DR. BARRY J KEMLER M.D.
NPI 1639177629
Internal Medicine - Gastroenterology in New Britain, CT
NPI Status: Active since July 13, 2005
Contact Information
300 KENSINGTON AVE
GROVE HILL MEDICAL CENTER
NEW BRITAIN, CT
ZIP 06051
Phone: (860) 224-6249
Fax: (860) 224-6241
- Individual
- Male
- Years of Experience 54
- Internal Medicine
- Gastroenterology
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About BARRY KEMLER
This page provides the complete NPI Profile along with additional information for Barry Kemler, an internist established in New Britain, Connecticut with a medical specialization in Internal Medicine, focusing in gastroenterology and more than 54 years of experience. He graduated from Harvard Medical School in 1972. The healthcare provider is registered in the NPI registry with number 1639177629 assigned on July 2005. The practitioner's primary taxonomy code is 207RG0100X with license number 22221 (CT). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1639177629
- Provider Name
- DR. BARRY J KEMLER M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 300 KENSINGTON AVE GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06051
- Location Phone
- (860) 224-6249
- Location Fax
- (860) 224-6241
- Mailing Address
- 300 KENSINGTON AVE GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06051
- Mailing Phone
- (860) 224-6249
- Mailing Fax
- (860) 224-6241
- Medical School Name
- HARVARD MEDICAL SCHOOL
- Graduation Year
- 1972
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-13-2005
- Last Update Date
- 07-09-2007
- Code Navigator
An internist like Barry Kemler 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 Gastroenterology
- Taxonomy Code
- 207RG0100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 22221
- License State
- CT
- Taxonomy Description
- An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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.
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.
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.
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 |
|---|---|---|---|
| 060054 | OTHER (01) | CT | HEALTH NET PROV ID |
| B83279 | MEDICARE UPIN (02) | ||
| 01022221 | OTHER (01) | CT | CIGNA PROV ID |
| 004062394 | MEDICAID (05) | CT | |
| P369967 | OTHER (01) | CT | OXFORD PROV ID |
| 71141 | OTHER (01) | CT | AETNA REF ID |
| 1255448155 | OTHER (01) | CT | GHMC GRP NPI ID |
| 5405001 | OTHER (01) | CT | CONNECTICARE PROV ID |
| 010022221CT01 | OTHER (01) | CT | BCBS N BCFP PROV ID |
| C01373 | MEDICARE ID-TYPE UNSPECIFIED (04) | CT | GHMC GRP MEDICARE ID |
| 367630 | OTHER (01) | CT | WELLCARE MEDICARE |
| 001222215 | MEDICAID (05) | CT | |
| 912454 | OTHER (01) | CT | HEALTH NET REF ID |
| 100000072 | MEDICARE ID-TYPE UNSPECIFIED (04) | CT |
Medicare Participation & PECOS Enrollment Status
Barry Kemler 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.
Barry Kemler 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: 345256970
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: I20110215000351
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.
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
Biopsy of large bowel using a flexible endoscope
Colonoscopy
Colorectal cancer screening; colonoscopy on individual at high risk
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
New patient office or other outpatient visit, 45-59 minutes
Removal of polyps or growths of large bowel using an endoscope with mechanical snare
Upper gastrointestinal (GI) endoscopy for acid reflux
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
This service was performed 55 times for 54 patientsA biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
This service was performed 70 times for 70 patientsA colonoscopy is a medical procedure that allows your doctor to examine your colon (the large intestine). It utilizes a thin, flexible tube with a tiny camera on the end, which is inserted through the rectum. This procedure can help identify issues such as polyps, inflammation, or early signs of cancer. It's usually recommended for people over 50 or those with specific risk factors.
This service was performed for 346 patientsColorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
This service was performed 24 times for 24 patientsColorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
This service was performed 19 times for 19 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 31 times for 30 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 14 times for 14 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 23 times for 23 patientsThis procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
This service was performed 54 times for 53 patientsAn upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.
