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DR. EMILY JANE BURGOON D.O.
NPI 1174870174
Neuromusculoskeletal Medicine & OMM in Sedona, AZ

Active since August 08, 2012Opted out of Medicare · through Nov 27, 2027
45 CASTLE ROCK RD 2A, SEDONA, AZ 86351(540) 798-5655 Get Directions Write a Review

NPPES record last updated: November 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Emily Jane Burgoon D.o. NPPES

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

DR. EMILY JANE BURGOON D.O. (NPI 1174870174) is an individual neuromusculoskeletal medicine & omm provider in Sedona, Arizona, licensed in Missouri (2010021895) and active in the NPI registry since August 2012. She has opted out of Medicare through November 27, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174870174
Entity TypeIndividualFemale
Primary Taxonomy204D00000X
Provider Legal NameDR. EMILY JANE BURGOONCredential: D.O.
Location Address45 CASTLE ROCK RD 2ASedona, AZ 86351-8806
Mailing Address45 Castle Rock Rd 2aSedona, AZ 86351-8806 · (540) 798-5655 · Fax (928) 852-0041
Phone(540) 798-5655
Sole ProprietorNo
Enumeration DateAugust 8, 2012
Last NPPES UpdateNovember 11, 2015
✔ NPI 1174870174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License✔ Licensed in MO · 2010021895
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
45 CASTLE ROCK RD 2A, Sedona, AZ 86351
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Emily Jane Burgoon D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 27, 2023 through November 27, 2027.

Opt-Out Effective DateNovember 27, 2023
Opt-Out In Effect ThroughNovember 27, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Emily Burgoon's NPI number?

The NPI number for Emily Burgoon is 1174870174. It was assigned to this individual provider in the NPPES registry on August 8, 2012.

Where is Emily Burgoon located?

Emily Burgoon practices at 45 Castle Rock Rd 2A, Sedona, AZ 86351. The listed phone number is (540) 798-5655.

What is Emily Burgoon's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Emily Burgoon enrolled in Medicare?

No. Emily Burgoon has opted out of Medicare through November 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Emily Burgoon was last updated on November 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.