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DR. CRAIG AUSTIN BURNS MD
NPI 1225472012
Emergency Medicine in St Maries, ID

Active since April 23, 2013PECOS Enrolled
229 S 7TH ST, ST MARIES, ID 83861(208) 245-5551(208) 245-5246 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 16, 2025, Jul 21, 2022, Jun 13, 2017 (3 updates tracked since 2017).

About Dr. Craig Austin Burns Md NPPES

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

DR. CRAIG AUSTIN BURNS MD (NPI 1225472012) is an individual emergency medicine provider in St Maries, Idaho, licensed in Idaho (M-13753) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225472012
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. CRAIG AUSTIN BURNSCredential: MD
Location Address229 S 7TH STSt Maries, ID 83861-1803
Mailing Address229 S 7th StSt Maries, ID 83861-1803 · (208) 245-5551 · Fax (208) 245-5246
Phone(208) 245-5551
Fax(208) 245-5246
Sole ProprietorNo
Enumeration DateApril 23, 2013
Last NPPES UpdateJune 16, 20253 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1225472012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in ID · M-13753✔ Licensed in WA · MD60966900
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD60966900 (WA), M-13753 (ID)
Also ListedHospitalistTaxonomy 208M00000X · License M-13753 (ID)
229 S 7TH ST, St Maries, ID 83861
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1714 W Pine StNewport, WA 99156-9046 · Phone (509) 447-2441
Location 2520 N Third AveSandpoint, ID 83864-1507 · Phone (208) 263-1441

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Craig Austin Burns Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

7

Medicare enrollment records show Craig Burns reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Benewah Community Hospital
Same address
Rural Health
229 S 7TH ST STE 101 & 300
St Maries, ID 83861
  • Reassigned Medicare billing, Idaho enrollment
  • Also billed through NPI 1548320435 (Idaho)
  • 60 clinicians in this Medicare group
NPI 1386632180 (208) 245-2591
Pend Oreille County Public Hospital District No 1
64 mi
Emergency Medicine
714 W PINE ST
Newport, WA 99156
  • Reassigned Medicare billing, Washington enrollment
  • Also billed through NPI 1780778423 (Washington)
  • 36 clinicians in this Medicare group
NPI 1427264795 (509) 447-2441
Bonner General Hospital, Inc
66 mi
Psychiatry
606 N 3RD AVE STE 203
Sandpoint, ID 83864
  • Reassigned Medicare billing, Idaho enrollment
  • Also billed through NPI 1154563963 (Idaho)
  • 75 clinicians in this Medicare group
NPI 1982112660 (208) 265-1090
Chelan County Public Hospital District No 2
164 mi
Rural Health
110 S APPLE BLOSSOM DR
Chelan, WA 98816
  • Reassigned Medicare billing, Washington enrollment
  • Also billed through NPI 1578568853 (Washington)
  • 154 clinicians in this Medicare group
NPI 1124438312 (509) 682-3300
Sunnyside Emergency Group A Professional LLC
177 mi
Emergency Medicine
1016 TACOMA AVE
Sunnyside, WA 98944
  • Reassigned Medicare billing, Washington enrollment
  • 64 clinicians in this Medicare group
NPI 1033529367 (800) 893-9698
Olney Emergency Group, A Professional LLC
189 mi
Emergency Medicine
502 W 4TH AVE
Toppenish, WA 98948
  • Reassigned Medicare billing, Washington enrollment
  • 55 clinicians in this Medicare group
NPI 1386108868 (509) 865-1500
Sound Physicians Emergency Medicine Of Washington PLLC
277 mi
Emergency Medicine
2000 HOSPITAL DR
Sedro Woolley, WA 98284
  • Reassigned Medicare billing, Washington enrollment
  • 139 clinicians in this Medicare group
NPI 1629532064 (360) 856-6021

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83861 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims12 services$19.51 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims12 services$104.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

KENDELL LEIGH ERICKSON PT, DPT, ATC
Physical Therapist
229 S 7TH ST
ST MARIES, ID 83861
Benewah County (425) 315-2503
MR. CHRISTOPHER MILNE RN
Registered Nurse
229 S 7TH ST
ST MARIES, ID 83861
Benewah County (208) 245-5551
JILL DIPAK VORA OT
Occupational Therapist
229 S 7TH ST
ST MARIES, ID 83861
Benewah County (208) 245-7634
JORDAN JOHNSTON DPT
Physical Therapist
229 S 7TH ST
ST MARIES, ID 83861
Benewah County (208) 245-5551
MR. AARON VINCENT VIZCARRA CRNA
Nurse Anesthetist, Certified Registered
229 S 7TH ST
SAINT MARIES, ID 83861
Benewah County (208) 245-5551
MRS. STEPHANIE MARIE ARAR MD
Family Medicine
229 S 7TH ST
ST MARIES, ID 83861
Benewah County (208) 245-5551
RANDALL BRADFORD CHOKA FNP
Nurse Practitioner (Family)
229 S 7TH ST
ST MARIES, ID 83861
Benewah County (208) 245-5551
BENEWAH COMMUNITY HOSPITAL
General Acute Care Hospital (Critical Access)
229 S 7TH ST
ST MARIES, ID 83861
Benewah County (208) 245-5551

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 Craig Burns's NPI number?

The NPI number for Craig Burns is 1225472012. It was assigned to this individual provider in the NPPES registry on April 23, 2013.

Where is Craig Burns located?

Craig Burns practices at 229 S 7th St, St Maries, ID 83861. The listed phone number is (208) 245-5551.

What is Craig Burns's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Craig Burns enrolled in Medicare?

Yes. Craig Burns is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Craig Burns's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Craig Burns reassigns Medicare benefits to 7 organizations: Benewah Community Hospital (St Maries, ID), Pend Oreille County Public Hospital District No 1 (Newport, WA), Bonner General Hospital, Inc (Sandpoint, ID), Chelan County Public Hospital District No 2 (Chelan, WA), Sunnyside Emergency Group A Professional LLC (Sunnyside, WA) and 2 more organizations, listed in the Medicare section above. 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 Craig Burns's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Craig Burns accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Select Health list Craig 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.

When was this NPI record last updated?

The NPPES record for Craig Burns was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.