DR. APRIL LYNN BARNUM D.O.
NPI 1265811814
Family Medicine - Sports Medicine in Ramsey, NJ

NPI Status: Active since May 28, 2015

Contact Information

295 N FRANKLIN TPKE
RAMSEY, NJ
ZIP 07446
Phone: (551) 497-5679

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  • Individual
  • Female
  • Family Medicine
  • Sports Medicine
  • PECOS Enrolled

About APRIL BARNUM

This page provides the complete NPI Profile along with additional information for April Barnum, a primary care provider established in Ramsey, New Jersey with a medical specialization in Family Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1265811814 assigned on May 2015. The practitioner's primary taxonomy code is 207QS0010X with license number 25MB10850000 (NJ). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1265811814
Provider Name
DR. APRIL LYNN BARNUM D.O.
Gender
Female
Entity Type
Individual
Location Address
295 N FRANKLIN TPKE RAMSEY, NJ 07446
Location Phone
(551) 497-5679
Mailing Address
1 DIAMOND HILL RD BERKELEY HEIGHTS, NJ 07922
Mailing Phone
(908) 273-4300
Is Sole Proprietor?
No
Enumeration Date
05-28-2015
Last Update Date
08-05-2020
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A primary care provider (PCP) like April Barnum 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

Secondary Locations

  • 1 Diamond Hill Rd
    Berkeley Heights, NJ 07922
    (908) 273-4300

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

Family Medicine Sports Medicine

Taxonomy Code
207QS0010X
Type
Allopathic & Osteopathic Physicians
License No.
25MB10850000
License State
NJ
Taxonomy Description
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207QS0010XAllopathic & Osteopathic Physicians

Family Medicine
Sports Medicine

20A17346 (CA)
2207QS0010XAllopathic & Osteopathic Physicians

Family Medicine
Sports Medicine

OS019497 (PA)

Medicare Participation & PECOS Enrollment Status

April Barnum 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.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

An 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 12 times for 12 patients

Blood test, comprehensive group of blood chemicals

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

This service was performed 18 times for 14 patients

Blood test, lipids (cholesterol and triglycerides)

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

This service was performed 12 times for 11 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

This service was performed 13 times for 11 patients

Established patient office or other outpatient visit, 20-29 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 15 times for 15 patients

Established patient office or other outpatient visit, 30-39 minutes

This 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 42 times for 31 patients

Insertion of needle into vein for collection of blood sample

This 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 29 times for 18 patients

Physician 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 07446 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $98.09
  • Minimum New Patient Price $63.84
  • Maximum New Patient Price $190.92
  • Average New Patient Copayment $24.52
  • Minimum New Patient Copayment $15.96
  • Maximum New Patient Copayment $47.73

Established Patients Visit Costs *

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

  • Average Established Patient Price $111.57
  • Minimum Established Patient Price $20.97
  • Maximum Established Patient Price $155.92
  • Average Established Patient Copayment $27.89
  • Minimum Established Patient Copayment $5.24
  • Maximum Established Patient Copayment $38.98

* 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.

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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.
1265811814
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22125161282
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 6 + 1 + 2 + 8 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1265811814 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1285158014CITY MEDICAL OF NEW JERSEY, PC
Organization
Clinic/Center (Urgent Care)295 N FRANKLIN TPKE
RAMSEY, NJ 07446
(551) 497-5679
1598805616 JAMES THOMAS LOVERDE M.D.
Individual
Internal Medicine295 N FRANKLIN TPKE
RAMSEY, NJ 07446
(551) 497-5679
1750713616DR. MICHAEL RAY BAYLESS M.D.
Individual
Family Medicine295 N FRANKLIN TPKE
RAMSEY, NJ 07446
(551) 497-5679
1528780152SUMMIT MEDICAL GROUP PA
Organization
Durable Medical Equipment & Medical Supplies295 N FRANKLIN TPKE
RAMSEY, NJ 07446
(551) 497-5679
1457669707 MARY TUBACH PAC
Individual
Physician Assistant (Medical)295 N FRANKLIN TPKE
RAMSEY, NJ 07446
(551) 497-5679
1992108955 ROBERT MARTIN JR. PA
Individual
Physician Assistant (Medical)295 N FRANKLIN TPKE
RAMSEY, NJ 07446
(551) 497-5679

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265811814, enumerated in the NPI registry as an "individual" on May 28, 2015

The provider is located at 295 N Franklin Tpke Ramsey, Nj 07446 and the phone number is (551) 497-5679

The provider's speciality is Family Medicine with taxonomy code 207QS0010X with a focus in Sports Medicine

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 $98.09 with an average copayment of $24.52 for new patient appointments. Established patients should expect a typical charge of $111.57 and an average copayment of 27.89. 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: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Blood test, comprehensive group of blood chemicals, Blood test, lipids (cholesterol and triglycerides), Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes and Insertion of needle into vein for collection of blood sample.

This NPI record was last updated on May 28, 2015. 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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