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JONATHAN A BURTON D.O.
NPI 1376939421
Internal Medicine in Dublin, OH

Active since April 15, 2015PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
6397 EMERALD PKWY STE 100, DUBLIN, OH 43016(614) 764-1777(614) 764-9555 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2026, May 5, 2026, Jan 25, 2022 and 3 more (6 updates tracked since 2015).

About Jonathan A Burton D.o. NPPES

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

JONATHAN A BURTON D.O. (NPI 1376939421) is an individual internal medicine provider in Dublin, Ohio, licensed in Ohio (34.012969) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Doctors Hospital, and is a graduate of Kansas City College Of Medicine And Surgery (2015).

NPPES Registry Identity

NPI1376939421
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJONATHAN A BURTONCredential: D.O.
Location Address6397 EMERALD PKWY STE 100Dublin, OH 43016-2231
Mailing Address6397 Emerald Pkwy Ste 100Dublin, OH 43016-2231 · (614) 764-1777 · Fax (614) 764-9555
Phone(614) 764-1777
Fax(614) 764-9555
Sole ProprietorYes
Medical School CMSKansas City College Of Medicine And SurgeryGraduated 2015
Enumeration DateApril 15, 2015
Last NPPES UpdateJune 5, 20266 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1376939421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 34.012969
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.
6397 EMERALD PKWY STE 100, Dublin, OH 43016
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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

Jonathan A Burton D.o. 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 ID9335458918
PECOS Enrollment IDI20180205001591
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 Reassignments

3

Medicare enrollment records show Jonathan Burton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ohiohealth Corporation
6.6 mi
Cardiovascular Disease
3705 OLENTANGY RIVER RD, SUITE 100
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1194979526 (614) 262-6772
Central Ohio Primary Care Physicians, Inc.
12 mi
Internal Medicine
655 AFRICA RD
Westerville, OH 43082
  • Reassigned Medicare billing, Ohio enrollment
  • 675 clinicians in this Medicare group
NPI 1194705194 (614) 326-2672
Columbus Inpatient Care Inc.
16 mi
Internal Medicine
5300 N MEADOWS DR STE 7023
Grove City, OH 43123
  • Reassigned Medicare billing, Ohio enrollment
  • 53 clinicians in this Medicare group
NPI 1467430801 (937) 509-5090

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 2

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
70 services45 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
68 services67 patients

Hospital Affiliations CMS Care Compare 2

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

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · Franklin County
Emergency services Birthing friendly

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360348
Location7500 Hospital AvenueDublin, OH 43016 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43016 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Other Providers at the Same Location NPPES 8

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

NEHA KUMAR MD
Internal Medicine
6397 EMERALD PKWY STE 100
DUBLIN, OH 43016
Franklin County (614) 764-1777
KRISTOPHER MARK HANSON MD
Internal Medicine
6397 EMERALD PKWY STE 100
DUBLIN, OH 43016
Franklin County (614) 764-1777
KRISTEN LEIGH BAMBER FNP-C
Pain Medicine (Interventional Pain Medicine)
6397 EMERALD PKWY STE 100
DUBLIN, OH 43016
Franklin County (614) 383-6450
INTEGRATED PAIN SOLUTIONS INCORPORATED
Anesthesiology (Pain Medicine)
6397 EMERALD PKWY STE 100
DUBLIN, OH 43016
Franklin County (614) 383-6450
MARY C MCALLISTER MD
Internal Medicine
6397 EMERALD PKWY STE 100
DUBLIN, OH 43016
Franklin County (614) 764-1777
JAMEELAH S HARRIS D.O
Internal Medicine
6397 EMERALD PKWY STE 100
DUBLIN, OH 43016
Franklin County (614) 764-1777
JESSICA BLAIRE HUNTER MD
Internal Medicine
6397 EMERALD PKWY STE 100
DUBLIN, OH 43016
Franklin County (614) 764-1777
VERONICA MARCANTONI-NEVERS M.D.
Internal Medicine
6397 EMERALD PKWY STE 100
DUBLIN, OH 43016
Franklin County (614) 764-1777

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 Jonathan Burton's NPI number?

The NPI number for Jonathan Burton is 1376939421. It was assigned to this individual provider in the NPPES registry on April 15, 2015.

Where is Jonathan Burton located?

Jonathan Burton practices at 6397 Emerald Pkwy Ste 100, Dublin, OH 43016. The listed phone number is (614) 764-1777.

What is Jonathan Burton's specialty?

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

Is Jonathan Burton enrolled in Medicare?

Yes. Jonathan 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.

Which organizations bill Medicare for Jonathan Burton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Burton reassigns Medicare benefits to 3 organizations: Ohiohealth Corporation (Columbus, OH), Central Ohio Primary Care Physicians, Inc. (Westerville, OH) and Columbus Inpatient Care Inc. (Grove City, OH). 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 Jonathan Burton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Burton accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Jonathan 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 Jonathan Burton affiliated with any hospitals?

According to CMS data, Jonathan Burton is affiliated with Doctors Hospital and Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Burton was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.