DANIEL THOMAS BURNS JR. PA
NPI 1124519236
Physician Assistant in Wheeling, WV

Active since May 24, 2018PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1 MEDICAL PARK, WHEELING, WV 26003(304) 243-3000 Get Directions Write a Review

NPPES record last updated: November 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 16, 2018, Sep 27, 2018, May 24, 2018 (3 updates tracked since 2018).

About Daniel Thomas Burns Jr. Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL THOMAS BURNS JR. PA (NPI 1124519236) is an individual physician assistant in Wheeling, West Virginia, licensed in West Virginia (2854) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Reynolds Memorial Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1124519236
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDANIEL THOMAS BURNS JR.Credential: PA
Location Address1 MEDICAL PARKWheeling, WV 26003-6300
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 24, 2018
Last NPPES UpdateNovember 16, 20183 updates tracked since enumeration
NPI 1124519236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WV · 2854
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1 MEDICAL PARK, Wheeling, WV 26003

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Daniel Thomas Burns Jr. Pa 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.

PECOS PAC ID2163769159
PECOS Enrollment IDI20190129003125
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
84 services83 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services28 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510013
Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1 MEDICAL PARK
WHEELING, WV 26003
Behavior Analyst
1 MEDICAL PARK
WHEELING, WV 26003
Specialist/Technologist (Athletic Trainer)
1 MEDICAL PARK
WHEELING, WV 26003
Physical Therapist
1 MEDICAL PARK, WHEELING HOSPITAL INC
WHEELING, WV 26003
Physical Therapist
1 MEDICAL PARK, WHEELING HOSPITAL INC
WHEELING, WV 26003
Nurse Practitioner (Family)
1 MEDICAL PARK
WHEELING, WV 26003
Nurse Anesthetist, Certified Registered
1 MEDICAL PARK
WHEELING, WV 26003
Radiology (Diagnostic Radiology)
1 MEDICAL PARK
WHEELING, WV 26003

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 Daniel Burns's NPI number?

The NPI number for Daniel Burns is 1124519236. It was assigned to this individual provider in the NPPES registry on May 24, 2018.

Where is Daniel Burns located?

Daniel Burns practices at 1 Medical Park, Wheeling, WV 26003. The listed phone number is (304) 243-3000.

What is Daniel Burns's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Daniel Burns enrolled in Medicare?

Yes. Daniel Burns 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.

What insurance does Daniel Burns accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Daniel Burns as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Daniel Burns affiliated with any hospitals?

According to CMS data, Daniel Burns is affiliated with Reynolds Memorial Hospital and Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Daniel Burns was last updated on November 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.