COUNTY REPORT MA

Barnstable County, Massachusetts

54 ZIP codes · Avg score 64/100 · Grade C · Updated 2026-07-19

ZipCheckup grade for Barnstable: C.

A mixed picture - some signals here are worth your attention.

Water safety in Barnstable County is uneven - some of its 54 ZIP codes meet standards cleanly while others carry documented violations.

How Barnstable County Compares

Barnstable County64/100
Massachusetts avg66/100
National avg68/100

How Barnstable County Compares

C
County Grade
64/100
Avg Safety Score
54
ZIP Codes
28
Water Systems

Barnstable County scores 2 points below the Massachusetts state average (66/100) and 4 points below the national average (68/100).

Data: EPA SDWIS Last verified: 2026-07-19

C
County Grade
64
Avg Safety Score
54
ZIP Codes
Best ZIP: 02562 (83/100)
Lowest ZIP: 02670 (50/100)
$649K
Median Home Value
$1,894
Avg Remediation (29% of home value)

ZIP Code Risk Map

Water Quality Map: Barnstable County, Massachusetts

Each dot represents a ZIP code. Color indicates water quality grade. Tap a dot for details.

A B C D F

Key Risk Factors

Health risk index: 12.9 (asthma 11.5%, diabetes 10.7%)

Estimated additional annual cost per homeowner: $2,817, driven primarily by flood

Infrastructure: 0.446% avg pipe failure probability, 70% of ZIPs at high risk

72.3% of homes built before 1978 (lead paint era)

Violation History (2021–2024)

→ Stable trend

EPA violation counts by year across Barnstable County water systems. Health-based shown in red, total in blue.

2021
2 (2 health)
2024
2 (2 health)

Peak year: 2021 with 2 violations. Past 5 years: 4 total (4 health-based).

Source: EPA SDWIS historical violations. Data may lag 6–12 months for the most recent year.

County Health Indicators vs National Average

Asthma 11.5% (national: 8.9%)
Diabetes 10.7% (national: 10.5%)
Obesity 26.3% (national: 32.4%)

Black markers indicate national averages. Source: CDC PLACES, Census ACS.

Infrastructure Overview

1973
Median Build Year
72.3%
Pre-1978 Housing
45%
Pipe Failure Probability
70%
ZIPs at High Infra Risk
High
Lead Pipe Risk

Sources: Census ACS (housing age), EPA SDWIS (infrastructure risk model), state bridge inspection data.

Compound Risk Breakdown

Estimated additional annual cost per homeowner: $2,817

Flood $1,314/yr
Sea Level Rise $746/yr
Energy Code Gap $506/yr

Bar widths proportional to share of total annual risk cost. Source: compound risk model (FEMA, EPA, USGS).

Housing Age Distribution

159,259 housing units in Barnstable County

Pre-1940 12%
1940–1959 14%
1960–1979 33%
1980–1999 31%
2000+ 11%

Source: U.S. Census Bureau ACS B25034 (Year Structure Built).

Water Safety Affordability

How much it costs to fix water issues relative to home values in Barnstable County

$649K
Median Home Value
$1,894
Est. Remediation Cost
0.3%
of Home Value
Remediation as % of home value low burden

Remediation costs are relatively manageable for most homeowners in Barnstable County, representing a small fraction of property value.

Remediation includes water filtration, lead abatement, radon mitigation, and flood protection where applicable. Source: Census ACS, EPA SDWIS.

Health Outcomes vs National Average

CDC PLACES data for Barnstable County residents

Asthma 11.5% (US avg: 8.9%)
Diabetes 10.7% (US avg: 11%)
Obesity 26.3% (US avg: 32.4%)

Black markers = national averages. Red = above national avg. Green = below. Source: CDC PLACES, Census ACS.

Water systems serving Barnstable County

8 community water systems serving Barnstable County.

Show all 8 water systems

28 total water systems serve Barnstable County.

Systems with the most violations in Barnstable County

5 water systems with recorded EPA violations.

