VALERIE BURNS MD
NPI 1457573354
Family Medicine in Lawrenceville, IL

Q: What is Valerie Burns's NPI number?

The NPI number for Valerie Burns is 1457573354. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Q: What is Valerie Burns's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Valerie Burns was last updated on November 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since May 02, 2007PECOS EnrolledAccepts Medicare Assignment

95.01/100

CMS Quality Rating

RR 3 BOX 414, LAWRENCEVILLE, IL 62439(618) 943-2609 Get Directions Write a Review

NPPES record last updated: November 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Valerie Burns Md NPPES

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

VALERIE BURNS MD (NPI 1457573354) is an individual family medicine provider in Lawrenceville, Illinois, licensed in Illinois (036.122052) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Wabash General Hospital 1, and is a graduate of Southern Illinois University School Of Medicine (2006).

NPPES Registry Identity

NPI1457573354

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameVALERIE BURNSCredential: MD

Location AddressRR 3 BOX 414Lawrenceville, IL 62439-9499

Mailing AddressRr 3 Box 414Lawrenceville, IL 62439-9499

Phone(618) 943-2609

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2006

Enumeration DateMay 2, 2007

Last NPPES UpdateNovember 6, 2013

✔ NPI 1457573354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036.122052

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

RR 3 BOX 414, Lawrenceville, IL 62439

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Other Identifiers 6

Medicaid376006178007IL

Other977337Healthlink

Other5132004Bluecross Blue Shield

Medicaid036122052IL

Medicare PIN207184001

Medicare PINP00802796

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Valerie Burns 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 ID3577619980

PECOS Enrollment IDI20090925000211

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 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 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

54 services18 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

18 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Wabash General Hospital 1

Critical Access Hospitals · Mount Carmel, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141327

Location1418 College DriveMount Carmel, IL 62863 · Wabash County

Emergency services

Lawrence County Memorial Hospital

Critical Access Hospitals · Lawrenceville, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141344

Location2200 State StLawrenceville, IL 62439 · Lawrence County

Emergency services

Good Samaritan Hospital

Acute Care Hospitals · Vincennes, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number150042

Location520 S 7th StVincennes, IN 47591 · Knox County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62439 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

95.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.02

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 18

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers53 claims91 services$6.19 avg. paid by Medicare

Ostomy skin barrier, powder, per oz A4371

DME-Orthotic Devices · category DF010N

1 supplier12 claims12 services$3.53 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

2 suppliers17 claims875 services$0.22 avg. paid by Medicare

Ostomy pouch, drainable; with barrier attached, (1 piece), each A5061

DME-Orthotic Devices · category DF010N

2 suppliers29 claims460 services$3.17 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

2 suppliers13 claims375 services$0.22 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

1 supplier19 claims37 services$1.72 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$74.51 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers36 claims40 services$20.23 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers22 claims23 services$8.56 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier11 claims11 services$44.59 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers87 claims91 services$112.70 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

2 suppliers15 claims900 services$6.46 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

5 suppliers44 claims8,509 services$0.03 avg. paid by Medicare

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 supplier12 claims720 services$0.81 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

1 supplier16 claims84,000 services$0.15 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

3 suppliers33 claims33 services$25.25 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

4 suppliers20 claims20 services$194.59 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

5 suppliers57 claims57 services$24.24 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 4

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

MRS. BONNIE B ROUTH LPCA

Counselor (Professional)

RR 3 BOX 414
LAWRENCEVILLE, IL 62439

Lawrence County (618) 943-3754

LAWRENCE COUNTY HEALTH DEPARTMENT

Public Health or Welfare

RR 3 BOX 414
LAWRENCEVILLE, IL 62439

Lawrence County (618) 943-3302

COUNTY OF LAWRENCE HEALTH DEPARTMENT

Public Health or Welfare

RR 3 BOX 414
LAWRENCEVILLE, IL 62439

Lawrence County (618) 943-3754

JULIA KATHRYN PETTY BS, MSM

Counselor (Mental Health)

RR 3 BOX 414
LAWRENCEVILLE, IL 62439

Lawrence County (618) 943-3754

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 Valerie Burns's NPI number?

The NPI number for Valerie Burns is 1457573354. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Valerie Burns located?

Valerie Burns practices at Rr 3 Box 414, Lawrenceville, IL 62439. The listed phone number is (618) 943-2609.

What is Valerie Burns's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Valerie Burns enrolled in Medicare?

Yes. Valerie Burns 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 Valerie Burns accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Valerie Burns 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 Valerie Burns affiliated with any hospitals?

According to CMS data, Valerie Burns is affiliated with Wabash General Hospital 1, Lawrence County Memorial Hospital and Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Valerie Burns was last updated on November 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.