STEPHEN SPENCER BURNSIDE MD
NPI 1225004401
Internal Medicine in Kodiak, AK

Q: 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.

Q: What is Stephen Burnside's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Burnside was last updated on April 15, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 27, 2006PECOS Enrolled

91.62/100

CMS Quality Rating

1818 E REZANOF DR, KODIAK, AK 99615(907) 486-6065(907) 486-2248 Get Directions Write a Review

NPPES record last updated: April 15, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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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

NPI1225004401

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameSTEPHEN SPENCER BURNSIDECredential: MD

Location Address1818 E REZANOF DRKodiak, AK 99615

Mailing Address1818 E Rezanof DrKodiak, AK 99615 · (907) 486-6065 · Fax (907) 486-2248

Phone(907) 486-6065

Fax(907) 486-2248

Sole ProprietorNo

Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 1989

Enumeration DateFebruary 27, 2006

Last NPPES UpdateApril 15, 2013

✔ NPI 1225004401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in AK · AA2876

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1818 E REZANOF DR, Kodiak, AK 99615

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Other Identifiers 6

MedicaidGR0173AK

MedicaidMD 03803AK

Medicare ID-Type UnspecifiedK0000WCHHT

Medicare ID-Type Unspecified011WCHHTB

Other920088665AK · Employee Id

Medicare UPINF37928

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen Spencer Burnside Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567552482

PECOS Enrollment IDI20100302000729

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 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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

58 services38 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

33 services28 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

16 services14 patients

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.

New Patient

$168.20 typical visit price

range $71.33 – $222.64

Typical copayment $42.05 (range $17.83 – $55.66)

Most-billed visit code 99204

Established Patient

$128.73 typical visit price

range $21.84 – $181.48

Typical copayment $32.18 (range $5.46 – $45.37)

Most-billed visit code 99214

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.

91.62/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.42

Promoting Interoperability

Improvement Activities

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers21 claims21 services$199.40 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

CORI D TAYLOR

Peer Specialist