DR. THOMAS EMMETT BURNS III M.D.
NPI 1558416552
Obstetrics & Gynecology in Alexandria, VA

Active since January 23, 2007PECOS EnrolledAccepts Medicare Assignment
94.3/100
CMS Quality Rating
4320 SEMINARY RD, ALEXANDRIA, VA 22304(703) 504-3000 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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

NPI1558416552
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. THOMAS EMMETT BURNS IIICredential: M.D.
Location Address4320 SEMINARY RDAlexandria, VA 22304-1535
Mailing Address10030 Windy Hollow RdGreat Falls, VA 22066-3547 · (703) 759-1968
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1995
Enumeration DateJanuary 23, 2007
Last NPPES UpdateSeptember 13, 2022
NPPES CertifiedSeptember 13, 2022
✔ NPI 1558416552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in VA · 0101055259
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4320 SEMINARY RD, Alexandria, VA 22304

Secondary Practice Location 1

Location 12800 10th Ave NBillings, MT 59101-0703 · Phone (406) 238-5046 · Fax (406) 247-6053

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. 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.

PECOS PAC ID6406017599
PECOS Enrollment IDI20221104001506
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.

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.

New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

94.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.58
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)
4320 SEMINARY RD
ALEXANDRIA, VA 22304
Radiology (Diagnostic Radiology)
4320 SEMINARY RD
ALEXANDRIA, VA 22304
Pediatrics (Neonatal-Perinatal Medicine)
4320 SEMINARY RD, SUITE 3000
ALEXANDRIA, VA 22304
Nurse Anesthetist, Certified Registered
4320 SEMINARY RD
ALEXANDRIA, VA 22304
Physical Therapist
4320 SEMINARY RD
ALEXANDRIA, VA 22304
Internal Medicine (Critical Care Medicine)
4320 SEMINARY RD
ALEXANDRIA, VA 22304
Nurse Practitioner
4320 SEMINARY RD
ALEXANDRIA, VA 22304
Internal Medicine (Critical Care Medicine)
4320 SEMINARY RD
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.

What insurance does Thomas Burns accept?

Health plans from 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.