DR. MAJOR BENJAMIN BURCH M.D.
NPI 1679923528
Orthopaedic Surgery in Atlanta, GA

Q: What is Major Burch's NPI number?

The NPI number for Major Burch is 1679923528. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Q: What is Major Burch's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Major Burch was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since June 21, 2016PECOS Enrolled

93.42/100

CMS Quality Rating

5667 PEACHTREE DUNWOODY RD STE 220, ATLANTA, GA 30342(404) 252-6223 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 5, 2026, Aug 9, 2024, Jan 6, 2023 and 3 more (6 updates tracked since 2016).

On this page

About Dr. Major Benjamin Burch M.d. NPPES

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

DR. MAJOR BENJAMIN BURCH M.D. (NPI 1679923528) is an individual orthopaedic surgery provider in Atlanta, Georgia, licensed in Georgia (101143) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of University Of Alabama School Of Medicine (2016).

NPPES Registry Identity

NPI1679923528

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. MAJOR BENJAMIN BURCHCredential: M.D.

Location Address5667 PEACHTREE DUNWOODY RD STE 220Atlanta, GA 30342-1725

Mailing Address1240 Jesse Jewell Pkwy Se Ste 300Gainesville, GA 30501-3861

Phone(404) 252-6223

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2016

Enumeration DateJune 21, 2016

Last NPPES UpdateMay 5, 20266 updates tracked since enumeration

NPPES CertifiedMay 5, 2026

✔ NPI 1679923528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in GA · 101143✔ Licensed in MS · 29894✔ Licensed in RI · MD17574

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License 29894 (MS)

5667 PEACHTREE DUNWOODY RD STE 220, Atlanta, GA 30342

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Major Benjamin Burch M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991076382

PECOS Enrollment IDI20240819001650

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.

Medicare Billing Reassignments

Medicare enrollment records show Major Burch reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Atlanta Spine Institute

6.4 mi

Orthopaedic Surgery of the Spine

3200 DOWNWOOD CIR NW, SUITE 500
Atlanta, GA 30327

Reassigned Medicare billing, Georgia enrollment

NPI 1255535209 (404) 352-4500

Specialty Orthopaedics, PC

41 mi

Orthopaedic Surgery

1240 JESSE JEWELL PKWY SE, STE 300
Gainesville, GA 30501

Reassigned Medicare billing, Georgia enrollment
11 clinicians in this Medicare group

NPI 1477652139 (770) 532-7202

Oxford Orthopaedics And Sports Medicine PLLC

298 mi

Sports Medicine

735 BELK BLVD
Oxford, MS 38655

Reassigned Medicare billing, Mississippi enrollment
14 clinicians in this Medicare group

NPI 1023042033 (662) 513-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

278 services208 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

225 services37 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

82 services82 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

57 services50 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.

54 services54 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.

48 services46 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

35 services28 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

25 services23 patients

X-ray of upper spine, 4-5 views 72050

An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.

23 services23 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.

22 services21 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

22 services17 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

16 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110005

Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County

Birthing friendly

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number110029

Location743 Spring StreetGainesville, GA 30501 · Hall County

Emergency services Birthing friendly

Union General Hospital

Acute Care Hospitals · Blairsville, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110051

Location35 Hospital RoadBlairsville, GA 30512 · Union County

Emergency services Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110082

Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County

Emergency services

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110252

Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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.

93.42/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

86.84

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier13 claims13 services$41.60 avg. paid by Medicare

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650

DME-Orthotic Devices · category DF007N

1 supplier12 claims12 services$927.72 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.

GUMIDYALA ORTHOPEDICS

Orthopaedic Surgery

5667 PEACHTREE DUNWOODY RD STE 220
ATLANTA, GA 30342

Fulton County (404) 252-2422

DR. KRISHNA V GUMIDYALA MD

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

5667 PEACHTREE DUNWOODY RD STE 220
ATLANTA, GA 30342

Fulton County (404) 252-2422

DR. PLAS T JAMES MD

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

5667 PEACHTREE DUNWOODY RD STE 220
ATLANTA, GA 30342

Fulton County (404) 252-2422

JASON WEDDINGTON PA-C

Physician Assistant (Surgical)

5667 PEACHTREE DUNWOODY RD STE 220
ATLANTA, GA 30342

Fulton County (404) 252-2422

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 Major Burch's NPI number?

The NPI number for Major Burch is 1679923528. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Major Burch located?

Major Burch practices at 5667 Peachtree Dunwoody Rd Ste 220, Atlanta, GA 30342. The listed phone number is (404) 252-6223.

What is Major Burch's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Major Burch enrolled in Medicare?

Yes. Major Burch is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Major Burch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Major Burch reassigns Medicare benefits to 3 organizations: Atlanta Spine Institute (Atlanta, GA), Specialty Orthopaedics, PC (Gainesville, GA) and Oxford Orthopaedics And Sports Medicine PLLC (Oxford, MS). 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 Major Burch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Major Burch accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter of Alabama and 2 other insurers list Major Burch 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 Major Burch affiliated with any hospitals?

According to CMS data, Major Burch is affiliated with Northside Hospital Forsyth, Northeast Georgia Medical Center, Inc, Union General Hospital, Saint Joseph's Hospital Of Atlanta, Inc and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Major Burch was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.