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DR. STEPHEN JAMES BURGUN M.D.
NPI 1396831798
Internal Medicine - Endocrinology, Diabetes & Metabolism in Chardon, OH

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
90.9/100
CMS Quality Rating
13221 RAVENNA RD STE 1, CHARDON, OH 44024(440) 285-3621(440) 285-3625 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Stephen James Burgun M.d. NPPES

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

DR. STEPHEN JAMES BURGUN M.D. (NPI 1396831798) is an individual endocrinology, diabetes & metabolism provider in Chardon, Ohio, licensed in Ohio (35-071102) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Uh Regional Hospitals, and is a graduate of State University Of Ny Upstate Medical University (1995).

NPPES Registry Identity

NPI1396831798
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. STEPHEN JAMES BURGUNCredential: M.D.
Location Address13221 RAVENNA RD STE 1Chardon, OH 44024-9016
Mailing AddressPo Box 8792Belfast, ME 04915-8792 · (440) 285-3621 · Fax (440) 285-3625
Phone(440) 285-3621
Fax(440) 285-3625
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1995
Enumeration DateOctober 4, 2006
Last NPPES UpdateDecember 30, 2020
NPPES CertifiedDecember 30, 2020
✔ NPI 1396831798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in OH · 35-071102✔ Licensed in AZ · 33851
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

13221 RAVENNA RD STE 1, Chardon, OH 44024
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephen James Burgun M.d. 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 ID42204869
PECOS Enrollment IDI20040413001461
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.

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.

Established patient office or other outpatient visit, 30-39 minutes 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.
588 services335 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
321 services176 patients
Follow-up hospital inpatient care per day, typically 15 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
254 services88 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
172 services127 patients
New patient office or other outpatient visit, 45-59 minutes 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.
83 services83 patients
Initial hospital inpatient care per day, typically 50 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
56 services55 patients

Hospital Affiliations CMS Care Compare 5

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

Uh Regional Hospitals

Acute Care Hospitals · Chardon, OH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number360075
Location13207 Ravenna RoadChardon, OH 44024 · Geauga County
Emergency services Birthing friendly

University Hospitals Portage Medical Center

Acute Care Hospitals · Ravenna, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360078
Location6847 N ChestnutRavenna, OH 44266 · Portage County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

University Hospitals Ahuja Medical Center

Acute Care Hospitals · Beachwood, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360359
Location3999 Richmond RoadBeachwood, OH 44122 · Cuyahoga County
Emergency services

Uhhs Memorial Hospital Of Geneva

Critical Access Hospitals · Geneva, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number361307
Location870 West Main StreetGeneva, OH 44041 · Ashtabula County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44024 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.

90.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.8
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
6 suppliers50 claims622 services$18.28 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers49 claims1,503 services$2.35 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
59 suppliers261 claims1,134 services$5.91 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
4 suppliers25 claims25 services$2.81 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
28 suppliers93 claims181 services$1.08 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers40 claims40 services$301.48 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 Stephen Burgun's NPI number?

The NPI number for Stephen Burgun is 1396831798. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Stephen Burgun located?

Stephen Burgun practices at 13221 Ravenna Rd Ste 1, Chardon, OH 44024. The listed phone number is (440) 285-3621.

What is Stephen Burgun's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Stephen Burgun enrolled in Medicare?

Yes. Stephen Burgun 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.

What insurance does Stephen Burgun accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Stephen Burgun 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 Stephen Burgun affiliated with any hospitals?

According to CMS data, Stephen Burgun is affiliated with Uh Regional Hospitals, University Hospitals Portage Medical Center, Uh Cleveland Medical Center, University Hospitals Ahuja Medical Center and Uhhs Memorial Hospital Of Geneva.

When was this NPI record last updated?

The NPPES record for Stephen Burgun was last updated on December 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.