NPPES file of Aug 9, 2026

Darren E. Barton, DO

Orthopaedic Surgery Physician · Crossville, TN

Darren E. Barton, DO is an orthopaedic surgery physician with a practice address in Crossville, Tennessee, and NPI 1992084602, issued on Aug 11, 2011. Check the license (Tennessee 3620, as entered in NPPES) on the Tennessee Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1992084602
Name
Darren E. Barton
Credential
DO
Primary taxonomy
Orthopaedic Surgery Physician 207X00000X
License number
3620 TN
Self-reported in NPPES; status is on the state search
Practice location
118 Brown Ave Ste 103, Crossville, TN 38555
Phone
(931) 484-8861
Enumerated
Aug 11, 2011
Record last updated
Jul 21, 2022
Fax
(931) 456-1319
Medicaid ID
Q029329 TN
Medicare enrollment
Enrolled (PECOS I20170726001117); accepts Medicare assignment
Medical or professional school
Lincoln Memorial University Medical Department, 2011
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 118 Brown Ave Ste 103

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Tyler Gunderson, M.D.Orthopaedic Surgery Physician1477765014
  2. Jana Lack, PA-CPhysician Assistant1790425080
  3. Christopher WattenbargerPhysician Assistant1982416145

Verify Darren E. Barton in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTennessee Board of Medical Examiners
    Search for license 3620
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Tennessee license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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87% more Medicare Part D claims than the average orthopaedic surgery physician in 2024

647 Medicare Part D claims for 254 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. Brand-name drugs were 4% of claims. 364 claims were for opioids.

  1. Darren Barton647
  2. Specialty average346

Most prescribed

  1. Oxycodone-Acetaminophen225 claims
  2. Hydrocodone-Acetaminophen113 claims
  3. Ondansetron Hcl113 claims
  4. Cephalexin21 claims
  5. Eliquis18 claims
  6. Prednisone18 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 81.9 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score83.0
  2. Costout of 100 · 30%56.8
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $47.43

2 payments; by number, the most common kind was food and beverage; the largest payer was Smoky Mountain Surgical Llc. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Darren Barton$47
  2. Specialty average$23,023

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Covenant Medical Group IncCrossville, TN
  2. Mastercare Physical Therapy IncSarasota, FL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Darren E. Barton among 467 orthopaedic surgery physician records in Tennessee

Darren E. Barton, DO is one of 467 orthopaedic surgery physician records with a practice address in Tennessee. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 76% of them.

  • NPI issued2011 · 76% of these records are older, 21% newer
  • In a Medicare fileYes · 77% of these records are
  • In the CMS Doctors and Clinicians fileYes · 66% of these records are
  • Graduated2011 · median 2003 among the 306 with a school on file
  • Record last updated2022 · 47% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Orthopaedic Surgery Physician providers in Tennessee

There are 467 orthopaedic surgery physician records in Tennessee.

The 8 orthopaedic surgery physician records with the nearest ZIP codes

  1. Tyler Gunderson, M.D.Crossville, TN 385551477765014
  2. Susan Pick, MDCrossville, TN 385551568572675
  3. Jon Simpson, MDCrossville, TN 385551295815850
  4. James Reuter, M.D.Jamestown, TN 385561528016151
  5. Rodger Zwemer, MDLivingston, TN 385701588637615
  6. R. Saunders, M.D.Sparta, TN 385831518994441
  7. Sam BarnesCookeville, TN 385011881936292
  8. Philip Elizondo, M.D.Cookeville, TN 385011407887870

Common questions

What is Darren E. Barton, DO's NPI number?

Darren E. Barton, DO's National Provider Identifier (NPI) is 1992084602, issued on Aug 11, 2011. An NPI identifies a provider in billing; it is not a license.

Where is Darren E. Barton, DO located?

The NPPES record lists a practice address at 118 Brown Ave Ste 103, Crossville, TN, 38555. Phone: (931) 484-8861. Providers update this record themselves, so call before visiting.

How can I verify Darren E. Barton, DO's license?

NPPES lists Tennessee license number 3620, as entered by the provider. Search the Tennessee Board of Medical Examiners at https://www.tn.gov/health/licensure/me.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Darren E. Barton, DO prescribe under Medicare Part D?

In 2024, Darren E. Barton, DO had 647 Medicare Part D claims for 254 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.

What is Darren E. Barton, DO's MIPS final score?

The 2023 MIPS final score is 81.9 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.