DR. BRIAN P. BURNETT M.D.
NPI 1790726362
Family Medicine in Cedar Falls, IA

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
226 BLUEBELL RD, CEDAR FALLS, IA 50613(319) 575-5800 Get Directions Write a Review

NPPES record last updated: July 13, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Brian P. Burnett M.d. NPPES

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

DR. BRIAN P. BURNETT M.D. (NPI 1790726362) is an individual family medicine provider in Cedar Falls, Iowa, licensed in Iowa (31359) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Sartori Memorial Hospital, Inc, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1995).

NPPES Registry Identity

NPI1790726362
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BRIAN P. BURNETTCredential: M.D.
Location Address226 BLUEBELL RDCedar Falls, IA 50613-6328
Mailing Address2101 Kimball Ave, Ll14Waterloo, IA 50702-5063 · (319) 272-1590 · Fax (319) 272-1535
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1995
Enumeration DateJune 8, 2006
Last NPPES UpdateJuly 13, 2007
NPI 1790726362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IA · 31359
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.

226 BLUEBELL RD, Cedar Falls, IA 50613

Other Identifiers 3

Medicare UPING14514IA
Medicaid2128215IA
Medicare PIN45990IA

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. Brian P. Burnett 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 ID4880720952
PECOS Enrollment IDI20100327000476
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 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.
776 services416 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.
414 services232 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
282 services282 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
207 services24 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
111 services104 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
30 services25 patients

Hospital Affiliations CMS Care Compare 3

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

Sartori Memorial Hospital, Inc

Acute Care Hospitals · Cedar Falls, IA
OwnershipVoluntary non-profit - Church
CMS Certification Number160040
Location515 College StreetCedar Falls, IA 50613 · Black Hawk County
Emergency services

Mercyone Waterloo Medical Center

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160067
Location3421 West Ninth StreetWaterloo, IA 50702 · Black Hawk County
Emergency services Birthing friendly

Allen Hospital

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160110
Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50613 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 13

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers104 claims204 services$5.67 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers21 claims24 services$1.09 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers26 claims26 services$86.52 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers19 claims40 services$35.53 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
5 suppliers20 claims20 services$56.85 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers36 claims36 services$17.94 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.

Family Medicine
226 BLUEBELL RD
CEDAR FALLS, IA 50613
Family Medicine
226 BLUEBELL RD
CEDAR FALLS, IA 50613
Physician Assistant
226 BLUEBELL RD
CEDAR FALLS, IA 50613
Pediatrics
226 BLUEBELL RD
CEDAR FALLS, IA 50613
Nurse Practitioner
226 BLUEBELL RD
CEDAR FALLS, IA 50613
Nurse Practitioner
226 BLUEBELL RD
CEDAR FALLS, IA 50613
Nurse Practitioner
226 BLUEBELL RD
CEDAR FALLS, IA 50613
Family Medicine
226 BLUEBELL RD
CEDAR FALLS, IA 50613

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 Brian Burnett's NPI number?

The NPI number for Brian Burnett is 1790726362. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Brian Burnett located?

Brian Burnett practices at 226 Bluebell Rd, Cedar Falls, IA 50613. The listed phone number is (319) 575-5800.

What is Brian Burnett's specialty?

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

Is Brian Burnett enrolled in Medicare?

Yes. Brian Burnett 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 Brian Burnett accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Brian Burnett 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 Brian Burnett affiliated with any hospitals?

According to CMS data, Brian Burnett is affiliated with Sartori Memorial Hospital, Inc, Mercyone Waterloo Medical Center and Allen Hospital.

When was this NPI record last updated?

The NPPES record for Brian Burnett was last updated on July 13, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.