BARTON WILLIAM WILD MD NPI 1710197579

NPI Information

  • NPI: 1710197579
  • Provider Name: BARTON WILLIAM WILD, MD
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3770 GLENKERRY CT
    PORTAGE, MI
    ZIP 49024
  • Phone: (269) 329-2887

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NPI Details

Barton William Wild, MD is an interventional pain medicine pain medicine in Portage, MI with 21 years of experience. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. Barton William Wild, MD NPI is 1710197579. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2005

The provider's business location address is:

3770 GLENKERRY CT
PORTAGE, MI
ZIP 49024-700
Phone: (269) 329-2887
Fax: (269) 329-2805

The NPI 1710197579 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injection, triamcinolone acetonide, preservative free, 1 mg (HCPCS:J3300)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection, midazolam hydrochloride, per 1 mg (HCPCS:J2250)
  • Injection, ropivacaine hydrochloride, 1 mg (HCPCS:J2795)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level (HCPCS:64484)
  • Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Injection, fentanyl citrate, 0.1 mg (HCPCS:J3010)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64636)
  • Destruction of nerves supplying joint between spine and pelvis using imaging guidance (HCPCS:64625)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection of upper or middle spine facet joint using imaging guidance, second level (HCPCS:64491)
  • Injection of trigger points, 1-2 muscles (HCPCS:20552)
  • Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
  • Injection of trigger points, 3 or more muscles (HCPCS:20553)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64634)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 5/23/2007 and was last updated on 5/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain Medicine4301086518MICHIGANNo
2208VP0014XPain MedicineInterventional Pain Medicine4301086518MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11710197579MEDICAIDMICHIGAN
2M91620016OTHERMICHIGANUHC COMMUNITY PLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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