minimum New Patient Price $56.28
- Maximum New Patient Price $173.35
- Average New Patient Copayment $32.78
- 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 99214
- Average Established Patient Price $99.71
- Minimum Established Patient Price $17.51
- Maximum Established Patient Price $139.99
- Average Established Patient Copayment $24.92
- 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.
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. William Bartley is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
ALTON MEMORIAL HOSPITAL | ONE MEMORIAL DRIVE ALTON, IL 62002 | (618) 463-7311 | Acute Care Hospitals | |
MEMORIAL HOSPITAL | 4500 MEMORIAL DRIVE BELLEVILLE, IL 62226 | (618) 233-7750 | Acute Care Hospitals | |
CHRISTIAN HOSPITAL NORTHEAST | 11133 DUNN ROAD SAINT LOUIS, MO 63136 | (314) 653-5000 | Acute Care Hospitals |
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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 | 3 | 4 | 1 | 1 | 2 | 0 | 9 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 6 | 4 | 2 | 1 | 4 | 0 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 6 + 4 + 2 + 1 + 4 + 0 + 1 + 8 + 24 = 53 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 53 = 7 | 7 |
The NPI number 1134112097 is valid because the calculated check digit 7 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 |
---|---|---|---|
1740274992 | DR. MAUDIE M MILLER MD Individual | Surgery | 1 PROFESSIONAL DR SUITE 150 ALTON, IL 62002 (618) 463-8578 |
1386047058 | KRISTYN HAGER DPT Individual | Physical Therapist | 1 PROFESSIONAL DR SUITE 10 ALTON, IL 62002 (618) 462-4621 |
1194106393 | ELIZABETH ANNE SCHRUMPF CNP Individual | Nurse Practitioner (Family) | 1 PROFESSIONAL DR ALTON, IL 62002 (618) 463-8574 |
1154798882 | ALTON MULTISPECIALISTS, LTD. Organization | Clinic/Center (Radiology, Mammography) | 1 PROFESSIONAL DR ALTON, IL 62002 (618) 463-8500 |
1952778474 | ALTON MULTISPECIALISTS, LTD. Organization | Clinic/Center (Radiology, Mammography) | 1 PROFESSIONAL DR ALTON, IL 62002 (618) 463-8500 |
1043203250 | DR. JAMES A KLIEFOTH MD Individual | Surgery | 1 PROFESSIONAL DR STE 150 ALTON, IL 62002 (618) 463-8660 |
1942312442 | ALTON MULTISPECIALISTS, LTD. Organization | Clinic/Center (Radiology, Mammography) | 1 PROFESSIONAL DR ALTON, IL 62002 (618) 463-8500 |
1275072944 | ABIGAIL MARIE LORENTZ Individual | Physical Therapist | 1 PROFESSIONAL DR SUITE 10 ALTON, IL 62002 (618) 462-4621 |
1770025868 | MS. ANGELA LYTLE FNP Individual | Nurse Practitioner (Family) | 1 PROFESSIONAL DR ALTON, IL 62002 (618) 463-8500 |
1659589703 | ALTON MULTISPECIALISTS Organization | Radiologic Technologist (Mammography) | 1 PROFESSIONAL DR SUITE 40 ALTON, IL 62002 (618) 463-8530 |
1558783647 | ALTON MEMORIAL PHYSICIAN BILLING SERVICES LLC Organization | Clinic/Center (Multi-Specialty) | 1 PROFESSIONAL DR ALTON, IL 62002 (618) 474-0130 |
1952394892 | DR. MYLES YANTA MD Individual | Internal Medicine (Pulmonary Disease) | 1 PROFESSIONAL DR SUITE 150 ALTON, IL 62002 (618) 463-8578 |
1770053928 | HALEY MARIE KEARBY PTA Individual | Physical Therapy Assistant | 1 PROFESSIONAL DR ALTON, IL 62002 (618) 462-4621 |
1144753237 | MEGAN SAUER DO Individual | Obstetrics & Gynecology | 1 PROFESSIONAL DR ALTON, IL 62002 (618) 463-8555 |
1609868108 | ERIK CHRISTIAN STABELL MD Individual | Internal Medicine | 1 PROFESSIONAL DR SUITE 220 ALTON, IL 62002 (618) 463-8610 |
1689667529 | DR. KRISTEN M STABELL MD Individual | Internal Medicine | 1 PROFESSIONAL DR SUITE 220 ALTON, IL 62002 (618) 463-8610 |
1275525271 | DR. TARIQ L QUADRI MD Individual | Internal Medicine | 1 PROFESSIONAL DR SUITE 220 ALTON, IL 62002 (618) 463-8610 |
1225021165 | DR. KELLY J LINDSEY MD Individual | Pediatrics | 1 PROFESSIONAL DR SUITE 250 ALTON, IL 62002 (618) 463-8636 |
1790345726 | GILLIAN K LONG FNP-C Individual | Nurse Practitioner | 1 PROFESSIONAL DR ALTON, IL 62002 (618) 463-8500 |
1184219792 | MADALYN SHAW Individual | Physical Therapist | 1 PROFESSIONAL DR ALTON, IL 62002 (618) 462-4621 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134112097, enumerated in the NPI registry as an "individual" on August 25, 2005
The provider is located at 1 Professional Dr Suite 220 Alton, Il 62002 and the phone number is (618) 463-8626
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider has more than 51 years of experience. He graduated from Meharry Medical College School Of Medicine in 1975.
The provider might be accepting Accepts: Aetna CVS Health and Blue Cross and Blue Shield of. 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 $131.14 with an average copayment of $32.78 for new patient appointments. Established patients should expect a typical charge of $99.71 and an average copayment of 24.92. 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: Administration of influenza virus vaccine, Administration of pneumococcal vaccine, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Influenza vaccine split virus, preservative free, Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage, Insertion of needle into vein for collection of blood sample, Screening 3d breast mammography, Screening mammography and X-ray of chest, 2 views.
The practitioner is affiliated to the following hospital(s): ALTON MEMORIAL HOSPITAL, MEMORIAL HOSPITAL and CHRISTIAN HOSPITAL NORTHEAST. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on August 25, 2005. 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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