DR. MICHAEL LEE BURNS MD
NPI 1336219112
Family Medicine in Iowa City, IA
About Dr. Michael Lee Burns Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL LEE BURNS MD (NPI 1336219112) is an individual family medicine provider in Iowa City, Iowa, licensed in Iowa (31076) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Stewart Memorial Community Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1987).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
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
Dr. Michael Lee Burns 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.
Medicare Billing Reassignments
2Medicare enrollment records show Michael Burns reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sumner, IA 50674
- Reassigned Medicare billing, Iowa enrollment
- Also billed through NPI 1366442295 (Iowa), NPI 1780684548 (Iowa)
- 41 clinicians in this Medicare group
Gowrie, IA 50543
- Reassigned Medicare billing, Iowa enrollment
- Also billed through NPI 1063497188 (Iowa)
- 42 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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Stewart Memorial Community Hospital
Critical Access Hospitals · Lake City, IAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 52240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Michael Burns's NPI number?
The NPI number for Michael Burns is 1336219112. It was assigned to this individual provider in the NPPES registry on November 8, 2006.
Where is Michael Burns located?
Michael Burns practices at 1040 William, Iowa City, IA 52240. The listed phone number is (319) 248-0239.
What is Michael Burns's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Michael Burns enrolled in Medicare?
Yes. Michael 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.
Which organizations bill Medicare for Michael Burns's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Burns reassigns Medicare benefits to 2 organizations: Sumner Community Club (Sumner, IA) and Stewart Memorial Community Hospital (Gowrie, IA). Each 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 Michael Burns's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Burns accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Wellmark Health Plan of Iowa, Inc. list Michael 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 Michael Burns affiliated with any hospitals?
According to CMS data, Michael Burns is affiliated with Stewart Memorial Community Hospital.
When was this NPI record last updated?
The NPPES record for Michael Burns was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.