DR. ELISA A BURGESS MD
NPI 1003805417
Plastic Surgery in Lake Oswego, OR
About Dr. Elisa A Burgess Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ELISA A BURGESS MD (NPI 1003805417) is an individual plastic surgery provider in Lake Oswego, Oregon, licensed in Oregon (MD18936) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Legacy Meridian Park Medical Center, and is a graduate of Oregon Health Sciences University School Of Medicine (1992).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Elisa A Burgess Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Elisa Burgess reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lake Oswego, OR 97035
- Reassigned Medicare billing, Oregon enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Legacy Meridian Park Medical Center
Acute Care Hospitals · Tualatin, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKE OSWEGO, OR 97035
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Elisa Burgess's NPI number?
The NPI number for Elisa Burgess is 1003805417. It was assigned to this individual provider in the NPPES registry on October 18, 2005.
Where is Elisa Burgess located?
Elisa Burgess practices at 16865 Boones Ferry Rd Suite 101, Lake Oswego, OR 97035. The listed phone number is (503) 699-6464.
What is Elisa Burgess's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Elisa Burgess enrolled in Medicare?
Yes. Elisa Burgess is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Elisa Burgess's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elisa Burgess reassigns Medicare benefits to Elisa A. Burgess, MD, PC (Lake Oswego, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elisa Burgess's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Elisa Burgess affiliated with any hospitals?
According to CMS data, Elisa Burgess is affiliated with Legacy Meridian Park Medical Center.
When was this NPI record last updated?
The NPPES record for Elisa Burgess was last updated on November 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Elisa A Burgess, MD · NPI 1003805417
Plastic Surgery physician in Lake Oswego, Oregon. Individual provider, active in the CMS NPPES registry since October 18, 2005.
## Identity
- **NPI:** 1003805417 (Entity type: Individual)
- **Enumerated:** October 18, 2005
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **State license:** MD18936 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 16865 BOONES FERRY RD, SUITE 101, Lake Oswego, OR 97035-5280
- **Phone:** (503) 699-6464 · **Fax:** (503) 699-6939
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Elisa A. Burgess, MD, PC (NPI 1538174461, Lake Oswego, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oregon Health Sciences University School Of Medicine, class of 1992
## Record status
- **NPPES last updated:** November 4, 2011
- **Other identifiers:** Medicare ID-Type Unspecified R0000110016 (OR); Medicare UPIN H44122
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Source: [NPI Profile](https://npiprofile.com/npi/1003805417) · Data from the CMS NPPES public registry.