JOHN H BURGESS MD
NPI 1275502486
Internal Medicine in Dothan, AL

Active since March 17, 2006PECOS EnrolledAccepts Medicare Assignment
1901 MELBA DR, DOTHAN, AL 36301(334) 794-6611(334) 794-6614 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John H Burgess Md NPPES

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

JOHN H BURGESS MD (NPI 1275502486) is an individual internal medicine provider in Dothan, Alabama, licensed in Alabama (19299) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (1995).

NPPES Registry Identity

NPI1275502486
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN H BURGESSCredential: MD
Location Address1901 MELBA DRDothan, AL 36301
Mailing Address1901 Melba DrDothan, AL 36301 · (334) 794-6611 · Fax (334) 794-6614
Fax(334) 794-6614
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 1995
Enumeration DateMarch 17, 2006
Last NPPES UpdateNovember 15, 2007
NPI 1275502486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in AL · 19299
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1901 MELBA DR, Dothan, AL 36301

Other Identifiers 5

Medicare UPING15983
Medicare PIN110138906AL
Medicaid00037314AL
Other51037314AL · Blue Cross & Blue Shield
Medicare PIN00037314AL

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

John H Burgess Md 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 ID2668450586
PECOS Enrollment IDI20100210000006
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
251 services137 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
97 services97 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36301 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%163 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
6 suppliers37 claims37 services$62.71 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
8 suppliers81 claims82 services$18.63 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers20 claims20 services$782.19 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers19 claims19 services$6.29 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
12 suppliers201 claims202 services$94.50 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers39 claims39 services$34.56 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 7

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

Internal Medicine
1901 MELBA DR
DOTHAN, AL 36301
Internal Medicine
1901 MELBA DR
DOTHAN, AL 36301
Nurse Practitioner
1901 MELBA DR
DOTHAN, AL 36301
Internal Medicine
1901 MELBA DR
DOTHAN, AL 36301
Internal Medicine
1901 MELBA DR
DOTHAN, AL 36301
Internal Medicine
1901 MELBA DR
DOTHAN, AL 36301
Nurse Practitioner (Family)
1901 MELBA DR
DOTHAN, AL 36301

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 John Burgess's NPI number?

The NPI number for John Burgess is 1275502486. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is John Burgess located?

John Burgess practices at 1901 Melba Dr, Dothan, AL 36301. The listed phone number is (334) 794-6611.

What is John Burgess's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Burgess enrolled in Medicare?

Yes. John 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.

What insurance does John Burgess accept?

Health plans from Blue Cross and Blue Shield of Alabama list John Burgess 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.

When was this NPI record last updated?

The NPPES record for John Burgess was last updated on November 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.