ROBERT L BURNAUGH MD
NPI 1699743260
Internal Medicine - Pulmonary Disease in Hilton Head, SC

Active since March 09, 2006PECOS Enrolled
78.93/100
CMS Quality Rating
23 MAIN ST, SUITE 202, HILTON HEAD, SC 29926(843) 682-3583(843) 682-3597 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert L Burnaugh Md NPPES

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

ROBERT L BURNAUGH MD (NPI 1699743260) is an individual pulmonary disease provider in Hilton Head, South Carolina, licensed in South Carolina (26860) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699743260
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameROBERT L BURNAUGHCredential: MD
Location Address23 MAIN ST, SUITE 202Hilton Head, SC 29926-1648
Mailing Address23 Main St, Suite 202Hilton Head, SC 29926-1648 · (843) 682-3583 · Fax (843) 682-3597
Fax(843) 682-3597
Sole ProprietorNo
Enumeration DateMarch 9, 2006
Last NPPES UpdateMay 10, 2016
NPI 1699743260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in SC · 26860
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 26860 (SC)
23 MAIN ST, Hilton Head, SC 29926

Other Identifiers 4

OtherP00142523SC · Sc Rr Medicare
OtherCI9902SC · Sc Rr Mcare Grp #
MedicaidG44180SC
Medicare UPING90414SC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Robert L Burnaugh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10

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.
213 services184 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.
177 services134 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
145 services134 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
68 services62 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
68 services62 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
56 services52 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29926 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

78.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.88
Promoting Interoperability100
Improvement Activities40
Cost63.9

Reported Quality Measures

Documentation of Current Medications in the Medical Record
99%942 patients4/55-star benchmark: 100%
e-Prescribing
94%119 patients2/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 271 patients
Patients screened: 100% · 271 patients
100%27 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
70%245 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
92%60 patients5/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 396 patients
Patients totalRate: 2% · 397 patients
2%397 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 26

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers123 claims123 services$36.35 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers95 claims95 services$90.90 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers95 claims253 services$34.22 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers193 claims1,104 services$18.70 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers122 claims697 services$14.11 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers323 claims323 services$54.81 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 15

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

Internal Medicine (Gastroenterology)
23 MAIN ST, SUITE 101B
HILTON HEAD, SC 29926
Internal Medicine (Gastroenterology)
23 MAIN ST, SUITE 101B
HILTON HEAD ISLAND, SC 29926
Dentist (Pediatric Dentistry)
23 MAIN ST, SUITE 302
HILTON HEAD ISLAND, SC 29926
Audiologist
23 MAIN ST, SUITE 101-A
HILTON HEAD ISLAND, SC 29926
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
23 MAIN ST, SUITE 202
HILTON HEAD ISLAND, SC 29926
Audiologist
23 MAIN ST, SUITE 201
HILTON HEAD ISLAND, SC 29926
Internal Medicine (Pulmonary Disease)
23 MAIN ST, SUITE 202
HILTON HEAD, SC 29926
Internal Medicine (Pulmonary Disease)
23 MAIN ST, SUITE 202
HILTON HEAD, SC 29926

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 Robert Burnaugh's NPI number?

The NPI number for Robert Burnaugh is 1699743260. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Robert Burnaugh located?

Robert Burnaugh practices at 23 Main St Suite 202, Hilton Head, SC 29926. The listed phone number is (843) 682-3583.

What is Robert Burnaugh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Robert Burnaugh enrolled in Medicare?

Yes. Robert Burnaugh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Burnaugh was last updated on May 10, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.