TIMOTHY BURTON M.D.
NPI 1306292859
Surgery in Grand Rapids, MI

Active since May 13, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
221 MICHIGAN ST NE STE 400, GRAND RAPIDS, MI 49503(616) 486-9600 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2025, Jan 23, 2023, Jan 20, 2023 and 1 more (4 updates tracked since 2016).

About Timothy Burton M.d. NPPES

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

TIMOTHY BURTON M.D. (NPI 1306292859) is an individual surgery provider in Grand Rapids, Michigan, licensed in Michigan (4301507321) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1306292859
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTIMOTHY BURTONCredential: M.D.
Location Address221 MICHIGAN ST NE STE 400Grand Rapids, MI 49503-2538
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 13, 2016
Last NPPES UpdateJune 5, 20254 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
NPI 1306292859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MI · 4301507321
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 ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 4301507321 (MI)
221 MICHIGAN ST NE STE 400, Grand Rapids, MI 49503

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

Timothy 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 ID2264727833
PECOS Enrollment IDI20230130002245
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
49 services30 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.
15 services15 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Corewell Health Big Rapids Hospital

Acute Care Hospitals · Big Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230093
Location605 Oak StreetBig Rapids, MI 49307 · Mecosta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
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.

Physical Medicine & Rehabilitation
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Surgery (Surgical Critical Care)
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Surgery (Surgical Critical Care)
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Surgery (Surgical Critical Care)
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Physician Assistant
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Surgery (Surgical Critical Care)
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Nurse Practitioner
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503

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 Timothy Burton's NPI number?

The NPI number for Timothy Burton is 1306292859. It was assigned to this individual provider in the NPPES registry on May 13, 2016.

Where is Timothy Burton located?

Timothy Burton practices at 221 Michigan St NE Ste 400, Grand Rapids, MI 49503. The listed phone number is (616) 486-9600.

What is Timothy Burton's specialty?

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

Is Timothy Burton enrolled in Medicare?

Yes. Timothy Burton 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 Timothy Burton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Priority Health list Timothy Burton 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 Timothy Burton affiliated with any hospitals?

According to CMS data, Timothy Burton is affiliated with Spectrum Health and Corewell Health Big Rapids Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Burton was last updated on June 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.