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JOHN STANLEY BURNHAM M.D.
NPI 1790766012
Family Medicine in Dover, OH

Active since November 14, 2005PECOS EnrolledAccepts Medicare Assignment
1716 N CROSS ST, DOVER, OH 44622(330) 364-8868(330) 364-4732 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Stanley Burnham M.d. NPPES

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

JOHN STANLEY BURNHAM M.D. (NPI 1790766012) is an individual family medicine provider in Dover, Ohio, licensed in Ohio (35-05-2279B) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Union Hospital, and is a graduate of Ohio State University College Of Medicine (1984).

NPPES Registry Identity

NPI1790766012
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN STANLEY BURNHAMCredential: M.D.
Location Address1716 N CROSS STDover, OH 44622-1043
Mailing Address110 Dublin Drive, Suite ADover, OH 44622 · (330) 364-8868 · Fax (330) 364-4732
Phone(330) 364-8868
Fax(330) 364-4732
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1984
Enumeration DateNovember 14, 2005
Last NPPES UpdateNovember 7, 2016
✔ NPI 1790766012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35-05-2279B
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.
1716 N CROSS ST, Dover, OH 44622
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Other Identifiers 3

Medicare PIN0602602OH
Medicare UPINA17043
Medicaid0661412OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Insurance Corporation of Ohio.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

John Stanley Burnham 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 ID5890831259
PECOS Enrollment IDI20091026000135
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 7

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.
266 services153 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
203 services117 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.
79 services58 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
63 services46 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.
19 services19 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Union Hospital

Acute Care Hospitals · Dover, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360010
Location659 BoulevardDover, OH 44622 · Tuscarawas County
Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Twin City Medical Center

Critical Access Hospitals · Dennison, OH
OwnershipVoluntary non-profit - Church
CMS Certification Number361302
Location819 North First StreetDennison, OH 44621 · Tuscarawas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44622 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 10

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
7 suppliers35 claims69 services$6.30 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers14 claims23 services$1.10 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
3 suppliers11 claims11 services$61.13 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers15 claims15 services$22.69 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers14 claims14 services$16.97 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers24 claims137 services$2.38 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 3

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

KAPPER CHIROPRACTIC CENTER, INC.
Chiropractor
1716 N CROSS ST
DOVER, OH 44622
Tuscarawas County (330) 365-2434
TIMOTHY PAUL DESIATO M.D.
Family Medicine
1716 N CROSS ST
DOVER, OH 44622
Tuscarawas County (330) 364-8868
DR. SHAWN CHRISTOPHER KAPPER DC
Chiropractor
1716 N CROSS ST
DOVER, OH 44622
Tuscarawas County (330) 365-2434

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 John Burnham's NPI number?

The NPI number for John Burnham is 1790766012. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is John Burnham located?

John Burnham practices at 1716 N Cross St, Dover, OH 44622. The listed phone number is (330) 364-8868.

What is John Burnham's specialty?

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

Is John Burnham enrolled in Medicare?

Yes. John Burnham 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 John Burnham accept?

Health plans from CareSource and Oscar Insurance Corporation of Ohio list John Burnham 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 John Burnham affiliated with any hospitals?

According to CMS data, John Burnham is affiliated with Union Hospital, Cleveland Clinic and Twin City Medical Center.

When was this NPI record last updated?

The NPPES record for John Burnham was last updated on November 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.