1. Home
  2. Directory
  3. Oregon
  4. Corvallis
  5. Pediatrics
  6. NPI Profile

MARY FOWLER BURCHELL MD
NPI 1396763413
Pediatrics in Corvallis, OR

Active since July 17, 2006PECOS Enrolled
3600 NW SAMARITAN DR, CORVALLIS, OR 97330(541) 768-5111 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 16, 2021, Nov 4, 2020 (2 updates tracked since 2020).

About Mary Fowler Burchell Md NPPES

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

MARY FOWLER BURCHELL MD (NPI 1396763413) is an individual pediatrics provider in Corvallis, Oregon, licensed in Oregon (MD22494) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396763413
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMARY FOWLER BURCHELLCredential: MD
Location Address3600 NW SAMARITAN DRCorvallis, OR 97330-3737
Mailing AddressPo Box 1189Corvallis, OR 97339-1189
Phone(541) 768-5111
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateMarch 16, 20212 updates tracked since enumeration
NPPES CertifiedMarch 16, 2021
✔ NPI 1396763413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OR · MD22494
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3600 NW SAMARITAN DR, Corvallis, OR 97330
Open in Google Maps ↗

Other Identifiers 1

Medicaid288052OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Fowler Burchell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Mary Burchell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mckenzie Physician Services LLC
1,997 mi
General Practice
1573 MALLORY LN STE 100
Brentwood, TN 37027
  • Reassigned Medicare billing, Oregon enrollment
  • 198 clinicians in this Medicare group
NPI 1316909054 (152) 221-1400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97330 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

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.

DR. ELIZABETH BURNS MCQUITTY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3600 NW SAMARITAN DR, PATHOLOGY DEPT
CORVALLIS, OR 97330
Benton County (541) 768-6697
MS. KIM SCHLESSINGER ANP-BC
Nurse Practitioner (Adult Health)
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-6687
DR. PARINAV KANWAR
Student in an Organized Health Care Education/Training Program
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-4906
SAMUEL ARNOT DO
Internal Medicine
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-5111
DANIELLE MICHELLE NIEMANN DO
Student in an Organized Health Care Education/Training Program
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-4906
MOHAN AVULA DO
Internal Medicine
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-4906
DR. RANDALL V. BREAM M.D.
Internal Medicine (Cardiovascular Disease)
3600 NW SAMARITAN DR, SUITE E350
CORVALLIS, OR 97330
Benton County (541) 768-5205
DR. DESTINY JENNIFER GMELCH M.D.
Pediatrics
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-5111

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 Mary Burchell's NPI number?

The NPI number for Mary Burchell is 1396763413. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Mary Burchell located?

Mary Burchell practices at 3600 NW Samaritan Dr, Corvallis, OR 97330. The listed phone number is (541) 768-5111.

What is Mary Burchell's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mary Burchell enrolled in Medicare?

Yes. Mary Burchell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Burchell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Burchell reassigns Medicare benefits to Mckenzie Physician Services LLC (Brentwood, TN). 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 Mary Burchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Burchell was last updated on March 16, 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.