NPPES file of Aug 9, 2026

Mark L. Barba, MD

Orthopaedic Surgery Physician · Rockford, IL

Mark L. Barba, MD is an orthopaedic surgery physician with a practice address in Rockford, Illinois, and NPI 1730292400, issued on Aug 16, 2006. Check the license (Illinois 036-093362, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; 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
1730292400
Name
Mark L. Barba
Credential
MD
Primary taxonomy
Orthopaedic Surgery Physician 207X00000X
License numbers
036-093362 IL
57247-20 WI
Self-reported in NPPES; status is on the state search
Practice location
5875 E Riverside Blvd, Rockford, IL 61114
Phone
(815) 398-9491
Enumerated
Aug 16, 2006
Record last updated
Nov 13, 2023
Medicaid ID
036093362 IL
Medicare enrollment
Enrolled (PECOS I20231204000279); accepts Medicare assignment
Medical or professional school
University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb), 1991
Telehealth
Offers telehealth (CMS)
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 5875 E Riverside Blvd

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

  1. Todd Alexander, MD SCNeurological Surgery Physician1972572139
  2. Victor Antonacci, MDOrthopaedic Surgery Physician1306813506
  3. Mayank Aranke, MDAnesthesiology Physician1144859422
  4. Samir Baig, MDInterventional Pain Medicine Physician1225286941
  5. Kyle Bergan, DNP, APRN, FNP-CNurse Practitioner1114490224
  6. Michaela Blackwell, PA-CPhysician Assistant1407553019

Verify Mark L. Barba in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036-093362
    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 Illinois 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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28% more Medicare Part D claims than the average orthopaedic surgery physician in 2024

444 Medicare Part D claims for 210 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 32 claims were for opioids.

  1. Mark Barba444
  2. Specialty average346

Most prescribed

  1. Amoxicillin318 claims
  2. Clindamycin Hcl44 claims
  3. Tramadol Hcl15 claims
  4. Cephalexin12 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 practice group's MIPS final score for 2023 (Medicare payment program): 71 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. 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 score61.0
  2. Costout of 100 · 30%64.0
  3. Promoting interoperabilityout of 100 · 25%74.0
  4. Improvement activities40 of 40 points · 15%100.0

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

Industry payments in 2024: $2,565.96

13 payments; by number, the most common kind was food and beverage; the largest payer was Zimmer Biomet Holdings, Inc. 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. Mark Barba$2,566
  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 one group practice

  1. Orthomidwest, PLLCBeloit, WI

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

Mark L. Barba among 995 orthopaedic surgery physician records in Illinois

Mark L. Barba, MD is one of 995 orthopaedic surgery physician records with a practice address in Illinois. 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 2006, is newer than 14% of them.

  • NPI issued2006 · 14% of these records are older, 49% newer
  • In a Medicare fileYes · 77% of these records are
  • In the CMS Doctors and Clinicians fileYes · 56% of these records are
  • Graduated1991 · median 2001 among the 556 with a school on file
  • Record last updated2023 · 51% 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 Illinois 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 Illinois

There are 995 orthopaedic surgery physician records in Illinois.

The 8 orthopaedic surgery physician records with the nearest ZIP codes

  1. Victor Antonacci, MDRockford, IL 611141306813506
  2. John Bottros, M.D.Rockford, IL 611141467635524
  3. Michael Chmell, M.D.Rockford, IL 611141548373053
  4. Gadini Delisca, MDRockford, IL 611141811377864
  5. Timothy Niedzielak, DORockford, IL 611141972028421
  6. Mark Oyer, MDRockford, IL 611141679968812
  7. Jeremiah Pflederer, M.D.Rockford, IL 611141124551932
  8. Andreas Fischer, MDRockford, IL 611081235139452

Common questions

What is Mark L. Barba, MD's NPI number?

Mark L. Barba, MD's National Provider Identifier (NPI) is 1730292400, issued on Aug 16, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Mark L. Barba, MD located?

The NPPES record lists a practice address at 5875 E Riverside Blvd, Rockford, IL, 61114. Phone: (815) 398-9491. Providers update this record themselves, so call before visiting.

How can I verify Mark L. Barba, MD's license?

NPPES lists Illinois license number 036-093362, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Mark L. Barba, MD prescribe under Medicare Part D?

In 2024, Mark L. Barba, MD had 444 Medicare Part D claims for 210 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.

What is Mark L. Barba, MD's MIPS final score?

The 2023 MIPS final score is 71 of 100, reported for the practice group. 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.