2026 NPPES data Family Medicine Physician NPI 1265433148 MD
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MARCELLA BARKER, MD

Family Medicine Physician in GREAT FALLS, Montana. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
233
Medicare Part D claims · 151 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
80.4662/100
▼ 3 pts below national avg 83.1 · [object Object]
Industry payments
$14.43
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MARCELLA BARKER, MD is a Family Medicine Physician ([object Object]) practicing in GREAT FALLS, Montana with a Medicare Part D prescribing footprint of 233 claims across 151 beneficiaries . Their CMS MIPS Final Score of 80.4662/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $14.43 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MARCELLA BARKER, MD reported a CMS MIPS final score of 80.4662 out of 100, below the 83.1 national average, and filed 233 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MARCELLA BARKER, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MARCELLA BARKER, MD at a glance

Near national average

NPI registry status

Active

Issued 08/02/2005

NPI 1265433148

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

233 93% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

80.4662/100 2.6337999999999937% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Montana

How Family Medicine Physician compares to other specialties among Montana providers

Montana providers

Family Medicine Physician share within Montana

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Montana

Medicare quality performance — MIPS

MARCELLA BARKER, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

Near national average
MIPS Final Score
80.4662/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 80.4662/100 vs national avg 83.1

0%100%National avg83%80.5%
MIPS final score (Family Medicine Physician) — 80.4662/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

MARCELLA BARKER, MD is a Family Medicine Physician provider practicing in GREAT FALLS, Montana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1265433148. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MARCELLA BARKER, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 1401 25TH ST S, GREAT FALLS, MT, 59405, with a listed phone of (406) 731-8888. NPI 1265433148 was issued on 08/02/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BARKER most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 233 prescription claims written by this provider, covering 151 Medicare beneficiaries and totaling roughly $5K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 80.4662/100 for the 2023 performance year (Quality 93.1081, Cost 62.6125), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1401 25TH ST S
GREAT FALLS, MT 59405

Provider Details

NPI 1265433148
Specialty Family Medicine Physician
Credentials MD
Gender Female
NPI Issued 08/02/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

80.4662
Final Score
Avg: 83.1
93.1081
Quality
62.6125
Cost
75
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARCELLA BARKER, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

BENEFIS HOSPITALS INC
★★☆☆☆ 2/5
GREAT FALLS, MT
Acute Care Hospitals
CMS CCN: 270012

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for MARCELLA BARKER, MD. Source: openpaymentsdata.cms.gov.

Total received

$14

Largest payer

PFIZER INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

233
Total Claims
$5K
Total Drug Cost
151
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
251
Total Day Supply
3,565
Generic Drug Cost
$2K
Antibiotic Claims
90

Patient Demographics

Average Patient Age
69.4 years
Avg HCC Risk Score
1.47
Gender Split
69% female / 31% male
Age Distribution
<65: 32, 65-74: 68, 75-84: 38, 85+: 13

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Cephalexin
20
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
18
Prednisone
18
Fluticasone Propionate
13
Triamcinolone Acetonide
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Medicine Physician Overview

How MARCELLA BARKER, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

MARCELLA BARKER, MD's 233 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Montana

Other clinicians with the same primary specialty enrolled in Montana, drawn from the same CMS NPPES roster as BARKER.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARCELLA BARKER, MD's specialty?
MARCELLA BARKER, MD specializes in Family Medicine Physician and practices in GREAT FALLS, Montana. Credentials: MD.
How much does MARCELLA BARKER, MD prescribe under Medicare Part D?
In 2023, MARCELLA BARKER, MD wrote 233 Medicare Part D claims totaling $5K in drug costs for 151 beneficiaries.
What is MARCELLA BARKER, MD's Medicare quality score?
MARCELLA BARKER, MD has a CMS MIPS Final Score of 80.4662/100 (Quality: 93.1081, Cost: 62.6125). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARCELLA BARKER, MD located?
MARCELLA BARKER, MD is located at 1401 25TH ST S, GREAT FALLS, MT, 59405. Phone: (406) 731-8888.
What is MARCELLA BARKER, MD's NPI number?
MARCELLA BARKER, MD's National Provider Identifier (NPI) is 1265433148, issued on 08/02/2005.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does MARCELLA BARKER, MD prescribe most often?
Based on 2023 Medicare Part D data, MARCELLA BARKER, MD's most frequently prescribed drugs include Cephalexin, Amoxicillin-Clavulanate Potass, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARCELLA BARKER, MD accept Medicare?
MARCELLA BARKER, MD appears in CMS Medicare data with 233 Part D claims and 151 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARCELLA BARKER, MD's credentials?
MARCELLA BARKER, MD's NPI is 1265433148 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology