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DR. PATRICK RAYMOND BURNS DPM
NPI 1255332417
Podiatrist - Foot & Ankle Surgery in Wheeling, WV

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
40 MEDICAL PARK STE 202, WHEELING, WV 26003(304) 243-8396(304) 243-8397 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 29, 2026, Jul 27, 2021, Mar 25, 2021 (3 updates tracked since 2021).

About Dr. Patrick Raymond Burns Dpm NPPES

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

DR. PATRICK RAYMOND BURNS DPM (NPI 1255332417) is an individual foot & ankle surgery provider in Wheeling, West Virginia, licensed in Pennsylvania (SC-004689-L) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Uniontown Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1255332417
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. PATRICK RAYMOND BURNSCredential: DPM
Location Address40 MEDICAL PARK STE 202Wheeling, WV 26003-6392
Mailing Address40 Medical Park Ste 202Wheeling, WV 26003-6392 · (304) 243-8396 · Fax (304) 243-8397
Phone(304) 243-8396
Fax(304) 243-8397
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 9, 2005
Last NPPES UpdateApril 29, 20263 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1255332417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in PA · SC-004689-L
40 MEDICAL PARK STE 202, Wheeling, WV 26003
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Patrick Raymond Burns Dpm 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 ID3971595869
PECOS Enrollment IDI20040331001362, I20230407001423
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

6

Medicare enrollment records show Patrick Burns reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wheeling Hospital Inc
0.8 mi
Family Medicine
1 MEDICAL PARK
Wheeling, WV 26003
  • Reassigned Medicare billing, West Virginia enrollment
  • 502 clinicians in this Medicare group
NPI 1548923923 (304) 243-3000
Reynolds Memorial Hospital Inc
2.4 mi
Surgery
109 MOUNT WOOD RD
Wheeling, WV 26003
  • Reassigned Medicare billing, West Virginia enrollment
  • 275 clinicians in this Medicare group
NPI 1457657991 (304) 233-2455
Wmc Physician Practices LLC
27 mi
Internal Medicine
560 STEUBENVILLE PIKE
Burgettstown, PA 15021
  • Reassigned Medicare billing, West Virginia enrollment
  • 131 clinicians in this Medicare group
NPI 1518303288 (304) 797-6557
Wetzel County Hospital, Inc.
28 mi
Family Medicine
3 E BENJAMIN DR
New Martinsville, WV 26155
  • Reassigned Medicare billing, West Virginia enrollment
  • 130 clinicians in this Medicare group
NPI 1518590033 (304) 455-8000
University Of Pittsburgh Physicians
39 mi
Neurological Surgery
425 W FIFTH ST, EAST LIVERPOOL CITY HOSPITAL
East Liverpool, OH 43920
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1811945793 (330) 386-3195
Fayette Physician Network Inc
43 mi
Family Medicine
2175 MCCLELLANDTOWN RD, SUITE 201
Masontown, PA 15461
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 398 clinicians in this Medicare group
NPI 1780086967 (724) 583-2819

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 5

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.

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.
64 services41 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
59 services59 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
44 services31 patients
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.
24 services24 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.
16 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390041
Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County
Emergency services

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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.

For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5513
DME-Orthotic Devices · category DF000N
2 suppliers11 claims59 services$37.33 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

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

SARAH MANSAGER DPM
Podiatrist (Foot & Ankle Surgery)
40 MEDICAL PARK STE 202
WHEELING, WV 26003
Ohio County (304) 243-8396

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 Patrick Burns's NPI number?

The NPI number for Patrick Burns is 1255332417. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Patrick Burns located?

Patrick Burns practices at 40 Medical Park Ste 202, Wheeling, WV 26003. The listed phone number is (304) 243-8396.

What is Patrick Burns's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Patrick Burns enrolled in Medicare?

Yes. Patrick Burns 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.

Which organizations bill Medicare for Patrick Burns's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Burns reassigns Medicare benefits to 6 organizations: Wheeling Hospital Inc (Wheeling, WV), Reynolds Memorial Hospital Inc (Wheeling, WV), Wmc Physician Practices LLC (Burgettstown, PA), Wetzel County Hospital, Inc. (New Martinsville, WV), University Of Pittsburgh Physicians (East Liverpool, OH) and 1 more organization, 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 Patrick Burns's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patrick Burns accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Patrick 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.

Is Patrick Burns affiliated with any hospitals?

According to CMS data, Patrick Burns is affiliated with Uniontown Hospital, West Virginia University Hospitals, Inc and Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Patrick Burns was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.