VICTORIA BURRIS GUNAWAN PA-C
NPI 1477160141
Physician Assistant in Columbus, OH

Active since September 28, 2020PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
2050 KENNY RD FL 1, COLUMBUS, OH 43221(614) 293-5123(614) 293-4890 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2025, Sep 27, 2024, Jan 31, 2023 and 3 more (6 updates tracked since 2020).

About Victoria Burris Gunawan Pa-c NPPES

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

VICTORIA BURRIS GUNAWAN PA-C (NPI 1477160141) is an individual physician assistant in Columbus, Ohio, licensed in Ohio (50.007738RX) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1477160141
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameVICTORIA BURRIS GUNAWANCredential: PA-C
Location Address2050 KENNY RD FL 1Columbus, OH 43221-3502
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-5123 · Fax (614) 293-4890
Fax(614) 293-4890
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 28, 2020
Last NPPES UpdateNovember 10, 20256 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
NPI 1477160141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OH · 50.007738RX
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2050 KENNY RD FL 1, Columbus, OH 43221

Other Names 1

Former Name (1)Victoria Layne Burris Pa-c

Accepted 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

Victoria Burris Gunawan Pa-c 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 ID5698185783
PECOS Enrollment IDI20230322002588
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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
29 services29 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43221 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Critical Care Medicine)
2050 KENNY RD FL 1
COLUMBUS, OH 43221
Internal Medicine
2050 KENNY RD FL 1
COLUMBUS, OH 43221
Nurse Practitioner (Family)
2050 KENNY RD FL 1
COLUMBUS, OH 43221
Internal Medicine (Pulmonary Disease)
2050 KENNY RD FL 1
COLUMBUS, OH 43221
Internal Medicine (Pulmonary Disease)
2050 KENNY RD FL 1
COLUMBUS, OH 43221
Nurse Practitioner (Acute Care)
2050 KENNY RD FL 1
COLUMBUS, OH 43221
Internal Medicine (Sleep Medicine)
2050 KENNY RD FL 1
COLUMBUS, OH 43221
Internal Medicine
2050 KENNY RD FL 1
COLUMBUS, OH 43221

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 Victoria Gunawan's NPI number?

The NPI number for Victoria Gunawan is 1477160141. It was assigned to this individual provider in the NPPES registry on September 28, 2020. The provider is also known as Victoria Layne Burris Pa-C.

Where is Victoria Gunawan located?

Victoria Gunawan practices at 2050 Kenny Rd Fl 1, Columbus, OH 43221. The listed phone number is (614) 293-5123.

What is Victoria Gunawan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Victoria Gunawan enrolled in Medicare?

Yes. Victoria Gunawan 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 Victoria Gunawan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 2 other insurers list Victoria Gunawan 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 Victoria Gunawan affiliated with any hospitals?

According to CMS data, Victoria Gunawan is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Victoria Gunawan was last updated on November 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.