DR. STEPHEN ANDREW BURGESS M.D.
NPI 1225480890
Orthopaedic Surgery in Grand Rapids, MI

Active since July 07, 2016PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
221 MICHIGAN ST NE, 4TH FLOOR, GRAND RAPIDS, MI 49503(616) 391-6243 Get Directions Write a Review

NPPES record last updated: July 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephen Andrew Burgess M.d. NPPES

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

DR. STEPHEN ANDREW BURGESS M.D. (NPI 1225480890) is an individual orthopaedic surgery provider in Grand Rapids, Michigan, licensed in Michigan (4301110885) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Jefferson Hospital, and is a graduate of West Virginia University School Of Medicine (2012).

NPPES Registry Identity

NPI1225480890
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. STEPHEN ANDREW BURGESSCredential: M.D.
Location Address221 MICHIGAN ST NE, 4TH FLOORGrand Rapids, MI 49503-2543
Mailing Address200 Jefferson Ave Se, Jefferson Bldg #305Grand Rapids, MI 49503-4502 · (616) 391-6243
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2012
Enumeration DateJuly 7, 2016
NPI 1225480890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MI · 4301110885
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
221 MICHIGAN ST NE, Grand Rapids, MI 49503

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

Dr. Stephen Andrew Burgess M.d. 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 ID9032402607
PECOS Enrollment IDI20210818001335
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 12

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
155 services80 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
135 services104 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
81 services68 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
73 services59 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
64 services41 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
62 services56 patients

Hospital Affiliations CMS Care Compare

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

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
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.

Internal Medicine
221 MICHIGAN ST NE, SUITE 200
GRAND RAPIDS, MI 49503
Dietitian, Registered
221 MICHIGAN ST NE, SUITE 200
GRAND RAPIDS, MI 49503
Surgery
221 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Nurse Practitioner
221 MICHIGAN ST NE, SUITE 200
GRAND RAPIDS, MI 49503
Internal Medicine (Endocrinology, Diabetes & Metabolism)
221 MICHIGAN ST NE, SUITE 200
GRAND RAPIDS, MI 49503
Physician Assistant
221 MICHIGAN ST NE, SUITE 200
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
221 MICHIGAN ST NE, SUITE 600
GRAND RAPIDS, MI 49503
Audiologist
221 MICHIGAN ST NE, SUITE 200
GRAND RAPIDS, MI 49503

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 Burgess's NPI number?

The NPI number for Stephen Burgess is 1225480890. It was assigned to this individual provider in the NPPES registry on July 7, 2016.

Where is Stephen Burgess located?

Stephen Burgess practices at 221 Michigan St NE 4th Floor, Grand Rapids, MI 49503. The listed phone number is (616) 391-6243.

What is Stephen Burgess's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Stephen Burgess enrolled in Medicare?

Yes. Stephen Burgess 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.

Is Stephen Burgess affiliated with any hospitals?

According to CMS data, Stephen Burgess is affiliated with Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Burgess was last updated on July 7, 2016. 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.