DR. THOMAS EMMETT BURNS III M.D.
NPI 1558416552
Obstetrics & Gynecology in Alexandria, VA
About Dr. Thomas Emmett Burns Iii M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THOMAS EMMETT BURNS III M.D. (NPI 1558416552) is an individual obstetrics & gynecology provider in Alexandria, Virginia, licensed in Virginia (0101055259) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Billings, and is a graduate of Virginia Commonwealth University, School Of Medicine (1995).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Thomas Emmett Burns Iii 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.
Medicare Billing Reassignments
5Medicare enrollment records show Thomas Burns reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Richmond, VA 23225
- Reassigned Medicare billing, Virginia enrollment
- 6 clinicians in this Medicare group
Midlothian, VA 23114
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 54 clinicians in this Medicare group
Hillsville, VA 24343
- Reassigned Medicare billing, Virginia enrollment
- 91 clinicians in this Medicare group
Berlin, NH 03570
- Reassigned Medicare billing, New Hampshire enrollment
- Also billed through NPI 1386680593 (New Hampshire)
- 129 clinicians in this Medicare group
Miles City, MT 59301
- Reassigned Medicare billing, Montana enrollment
- 1,264 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
ALEXANDRIA, VA 22304
ALEXANDRIA, VA 22304
ALEXANDRIA, VA 22304
ALEXANDRIA, VA 22304
ALEXANDRIA, VA 22304
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 Thomas Burns's NPI number?
The NPI number for Thomas Burns is 1558416552. It was assigned to this individual provider in the NPPES registry on January 23, 2007.
Where is Thomas Burns located?
Thomas Burns practices at 4320 Seminary Rd, Alexandria, VA 22304. The listed phone number is (703) 504-3000.
What is Thomas Burns's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Thomas Burns enrolled in Medicare?
Yes. Thomas 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.
Which organizations bill Medicare for Thomas Burns's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Burns reassigns Medicare benefits to 5 organizations: John Randolph Ob/Gyn, LLC (Richmond, VA), Obhg Virginia, LLC (Midlothian, VA), Dlp Twin County Physician Practices LLC (Hillsville, VA), Androscoggin Valley Hospital Inc (Berlin, NH) and Billings Clinic (Miles City, MT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Burns's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Burns accept?
Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Oscar Health, PacificSource Health Plans and Providence Health Plan list Thomas 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.
When was this NPI record last updated?
The NPPES record for Thomas Burns was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Thomas Emmett Burns III, M.D. · NPI 1558416552
Obstetrics & Gynecology physician in Alexandria, Virginia. Individual provider, active in the CMS NPPES registry since January 23, 2007.
## Identity
- **NPI:** 1558416552 (Entity type: Individual)
- **Enumerated:** January 23, 2007
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 0101055259 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4320 SEMINARY RD, Alexandria, VA 22304-1535
- **Phone:** (703) 504-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): John Randolph Ob/Gyn, LLC (NPI 1720117559, Richmond, VA); Obhg Virginia, LLC (NPI 1972807394, Midlothian, VA); Dlp Twin County Physician Practices LLC (NPI 1396431466, Hillsville, VA); Androscoggin Valley Hospital Inc (NPI 1679526644, Berlin, NH); Billings Clinic (NPI 1427194836, Miles City, MT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Virginia Commonwealth University, School Of Medicine, class of 1995
## Record status
- **NPPES last updated:** September 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1558416552) · Data from the CMS NPPES public registry.