TIMOTHY JOSEPH BURROUGHS M.D.
NPI 1245557735
Anesthesiology - Pain Medicine in Florence, KY

Active since April 23, 2010PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
4900 HOUSTON RD, FLORENCE, KY 41042(859) 212-7000(859) 212-7010 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2022, Aug 4, 2020, Sep 13, 2018 and 6 more (9 updates tracked since 2015).

About Timothy Joseph Burroughs M.d. NPPES

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

TIMOTHY JOSEPH BURROUGHS M.D. (NPI 1245557735) is an individual pain medicine provider in Florence, Kentucky, licensed in Kentucky (51076) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Ft Thomas, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1245557735
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameTIMOTHY JOSEPH BURROUGHSCredential: M.D.
Location Address4900 HOUSTON RDFlorence, KY 41042-4824
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 212-7000 · Fax (859) 212-7010
Fax(859) 212-7010
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateApril 23, 2010
Last NPPES UpdateAugust 25, 20229 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
NPI 1245557735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Licenses Licensed in KY · 51076 Licensed in OH · 35 123530
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 35 123530 (OH)
4900 HOUSTON RD, Florence, KY 41042

Other Identifiers 3

Medicaid0127751OH
Medicaid201157050IN
Medicaid7100356370KY

Accepted Insurance

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

Timothy Joseph Burroughs 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 ID9830337997
PECOS Enrollment IDI20180404002044, I20190613002996
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 13

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
97 services97 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.
95 services72 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
76 services46 patients
Injection of lower or sacral spine facet joint using imaging guidance, second level 64494
This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.
76 services46 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
58 services52 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 64636
This procedure involves using imaging technology to locate and treat nerves in your lower spine or sacral area that may be causing pain. Each additional facet joint refers to treating more than one spinal nerve. It's a non-invasive way to manage chronic back pain.
57 services52 patients

Hospital Affiliations CMS Care Compare 3

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

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
74%89 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
90%98 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
28%200 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
1%132 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Hospitalist
4900 HOUSTON RD
FLORENCE, KY 41042
Hospitalist
4900 HOUSTON RD
FLORENCE, KY 41042
Hospitalist
4900 HOUSTON RD
FLORENCE, KY 41042
Internal Medicine (Gastroenterology)
4900 HOUSTON RD
FLORENCE, KY 41042
Registered Nurse
4900 HOUSTON RD
FLORENCE, KY 41042
Nurse Practitioner
4900 HOUSTON RD
FLORENCE, KY 41042
Nurse Practitioner
4900 HOUSTON RD
FLORENCE, KY 41042
Physician Assistant
4900 HOUSTON RD
FLORENCE, KY 41042

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 Timothy Burroughs's NPI number?

The NPI number for Timothy Burroughs is 1245557735. It was assigned to this individual provider in the NPPES registry on April 23, 2010.

Where is Timothy Burroughs located?

Timothy Burroughs practices at 4900 Houston Rd, Florence, KY 41042. The listed phone number is (859) 212-7000.

What is Timothy Burroughs's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Timothy Burroughs enrolled in Medicare?

Yes. Timothy Burroughs 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.

What insurance does Timothy Burroughs accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource and 1 other insurer list Timothy Burroughs 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.

Is Timothy Burroughs affiliated with any hospitals?

According to CMS data, Timothy Burroughs is affiliated with St Elizabeth Ft Thomas, St Elizabeth Edgewood and St Elizabeth Florence.

When was this NPI record last updated?

The NPPES record for Timothy Burroughs was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.