This service was performed for 157 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $34.71 for a new patient copayment and $26.67 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 06051 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $138.84
- Minimum New Patient Price $60.82
- Maximum New Patient Price $183.1
- Average New Patient Copayment $34.71
- Minimum New Patient Copayment $15.2
- Maximum New Patient Copayment $45.77
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $106.68
- Minimum Established Patient Price $19.76
- Maximum Established Patient Price $149.26
- Average Established Patient Copayment $26.67
- Minimum Established Patient Copayment $4.94
- Maximum Established Patient Copayment $37.31
* 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 |
|---|---|---|
| e-Prescribing | 95% | 128 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Health Information Exchange | 29% | 75 |
| The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
| Medication Reconciliation | 93% | 285 |
| 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. | ||
| Participation in CAHPS or other supplemental questionnaire | Yes | N/A |
| Participation in the Consumer Assessment of Healthcare Providers and Systems Survey or other supplemental questionnaire items (e.g., Cultural Competence or Health Information Technology supplemental item sets). | ||
| Patient-Specific Education | 18% | 2202 |
| 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. | ||
| Provide Patient Access | 24% | 2202 |
| 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 | 5% | 2202 |
| 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 | 6 | 3 | 9 | 1 | 7 | 7 | 6 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 2 | 7 | 14 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 2 + 7 + 1 + 4 + 6 + 4 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1639177629 is valid because the calculated check digit 9 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 |
|---|---|---|---|
| 1609879543 | DR. JOHN W ANDREOLI JR. M.D. Individual | Obstetrics & Gynecology | 300 KENSINGTON AVE NEW BRITAIN, CT 06051 (860) 224-6202 |
| 1124021183 | DR. ALFRED RICHARD ALBERTI M.D. Individual | Internal Medicine | 300 KENSINGTON AVE NEW BRITAIN, CT 06051 (860) 832-8150 |
| 1174525497 | DR. LARRY B. BROISMAN M.D. Individual | Internal Medicine | 300 KENSINGTON AVE NEW BRITAIN, CT 06051 (860) 832-8150 |
| 1497757702 | DR. WILLIAM J CURRAO M.D. Individual | Pediatrics | 300 KENSINGTON AVE NEW BRITAIN, CT 06051 (860) 224-6282 |
| 1710989025 | DR. ROBERT M DODENHOFF M.D. Individual | Internal Medicine | 300 KENSINGTON AVE NEW BRITAIN, CT 06051 (860) 832-8150 |
| 1760484067 | DR. RICHARD J DREISS M.D. Individual | Obstetrics & Gynecology | 300 KENSINGTON AVE NEW BRITAIN, CT 06051 (860) 224-6205 |
| 1558363846 | DR. BARBARA G FALLON M.D. Individual | Internal Medicine (Medical Oncology) | 300 KENSINGTON AVE NEW BRITAIN, CT 06051 (860) 224-6254 |
| 1134121429 | DR. ALFONSO R ENRIQUEZ M.D. Individual | Pediatrics | 300 KENSINGTON AVE NEW BRITAIN, CT 06051 (860) 224-6282 |
| 1871595157 | DR. EDWARD J FEINGLASS M.D. Individual | Internal Medicine (Rheumatology) | 300 KENSINGTON AVE NEW BRITAIN, CT 06051 (860) 612-0485 |
| 1013913995 | DR. MICHAEL G. GENOVESI M.D. Individual | Internal Medicine (Pulmonary Disease) | 300 KENSINGTON AVE NEW BRITAIN, CT 06051 (860) 224-6266 |
| 1497751168 | DR. CATHERINE HOLMES M.D. Individual | Internal Medicine | 300 KENSINGTON AVE NEW BRITAIN, CT 06051 (860) 832-8150 |
| 1831196161 | DR. MICHAEL S HONOR M.D. Individual | Internal Medicine | 300 KENSINGTON AVE GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06051 (860) 832-8150 |
| 1639178296 | DR. MARY E MIHALEK M.D. Individual | Obstetrics & Gynecology | 300 KENSINGTON AVE GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06051 (860) 224-6215 |
| 1710986377 | DR. GERALD V MCAULIFFE M.D. Individual | Internal Medicine | 300 KENSINGTON AVE GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06051 (860) 832-8150 |
| 1558355792 | DR. MARK A PIEKARSKY M.D. Individual | Internal Medicine | 300 KENSINGTON AVE GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06051 (860) 832-8150 |
| 1962498873 | DR. MARC P RAMIREZ M.D. Individual | Pediatrics | 300 KENSINGTON AVE GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06051 (860) 224-6282 |
| 1922094838 | DR. JOSEPH ROSENBLATT M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 300 KENSINGTON AVE GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06051 (860) 832-8150 |
| 1194711960 | DR. EARLE J SITTAMBALAM M.D. Individual | Internal Medicine | 300 KENSINGTON AVE GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06051 (860) 832-8150 |
| 1285621458 | DR. SARA VITERI M.D. Individual | Pediatrics | 300 KENSINGTON AVE GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06051 (860) 224-6282 |
| 1558358523 | DR. ROBERT L TADDEO M.D. Individual | Internal Medicine | 300 KENSINGTON AVE GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06051 (860) 832-8150 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639177629, enumerated in the NPI registry as an "individual" on July 13, 2005
The provider is located at 300 Kensington Ave Grove Hill Medical Center New Britain, Ct 06051 and the phone number is (860) 224-6249
The provider's speciality is Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology
The provider has more than 54 years of experience. He graduated from Harvard Medical School in 1972.
The provider might be accepting Accepts: Medicare, Medicaid, Cigna, Oxford Health Plans,. 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 $138.84 with an average copayment of $34.71 for new patient appointments. Established patients should expect a typical charge of $106.68 and an average copayment of 26.67. 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: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, Biopsy of large bowel using a flexible endoscope, Colonoscopy, Colorectal cancer screening; colonoscopy on individual at high risk, Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, New patient office or other outpatient visit, 45-59 minutes, Removal of polyps or growths of large bowel using an endoscope with mechanical snare and Upper gastrointestinal (GI) endoscopy for acid reflux.
This NPI record was last updated on July 13, 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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