DR. JAMES HAROLD BURDEN JR. MD
NPI 1538180146
Ophthalmology in Colorado Springs, CO

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
84.69/100
CMS Quality Rating
3155 N UNION BLVD, COLORADO SPRINGS, CO 80907(719) 630-3937(719) 635-3578 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James Harold Burden Jr. Md NPPES

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

DR. JAMES HAROLD BURDEN JR. MD (NPI 1538180146) is an individual ophthalmology provider in Colorado Springs, Colorado, licensed in Colorado (DR0053398) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of South Carolina School Of Medicine (1991).

NPPES Registry Identity

NPI1538180146
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JAMES HAROLD BURDEN JR.Credential: MD
Location Address3155 N UNION BLVDColorado Springs, CO 80907-8703
Mailing Address3155 N Union BlvdColorado Springs, CO 80907-8703 · (719) 630-3937 · Fax (719) 635-3578
Fax(719) 635-3578
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1991
Enumeration DateJuly 21, 2006
Last NPPES UpdateApril 7, 2023
NPPES CertifiedApril 7, 2023
NPI 1538180146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in CO · DR0053398 Licensed in IA · 38893
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

3155 N UNION BLVD, Colorado Springs, CO 80907

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

Dr. James Harold Burden Jr. 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 ID5799710430
PECOS Enrollment IDI20140911000500
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 17

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, 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.
553 services313 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
363 services206 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
305 services238 patients
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.
262 services228 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.
243 services243 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
221 services220 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80907 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

84.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost48.97

Other Providers at the Same Location NPPES 13

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

Ophthalmology
3155 N UNION BLVD
COLORADO SPRINGS, CO 80907
Specialist
3155 N UNION BLVD
COLORADO SPRINGS, CO 80907
Non-Pharmacy Dispensing Site
3155 N UNION BLVD
COLORADO SPRINGS, CO 80907
Optometrist
3155 N UNION BLVD
COLORADO SPRINGS, CO 80907
Ophthalmology
3155 N UNION BLVD
COLORADO SPRINGS, CO 80907
Optometrist (Corneal and Contact Management)
3155 N UNION BLVD
COLORADO SPRINGS, CO 80907
Ophthalmology
3155 N UNION BLVD
COLORADO SPRINGS, CO 80907
Optometrist
3155 N UNION BLVD
COLORADO SPRINGS, CO 80907

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 James Burden's NPI number?

The NPI number for James Burden is 1538180146. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is James Burden located?

James Burden practices at 3155 N Union Blvd, Colorado Springs, CO 80907. The listed phone number is (719) 630-3937.

What is James Burden's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is James Burden enrolled in Medicare?

Yes. James Burden 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 James Burden accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list James Burden 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.

When was this NPI record last updated?

The NPPES record for James Burden was last updated on April 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.