STEPHEN SPENCER BURNSIDE MD
NPI 1225004401
Internal Medicine in Kodiak, AK
About Stephen Spencer Burnside Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHEN SPENCER BURNSIDE MD (NPI 1225004401) is an individual internal medicine provider in Kodiak, Alaska, licensed in Alaska (AA2876) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stephen Spencer Burnside Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Stephen Burnside reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kodiak, AK 99615
- Reassigned Medicare billing, Alaska enrollment
- Also billed through NPI 1013905660 (Alaska)
- 73 clinicians in this Medicare group
Kodiak, AK 99615
- Reassigned Medicare billing, Alaska enrollment
- 18 clinicians in this Medicare group
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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Stephen Burnside's NPI number?
The NPI number for Stephen Burnside is 1225004401. It was assigned to this individual provider in the NPPES registry on February 27, 2006.
Where is Stephen Burnside located?
Stephen Burnside practices at 1818 E Rezanof Dr, Kodiak, AK 99615. The listed phone number is (907) 486-6065.
What is Stephen Burnside's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Stephen Burnside enrolled in Medicare?
Yes. Stephen Burnside is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Stephen Burnside's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Burnside reassigns Medicare benefits to 2 organizations: Providence Health & Services Washington (Kodiak, AK) and Kodiak Island Health Care Foundation (Kodiak, AK). Each 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 Stephen Burnside's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephen Burnside accept?
Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Stephen Burnside 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.
When was this NPI record last updated?
The NPPES record for Stephen Burnside was last updated on April 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Stephen Spencer Burnside, MD · NPI 1225004401
Internal Medicine physician in Kodiak, Alaska. Individual provider, active in the CMS NPPES registry since February 27, 2006.
## Identity
- **NPI:** 1225004401 (Entity type: Individual)
- **Enumerated:** February 27, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** AA2876 (Alaska)
- **Sole proprietor:** No
## Practice location
- **Address:** 1818 E REZANOF DR, Kodiak, AK 99615
- **Phone:** (907) 486-6065 · **Fax:** (907) 486-2248
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Providence Health & Services Washington (NPI 1952430902, Kodiak, AK); Kodiak Island Health Care Foundation (NPI 1326047044, Kodiak, AK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Irvine, California College Of Medicine, class of 1989
## Record status
- **NPPES last updated:** April 15, 2013
- **Other identifiers:** Medicaid GR0173 (AK); Medicaid MD 03803 (AK); Medicare ID-Type Unspecified K0000WCHHT; and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1225004401) · Data from the CMS NPPES public registry.