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DR. RANDEL PHILLIP BURNS M.D.
NPI 1285628990
Surgery in Chattanooga, TN

Active since September 08, 2005PECOS EnrolledAccepts Medicare Assignment
94.7/100
CMS Quality Rating
979 E 3RD ST, STE 300, CHATTANOOGA, TN 37403(423) 267-0466(423) 778-8168 Get Directions Write a Review

NPPES record last updated: February 2, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Randel Phillip Burns M.d. NPPES

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

DR. RANDEL PHILLIP BURNS M.D. (NPI 1285628990) is an individual surgery provider in Chattanooga, Tennessee, licensed in Tennessee (MD5824) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Erlanger Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1966).

NPPES Registry Identity

NPI1285628990
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. RANDEL PHILLIP BURNSCredential: M.D.
Location Address979 E 3RD ST, STE 300Chattanooga, TN 37403-2136
Mailing Address979 E 3rd St, Ste 300Chattanooga, TN 37403-2136 · (423) 267-0466 · Fax (423) 778-8168
Phone(423) 267-0466
Fax(423) 778-8168
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1966
Enumeration DateSeptember 8, 2005
Last NPPES UpdateFebruary 2, 2017
✔ NPI 1285628990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TN · MD5824
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSpecialistTaxonomy 174400000X · License MD5824 (TN)
979 E 3RD ST, Chattanooga, TN 37403
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Other Identifiers 9

Other010061950Rr Medicare
Medicaid3155570TN
Medicare PIN3155577
Other2001212Bcbs Of Tn
Other62165877415Jdh
Other1740066Uhc
Medicaid00134879AGA
Medicare UPINB02579
Medicaid009934250AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, UnitedHealthcare.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

Dr. Randel Phillip Burns 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 ID2961423744
PECOS Enrollment IDI20051208000044
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 7

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.
257 services232 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.
97 services71 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 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.
15 services13 patients
Biopsy of breast and placement of locating device using ultrasound, first growth 19083
A breast biopsy with locating device placement involves taking a small sample from an unusual growth, using ultrasound for precise targeting. This sample is studied for any abnormal cells. A locating device is also placed to mark the area for future reference.
14 services13 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Erlanger Medical Center

Acute Care Hospitals · Chattanooga, TN
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440104
Location975 E 3rd StChattanooga, TN 37403 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37403 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

94.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.41
Promoting Interoperability100
Improvement Activities40

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.

DR. JEFFREY W. GEFTER M.D.
Radiology (Radiation Oncology)
979 E 3RD ST, SUITE G-20
CHATTANOOGA, TN 37403
Hamilton County (423) 756-0018
DR. LUIS FELIPE LEMUS MD
Student in an Organized Health Care Education/Training Program
979 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-8179
MRS. DANA WENSEL BUTLER
Nurse Practitioner (Family)
979 E 3RD ST, SUITE C 925
CHATTANOOGA, TN 37403
Hamilton County (423) 778-5910
DR. CHANNAPPA CHANDRA M.D.
Orthopaedic Surgery
979 E 3RD ST, SUITE C430
CHATTANOOGA, TN 37403
Hamilton County (423) 624-6584
DR. JASON PAUL REHM MD
Surgery (Plastic and Reconstructive Surgery)
979 E 3RD ST, SUITE C920
CHATTANOOGA, TN 37403
Hamilton County (423) 756-7134
DR. MICHAEL G CARR M.D.
Surgery (Pediatric Surgery)
979 E 3RD ST, STE 300
CHATTANOOGA, TN 37403
Hamilton County (423) 267-0466
DR. CAULEY W HAYES MD
Surgery (Surgery of the Hand)
979 E 3RD ST, SUITE C920
CHATTANOOGA, TN 37403
Hamilton County (423) 756-7134
DR. OLUKAYODE AKINLAJA M.D.
Obstetrics & Gynecology (Obstetrics)
979 E 3RD ST, SUITE C-725
CHATTANOOGA, TN 37403
Hamilton County (423) 778-2580

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 Randel Burns's NPI number?

The NPI number for Randel Burns is 1285628990. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Randel Burns located?

Randel Burns practices at 979 E 3rd St Ste 300, Chattanooga, TN 37403. The listed phone number is (423) 267-0466.

What is Randel Burns's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Randel Burns enrolled in Medicare?

Yes. Randel 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.

What insurance does Randel Burns accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee and UnitedHealthcare list Randel 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 Randel Burns affiliated with any hospitals?

According to CMS data, Randel Burns is affiliated with Erlanger Medical Center.

When was this NPI record last updated?

The NPPES record for Randel Burns was last updated on February 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.