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DALE D BURLESON MD
NPI 1366473092
Colon & Rectal Surgery in Plano, TX

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
89.44/100
CMS Quality Rating
4708 ALLIANCE BLVD, SUITE 770, PLANO, TX 75093(972) 526-0910(972) 526-0913 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2021, Oct 13, 2020, Jun 17, 2016 (3 updates tracked since 2016).

About Dale D Burleson Md NPPES

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

DALE D BURLESON MD (NPI 1366473092) is an individual colon & rectal surgery provider in Plano, Texas, licensed in Texas (H9830) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Frisco, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (1990).

NPPES Registry Identity

NPI1366473092
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDALE D BURLESONCredential: MD
Location Address4708 ALLIANCE BLVD, SUITE 770Plano, TX 75093-5340
Mailing Address16980 Dallas Pkwy Ste 200Dallas, TX 75248-1974 · (214) 343-8565 · Fax (214) 342-3054
Phone(972) 526-0910
Fax(972) 526-0913
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 1990
Enumeration DateJuly 5, 2006
Last NPPES UpdateMay 12, 20213 updates tracked since enumeration
NPPES CertifiedMay 12, 2021
✔ NPI 1366473092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in TX · H9830
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
4708 ALLIANCE BLVD, Plano, TX 75093
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Other Identifiers 2

Medicaid120590805TX
Medicaid120590806TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dale D Burleson 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.

PECOS PAC ID6507840048
PECOS Enrollment IDI20040614001304
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.

Medicare Billing Reassignment

Medicare enrollment records show Dale Burleson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Oncology PA
16 mi
Medical Oncology
3410 WORTH ST
Dallas, TX 75246
  • Reassigned Medicare billing, Texas enrollment
  • 1,054 clinicians in this Medicare group
NPI 1003083445 (972) 997-8000

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 8

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.

Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
197 services197 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.
75 services75 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.
54 services46 patients
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.
53 services45 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
50 services50 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients

Hospital Affiliations CMS Care Compare 2

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

Baylor Scott & White Medical Center - Frisco

Acute Care Hospitals · Frisco, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450853
Location5601 Warren ParkwayFrisco, TX 75034 · Denton County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Plano

Acute Care Hospitals · Plano, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450890
Location4700 Alliance BoulevardPlano, TX 75093 · Collin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

89.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.85
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
44%41 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
92%565 patients5/55-star benchmark: 88%
Controlling High Blood Pressure
3%68 patients1/55-star benchmark: 91%
Diabetes: Eye Exam
0%38 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%38 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%1,138 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
27%870 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%919 patients1/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%149 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 330 patients
Patients totalRate: 0% · 330 patients
0%330 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
4 suppliers11 claims350 services$2.92 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
3 suppliers11 claims500 services$4.92 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
5 suppliers17 claims471 services$2.50 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
3 suppliers14 claims430 services$6.01 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
1 supplier13 claims280 services$3.97 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
1 supplier14 claims1,320 services$1.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JOHN R TOMPKINS MD PA
Specialist
4708 ALLIANCE BLVD, SUITE 645
PLANO, TX 75093
Collin County (972) 964-8500
SOUTHWEST SCOLIOSIS INSTITUTE, PLLC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
4708 ALLIANCE BLVD, SUITE 810
PLANO, TX 75093
Collin County (972) 985-2797
AMY NICOLE MERRITT FNP
Nurse Practitioner (Family)
4708 ALLIANCE BLVD, PAVILION I, SUITE 600
PLANO, TX 75093
Collin County (469) 467-0011
M.L. BROCHNER, M.D., P.C. VISUAL IMAGES
Ophthalmology
4708 ALLIANCE BLVD, SUITE 825
PLANO, TX 75093
Collin County (214) 483-6727
VIJAY BAPAT MD
Internal Medicine (Gastroenterology)
4708 ALLIANCE BLVD, PAVILION I, SUITE 200
PLANO, TX 75093
Collin County (469) 800-6020
TEXAS VASCULAR ASSOCIATES
Prosthetic/Orthotic Supplier
4708 ALLIANCE BLVD, SUITE# 240
PLANO, TX 75093
Collin County (214) 821-9600
SHIBU OOMMEN MD
Internal Medicine (Gastroenterology)
4708 ALLIANCE BLVD, SUITE 300, BAYLOR MEDICAL PLAZA 1
PLANO, TX 75093
Collin County (972) 758-6000
ROBERT E TORTI, MD, PA
Ophthalmology
4708 ALLIANCE BLVD, SUITE 785
PLANO, TX 75093
Collin County (972) 599-9098

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 Dale Burleson's NPI number?

The NPI number for Dale Burleson is 1366473092. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Dale Burleson located?

Dale Burleson practices at 4708 Alliance Blvd Suite 770, Plano, TX 75093. The listed phone number is (972) 526-0910.

What is Dale Burleson's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Dale Burleson enrolled in Medicare?

Yes. Dale Burleson 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 organization bills Medicare for Dale Burleson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dale Burleson reassigns Medicare benefits to Texas Oncology PA (Dallas, TX). The 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 Dale Burleson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dale Burleson accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 10 other insurers list Dale Burleson 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 Dale Burleson affiliated with any hospitals?

According to CMS data, Dale Burleson is affiliated with Baylor Scott & White Medical Center - Frisco and Baylor Scott & White Medical Center Plano.

When was this NPI record last updated?

The NPPES record for Dale Burleson was last updated on May 12, 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.