ERIK BURNISON M.D.
NPI 1255992269
Family Medicine in Fairmont, MN

Active since June 21, 2019PECOS EnrolledAccepts Medicare Assignment
800 MEDICAL CENTER DR, FAIRMONT, MN 56031(507) 238-8100 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 15, 2022, Jun 21, 2019 (2 updates tracked since 2019).

About Erik Burnison M.d. NPPES

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

ERIK BURNISON M.D. (NPI 1255992269) is an individual family medicine provider in Fairmont, Minnesota, licensed in Minnesota (71151) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Avera Holy Family Hospital, and maintains a secondary practice location in Sioux City.

NPPES Registry Identity

NPI1255992269
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameERIK BURNISONCredential: M.D.
Location Address800 MEDICAL CENTER DRFairmont, MN 56031-4575
Mailing Address800 Medical Center DrFairmont, MN 56031-4575 · (507) 238-8100
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2019
Enumeration DateJune 21, 2019
Last NPPES UpdateSeptember 15, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
✔ NPI 1255992269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MN · 71151✔ Licensed in IA · R-11691
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
800 MEDICAL CENTER DR, Fairmont, MN 56031

Secondary Practice Location 1

Location 12501 Pierce StSioux City, IA 51104-3725 · Phone (712) 294-5000 · Fax (712) 294-5091

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

Erik Burnison 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 ID6709110208
PECOS Enrollment IDI20220929003254
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 Reassignment

Medicare enrollment records show Erik Burnison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
800 MEDICAL CENTER DR
Fairmont, MN 56031
  • Reassigned Medicare billing, Minnesota enrollment
  • 806 clinicians in this Medicare group

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 4

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 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.
317 services178 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
73 services61 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.
40 services39 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Avera Holy Family Hospital

Critical Access Hospitals · Estherville, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161351
Location826 North 8th StreetEstherville, IA 51334 · Emmet County
Emergency services

Mayo Clinic Health System - Mankato

Acute Care Hospitals · Mankato, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240093
Location1025 Marsh StreetMankato, MN 56001 · Blue Earth County
Emergency services Birthing friendly

Mayo Clinic Health System - Fairmont

Acute Care Hospitals · Fairmont, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240166
Location800 Medical Center DriveFairmont, MN 56031 · Martin County
Emergency services Birthing friendly

Mayo Clinic Health System St. James

Critical Access Hospitals · St James, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241333
Location1101 Moulton And Parsons DriveSt James, MN 56081 · Watonwan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56031 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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

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

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$32.70 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 20

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

Nurse Anesthetist, Certified Registered
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Occupational Therapist
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Nurse Practitioner
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Dietitian, Registered
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Nurse Practitioner (Family)
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Podiatrist (Foot & Ankle Surgery)
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Non-Pharmacy Dispensing Site
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Physical Therapist
800 MEDICAL CENTER DR
FAIRMONT, MN 56031

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 Erik Burnison's NPI number?

The NPI number for Erik Burnison is 1255992269. It was assigned to this individual provider in the NPPES registry on June 21, 2019.

Where is Erik Burnison located?

Erik Burnison practices at 800 Medical Center Dr, Fairmont, MN 56031. The listed phone number is (507) 238-8100.

What is Erik Burnison's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Erik Burnison enrolled in Medicare?

Yes. Erik Burnison 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 organization bills Medicare for Erik Burnison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erik Burnison reassigns Medicare benefits to Mayo Clinic Health System-Fairmont (Fairmont, MN). The 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 Erik Burnison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Erik Burnison affiliated with any hospitals?

According to CMS data, Erik Burnison is affiliated with Avera Holy Family Hospital, Mayo Clinic Health System - Mankato, Mayo Clinic Health System - Fairmont and Mayo Clinic Health System St. James.

When was this NPI record last updated?

The NPPES record for Erik Burnison was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.