DR. THOMAS K BARLIS DPM
NPI 1376540021
Podiatrist in Astoria, NY
NPI Status: Active since July 07, 2005
Contact Information
2747 CRESCENT ST
SUITE 204
ASTORIA, NY
ZIP 11102
Phone: (718) 956-0700
Fax: (718) 956-4582
- Individual
- Male
- Years of Experience 41
- Podiatrist
- May Accept Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About THOMAS BARLIS
This page provides the complete NPI Profile along with additional information for Thomas Barlis, a provider established in Astoria, New York with a medical specialization in Podiatrist and more than 41 years of experience. He graduated from New York College Of Podiatric Medicine in 1985. The healthcare provider is registered in the NPI registry with number 1376540021 assigned on July 2005. The practitioner's primary taxonomy code is 213E00000X with license number N003884 (NY). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1376540021
- Provider Name
- DR. THOMAS K BARLIS DPM
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2747 CRESCENT ST SUITE 204 ASTORIA, NY 11102
- Location Phone
- (718) 956-0700
- Location Fax
- (718) 956-4582
- Mailing Address
- 2747 CRESCENT ST SUITE 204 ASTORIA, NY 11102
- Mailing Phone
- (718) 956-0700
- Mailing Fax
- (718) 956-4582
- Medical School Name
- NEW YORK COLLEGE OF PODIATRIC MEDICINE
- Graduation Year
- 1985
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-07-2005
- Last Update Date
- 01-06-2011
- Code Navigator
A podiatrist like Thomas Barlis provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.
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
Podiatrist
- Taxonomy Code
- 213E00000X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- N003884
- License State
- NY
- Taxonomy Description
- A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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) |
|---|---|---|---|---|
| 1 | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist | 25MD00171500 (NJ) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0953219 | MEDICAID (05) | NY | |
| 95184 | MEDICARE ID-TYPE UNSPECIFIED (04) | NY | |
| T32189 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Thomas Barlis is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Thomas Barlis 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) and a Home Health Agency (HHA).
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: 7214927540
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: I20040517001400
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? Maybe
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: No
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
New patient office or other outpatient visit, 30-44 minutes
X-ray of foot, 2 views
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 673 times for 142 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 38 times for 38 patientsAn X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.
This service was performed 26 times for 25 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 11102 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $104.17
- Minimum New Patient Price $67
- Maximum New Patient Price $201.98
- Average New Patient Copayment $26.04
- Minimum New Patient Copayment $16.75
- Maximum New Patient Copayment $50.49
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $82.96
- Minimum Established Patient Price $21.62
- Maximum Established Patient Price $163.52
- Average Established Patient Copayment $20.74
- Minimum Established Patient Copayment $5.4
- Maximum Established Patient Copayment $40.88
* 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 |
|---|---|---|
| Care Plan | 86% | 314 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
| Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 89% | 162 |
| Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who had a neurological examination of their lower extremities within 12 months | ||
| Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 88% | 161 |
| Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who were evaluated for proper footwear and sizing | ||
| Documentation of Current Medications in the Medical Record | 34% | 2057 |
| 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 | ||
| e-Prescribing | 100% | 542 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Osteoarthritis (OA): Function and Pain Assessment | 23% | 860 |
