DANIEL CLAYTON BURNES MD
NPI 1487851077
Family Medicine in Owens Cross Roads, AL

Active since June 28, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6727 HIGHWAY 431 S STE L, OWENS CROSS ROADS, AL 35763(256) 489-2870(256) 489-2878 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Daniel Clayton Burnes Md NPPES

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

DANIEL CLAYTON BURNES MD (NPI 1487851077) is an individual family medicine provider in Owens Cross Roads, Alabama, licensed in Alabama (29110) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Lincoln Medical Center, and is a graduate of University Of Alabama School Of Medicine (2010).

NPPES Registry Identity

NPI1487851077
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDANIEL CLAYTON BURNESCredential: MD
Location Address6727 HIGHWAY 431 S STE LOwens Cross Roads, AL 35763-9226
Mailing Address6727 Highway 431 S Ste LOwens Cross Roads, AL 35763-9226 · (256) 489-2870 · Fax (256) 489-2878
Fax(256) 489-2878
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2010
Enumeration DateJune 28, 2007
Last NPPES UpdateApril 12, 2023
NPPES CertifiedApril 12, 2023
NPI 1487851077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AL · 29110
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.
6727 HIGHWAY 431 S STE L, Owens Cross Roads, AL 35763

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

Daniel Clayton Burnes 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 ID6002931623
PECOS Enrollment IDI20100920000130
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 12

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 with moderate level of decision making, if using time, 30 minutes or more 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.
658 services77 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
521 services72 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
270 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 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.
175 services170 patients
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.
149 services92 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
58 services13 patients

Hospital Affiliations CMS Care Compare

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

Lincoln Medical Center

Acute Care Hospitals · Fayetteville, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440102
Location106 Medical Center BlvdFayetteville, TN 37334 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35763 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers74 claims74 services$17.33 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims12 services$5.97 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
4 suppliers74 claims74 services$91.53 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.

Nurse Practitioner (Family)
6727 HIGHWAY 431 S STE L
OWENS CROSS ROADS, AL 35763
Nurse Practitioner (Family)
6727 HIGHWAY 431 S STE L
OWENS CROSS ROADS, AL 35763
Nurse Practitioner (Adult Health)
6727 HIGHWAY 431 S STE L
OWENS CROSS ROADS, AL 35763
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
6727 HIGHWAY 431 S STE L
OWENS CROSS ROADS, AL 35763

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 Daniel Burnes's NPI number?

The NPI number for Daniel Burnes is 1487851077. It was assigned to this individual provider in the NPPES registry on June 28, 2007.

Where is Daniel Burnes located?

Daniel Burnes practices at 6727 Highway 431 S Ste L, Owens Cross Roads, AL 35763. The listed phone number is (256) 489-2870.

What is Daniel Burnes's specialty?

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

Is Daniel Burnes enrolled in Medicare?

Yes. Daniel Burnes 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 Daniel Burnes accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Daniel Burnes 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 Daniel Burnes affiliated with any hospitals?

According to CMS data, Daniel Burnes is affiliated with Lincoln Medical Center.

When was this NPI record last updated?

The NPPES record for Daniel Burnes was last updated on April 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.