DRAION BURCH
NPI 1255537015
Obstetrics & Gynecology in Everett, PA

Active since June 26, 2007PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
361 HOSPITAL DR, UPMC BEDFORD OB/GYN & ASSOC, EVERETT, PA 15537(814) 623-9712 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2021, Dec 29, 2016 (2 updates tracked since 2016).

About Draion Burch NPPES

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

DRAION BURCH (NPI 1255537015) is an individual obstetrics & gynecology provider in Everett, Pennsylvania, licensed in Pennsylvania (OS015541) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Upmc Altoona, and is a graduate of Ohio University, College Of Osteopathic Medicine (2007).

NPPES Registry Identity

NPI1255537015
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDRAION BURCH
Location Address361 HOSPITAL DR, UPMC BEDFORD OB/GYN & ASSOCEverett, PA 15537-7022
Mailing Address2 Hot Metal St, Quantum One Suite 001Pittsburgh, PA 15203-2348
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2007
Enumeration DateJune 26, 2007
Last NPPES UpdateMay 21, 20212 updates tracked since enumeration
NPI 1255537015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in PA · OS015541
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
361 HOSPITAL DR, Everett, PA 15537

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

Draion Burch 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 ID9234317413
PECOS Enrollment IDI20110617000600
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.

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.
117 services30 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.
52 services31 patients
Biopsy of lining of uterus and/or removal of polyp using an endoscope 58558
This procedure involves using a thin, flexible tool (endoscope) to examine and possibly remove a small tissue sample from the inner layer of your uterus. It may also involve removing a growth. It helps to identify any issues and plan the right treatment.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Upmc Bedford Memorial

Acute Care Hospitals · Everett, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390117
Location10455 Lincoln HighwayEverett, PA 15537 · Bedford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15537 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Obstetrics & Gynecology)
361 HOSPITAL DR, SUITE 3400
EVERETT, PA 15537
Nurse Practitioner (Family)
361 HOSPITAL DR
EVERETT, PA 15537
Obstetrics & Gynecology
361 HOSPITAL DR
EVERETT, PA 15537
Physician Assistant (Medical)
361 HOSPITAL DR
EVERETT, PA 15537

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 Draion Burch's NPI number?

The NPI number for Draion Burch is 1255537015. It was assigned to this individual provider in the NPPES registry on June 26, 2007.

Where is Draion Burch located?

Draion Burch practices at 361 Hospital Dr Upmc Bedford Ob/Gyn & Assoc, Everett, PA 15537. The listed phone number is (814) 623-9712.

What is Draion Burch's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Draion Burch enrolled in Medicare?

Yes. Draion Burch 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 Draion Burch affiliated with any hospitals?

According to CMS data, Draion Burch is affiliated with Upmc Altoona and Upmc Bedford Memorial.

When was this NPI record last updated?

The NPPES record for Draion Burch was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.