| Percentage of patient visits for patients aged 21 years and older with a diagnosis of osteoarthritis (OA) with assessment for function and pain | ||
| Patient-Specific Education | 83% | 545 |
| 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 | 81% | 314 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Provide Patient Access | 99% | 545 |
| 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 | 51% | 545 |
| 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 | 3 | 7 | 6 | 5 | 4 | 0 | 0 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 14 | 6 | 10 | 4 | 0 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 4 + 6 + 1 + 0 + 4 + 0 + 0 + 4 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1376540021 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1881664456 | DR. ANDREAS COSMATOS MD Individual | Internal Medicine | 2747 CRESCENT ST SUITE 201 ASTORIA, NY 11102 (718) 726-0133 |
| 1508874785 | DR. FLORENTIA CHRISTODOULIDOU M.D. Individual | Internal Medicine | 2747 CRESCENT ST SUITE 201 ASTORIA, NY 11102 (718) 932-3100 |
| 1609971407 | PERICLES M SPYROPOULOS M.D. Individual | Obstetrics & Gynecology | 2747 CRESCENT ST SUITE 104 ASTORIA, NY 11102 (718) 777-7236 |
| 1306942776 | DR. SHAM S MENDIRATTA M.D. Individual | Psychiatry & Neurology (Neurology) | 2747 CRESCENT ST 203 LONG ISLAND CITY, NY 11102 (718) 721-1800 |
| 1457408163 | EMANUEL L. KOUROUPOS, M.D., P.C. Organization | Internal Medicine (Gastroenterology) | 2747 CRESCENT ST SUITE 206 ASTORIA, NY 11102 (718) 204-1100 |
| 1205980810 | ROSEMARY ZURITA D.D.S. Individual | Dentist (General Practice) | 2747 CRESCENT ST SUITE 106 LONG ISLAND CITY, NY 11102 (718) 721-9800 |
| 1366571705 | HARRY T. JOSIFIDIS M.D.P.C. Organization | Specialist | 2747 CRESCENT ST SUITE 206 ASTORIA, NY 11102 (718) 728-5529 |
| 1972704450 | PETER CONDAX, M.D. PC Organization | Ophthalmology | 2747 CRESCENT ST STE 202 ASTORIA, NY 11102 (718) 204-5250 |
| 1790975498 | CRESCENT RADIOLOGY PLLC Organization | Radiology (Diagnostic Radiology) | 2747 CRESCENT ST SUITE 107 ASTORIA, NY 11102 (718) 507-4700 |
| 1649670605 | ASTORIA UROLOGY SURGERY SERVICES P.C. Organization | Urology | 2747 CRESCENT ST SUITE 206 ASTORIA, NY 11102 (718) 728-3200 |
| 1023477742 | CITY DERMATOLOGY PC Organization | Dermatology | 2747 CRESCENT ST #206 LONG ISLAND CITY, NY 11102 (718) 626-8181 |
| 1043281280 | DR. EMANUEL L KOUROUPOS MD Individual | Internal Medicine (Gastroenterology) | 2747 CRESCENT ST SUITE 206 ASTORIA, NY 11102 (718) 204-1100 |
| 1497878847 | ROSEMARY ZURITA DENTISTRY PC Organization | Dentist (General Practice) | 2747 CRESCENT ST SUITE 106 LONG ISLAND CITY, NY 11102 (718) 721-9800 |
| 1205055209 | AMP MEDICAL DIAGNOSTICS LLP Organization | Specialist | 2747 CRESCENT ST SUITE 201 ASTORIA, NY 11102 (718) 726-0133 |
| 1033170675 | DR. PETER CONDAX M.D. Individual | Ophthalmology | 2747 CRESCENT ST SUITE 202 ASTORIA, NY 11102 (718) 204-5250 |
| 1962665265 | DR. ALI HAIDER M.D. Individual | Internal Medicine (Interventional Cardiology) | 2747 CRESCENT ST ASTORIA, NY 11102 (718) 606-6800 |
| 1619308038 | CRESCENT ENDOSCOPY PC Organization | Clinic/Center (Endoscopy) | 2747 CRESCENT ST SUITE 206 ASTORIA, NY 11102 (718) 204-1100 |
| 1659182111 | FOOTCARE NOW PODIATRY, PLLC Organization | Podiatrist (Foot & Ankle Surgery) | 2747 CRESCENT ST ASTORIA, NY 11102 (701) 898-3668 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376540021, enumerated in the NPI registry as an "individual" on July 07, 2005
The provider is located at 2747 Crescent St Suite 204 Astoria, Ny 11102 and the phone number is (718) 956-0700
The provider's speciality is Podiatrist with taxonomy code 213E00000X
The provider has more than 41 years of experience. He graduated from New York College Of Podiatric Medicine in 1985.
The provider might be accepting Accepts: Medicare and Medicaid. 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) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $104.17 with an average copayment of $26.04 for new patient appointments. Established patients should expect a typical charge of $82.96 and an average copayment of 20.74. 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, New patient office or other outpatient visit, 30-44 minutes and X-ray of foot, 2 views.
This NPI record was last updated on July 07, 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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