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STEPHAN G BURGESON MD
NPI 1346206208
Internal Medicine in Saint Paul, MN

Active since April 21, 2006Opted out of Medicare · through Aug 9, 2028
777 SELBY AVE, SAINT PAUL, MN 55104(651) 358-2425 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2021, Jun 4, 2019 (2 updates tracked since 2019).

About Stephan G Burgeson Md NPPES

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

STEPHAN G BURGESON MD (NPI 1346206208) is an individual internal medicine provider in Saint Paul, Minnesota, licensed in Minnesota (32841) and active in the NPI registry since April 2006. He has opted out of Medicare through August 9, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1346206208
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSTEPHAN G BURGESONCredential: MD
Location Address777 SELBY AVESaint Paul, MN 55104-6619
Mailing Address777 Selby AveSaint Paul, MN 55104-6619 · (651) 358-2425 · Fax (651) 419-6111
Phone(651) 358-2425
Sole ProprietorYes
Enumeration DateApril 21, 2006
Last NPPES UpdateMay 6, 20212 updates tracked since enumeration
NPPES CertifiedMay 6, 2021
✔ NPI 1346206208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 32841
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.
777 SELBY AVE, Saint Paul, MN 55104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Stephan G Burgeson Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 9, 2018 through August 9, 2028.

Opt-Out Effective DateAugust 9, 2018
Opt-Out In Effect ThroughAugust 9, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55104 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier15 claims450 services$0.55 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers22 claims22 services$145.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Stephan Burgeson's NPI number?

The NPI number for Stephan Burgeson is 1346206208. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Stephan Burgeson located?

Stephan Burgeson practices at 777 Selby Ave, Saint Paul, MN 55104. The listed phone number is (651) 358-2425.

What is Stephan Burgeson's specialty?

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

Is Stephan Burgeson enrolled in Medicare?

No. Stephan Burgeson has opted out of Medicare through August 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Stephan Burgeson was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.