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CHANELE M BURGUN MD
NPI 1619954823
Family Medicine in Fayetteville, NY

Active since December 29, 2005PECOS Enrolled
212 HIGHBRIDGE ST C, FAYETTEVILLE, NY 13066(315) 637-0477(315) 637-0559 Get Directions Write a Review

NPPES record last updated: October 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chanele M Burgun Md NPPES

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

CHANELE M BURGUN MD (NPI 1619954823) is an individual family medicine provider in Fayetteville, New York, licensed in New York (217557) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Oneida Health Hospital, and is a graduate of Howard University College Of Medicine (1997).

NPPES Registry Identity

NPI1619954823
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCHANELE M BURGUNCredential: MD
Location Address212 HIGHBRIDGE ST CFayetteville, NY 13066-1981
Mailing Address212 Highbridge St CFayetteville, NY 13066-1981 · (315) 637-0477 · Fax (315) 637-0559
Phone(315) 637-0477
Fax(315) 637-0559
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1997
Enumeration DateDecember 29, 2005
Last NPPES UpdateOctober 8, 2015
✔ NPI 1619954823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 217557
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.
212 HIGHBRIDGE ST C, Fayetteville, NY 13066
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Other Identifiers 1

Medicare UPINH84168NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chanele M Burgun Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42225435
PECOS Enrollment IDI20060207000015
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

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.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Oneida Health Hospital

Acute Care Hospitals · Oneida, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330115
Location321 Genesee StreetOneida, NY 13421 · Madison County
Emergency services Birthing friendly

Samaritan Medical Center

Acute Care Hospitals · Watertown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330157
Location830 Washington StreetWatertown, NY 13601 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13066 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Reported Quality Measures

e-Prescribing
100%1,450 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
89%93 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

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
1 supplier12 claims12 services$56.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Chanele Burgun's NPI number?

The NPI number for Chanele Burgun is 1619954823. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Chanele Burgun located?

Chanele Burgun practices at 212 Highbridge St C, Fayetteville, NY 13066. The listed phone number is (315) 637-0477.

What is Chanele Burgun's specialty?

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

Is Chanele Burgun enrolled in Medicare?

Yes. Chanele Burgun is registered in the Medicare PECOS enrollment system.

Is Chanele Burgun affiliated with any hospitals?

According to CMS data, Chanele Burgun is affiliated with Oneida Health Hospital and Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Chanele Burgun was last updated on October 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.