SAMUEL JOSEPH BURTON M.D.
NPI 1295181428
Internal Medicine - Gastroenterology in Saint Louis, MO

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.

Active since May 06, 2016PECOS EnrolledAccepts Medicare Assignment

73.56/100

CMS Quality Rating

615 S NEW BALLAS RD STE 1200, SAINT LOUIS, MO 63141(314) 251-2880 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 23, 2024, Oct 17, 2023, May 26, 2022 (3 updates tracked since 2022).

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About Samuel Joseph Burton M.d. NPPES

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

SAMUEL JOSEPH BURTON M.D. (NPI 1295181428) is an individual gastroenterology provider in Saint Louis, Missouri, licensed in Missouri (2023035693) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1295181428

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameSAMUEL JOSEPH BURTONCredential: M.D.

Location Address615 S NEW BALLAS RD STE 1200Saint Louis, MO 63141-8221

Mailing Address615 S New Ballas Rd Ste 1200Saint Louis, MO 63141-8221 · (314) 251-2880

Phone(314) 251-2880

Sole ProprietorNo

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2016

Enumeration DateMay 6, 2016

Last NPPES UpdateApril 23, 20243 updates tracked since enumeration

NPPES CertifiedApril 23, 2024

✔ NPI 1295181428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in MO · 2023035693✔ Licensed in CT · 70527

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

615 S NEW BALLAS RD STE 1200, Saint Louis, MO 63141

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Secondary Practice Location 1

Location 1915 N Grand BlvdSaint Louis, MO 63106-1621 · Phone (314) 652-4100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Samuel Joseph Burton 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 ID3274821293

PECOS Enrollment IDI20231019003051

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 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Review by radiologist of image from tube placement into bile duct using an endoscope 74328

This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.

28 services22 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

27 services23 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

27 services27 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

25 services21 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

22 services21 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

21 services21 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260020

Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.

73.56/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.84

Promoting Interoperability

Improvement Activities

Cost

51.43

Other Providers at the Same Location NPPES 12

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

DR. WILLIAM JOSEPH GOLDKAMP MD

Internal Medicine (Gastroenterology)