All ZIP Codes in Barnstable County

54 ZIP codes tracked in Barnstable County.

# ZIP Code City Safety Score Grade Violations Home Value
1 02562 Sagamore Beach 83 B 0 $576K
2 02541 Falmouth 78 B 3 (2 health)
3 02635 Cotuit 78 B 0 $650K
4 02638 Dennis 78 B 0 $714K
5 02645 Harwich 78 B 0 $581K
6 02660 South Dennis 78 B 0 $503K
7 02652 North Truro 76 B 1 $844K
8 02653 Orleans 76 B 1 $817K
9 02655 Osterville 76 B 1 $746K
10 02666 Truro 76 B 1 $671K
11 02631 Brewster 74 B 3 $622K
12 02601 Hyannis 73 B 0 $409K
13 02633 Chatham 73 B 0 $881K
14 02664 South Yarmouth 73 B 1 $479K
15 02563 Sandwich 71 B 1 $553K
16 02630 Barnstable 71 B 1 $686K
17 02642 Eastham 71 B 1 $668K
18 02649 Mashpee 70 B 3 $516K
19 02667 Wellfleet 69 C 7 $760K
20 02673 West Yarmouth 69 C 2 $445K
21 02559 Pocasset 68 C 0 $564K
22 02657 Provincetown 68 C 0 $770K
23 02663 South Wellfleet 68 C 3 $663K
24 02540 Falmouth 63 C 3 (2 health) $756K
25 02561 Sagamore 63 C 0 $462K
26 02637 Cummaquid 63 C 0 $861K
27 02641 East Dennis 63 C 0 $1025K
28 02644 Forestdale 63 C 0 $459K
29 02647 Hyannis Port 63 C 0
30 02648 Marstons Mills 63 C 0 $581K
31 02659 South Chatham 63 C 0 $650K
32 02661 South Harwich 63 C 0
33 02672 West Hyannisport 63 C 0
34 02534 Cataumet 55 C 0 $1011K
35 02553 Monument Beach 55 C 0
36 02643 East Orleans 55 C 0
37 02646 Harwich Port 55 C 0 $724K
38 02650 North Chatham 55 C 0 $974K
39 02651 North Eastham 55 C 0
40 02662 South Orleans 55 C 0
41 02668 West Barnstable 55 C 0 $622K
42 02671 West Harwich 55 C 0 $594K
43 02675 Yarmouth Port 55 C 0 $544K
44 02542 Buzzards Bay 53 D 0
45 02634 Centerville 53 D 0
46 02669 West Chatham 53 D 0
47 02536 East Falmouth 50 D 0 $497K
48 02537 East Sandwich 50 D 0 $618K
49 02543 Woods Hole 50 D 0 $909K
50 02556 North Falmouth 50 D 0 $659K
51 02574 West Falmouth 50 D 0
52 02632 Centerville 50 D 0 $542K
53 02639 Dennis Port 50 D 0 $452K
54 02670 West Dennis 50 D 0 $647K

Recommended Buyer Guides for Barnstable County

Below: editorial picks, no sponsored placements.

Overview

Barnstable County in Massachusetts covers 54 ZIP codes with an average Home Safety Score of C (64/100).

15 of 54 ZIP codes have recorded EPA violations. 4 health-based violations have been documented.

← Back to Massachusetts water quality report

Data Sources

Updated daily.

Frequently Asked Questions

Is water safe in Barnstable County?
Barnstable County receives a grade of C. Some ZIP codes have recorded violations and residents in affected areas may want to test their water.
How many water systems serve Barnstable County?
Barnstable County is served by 28 public water systems that supply drinking water to residents across 54 ZIP codes.
What is the biggest environmental risk in Barnstable County?
The primary environmental risk factor in Barnstable County is flood. This contributes to an estimated additional annual cost of $2,817 per homeowner.
How old are homes in Barnstable County?
The median home build year in Barnstable County is 1973. 72.3% of homes were built before 1978, which means they may contain lead-based paint and older plumbing materials.
How does Barnstable County compare to Massachusetts?
Barnstable County has an average water safety score of 64/100, which is below the Massachusetts state average of 66/100.

How to cite this page

APA ZipCheckup. (2026). Barnstable County, MA: 4 Health Violations - 64/100 (2026). https://zipcheckup.com/county/massachusetts/barnstable/
BibTeX
@misc{zipcheckup-county-massachusetts-barnstable,
  author = {{ZipCheckup}},
  title  = {{Barnstable County, MA: 4 Health Violations - 64/100 (2026)}},
  year   = {2026},
  url    = {https://zipcheckup.com/county/massachusetts/barnstable/}
}

Data as of July 2026.

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