MARK W BURNS N.P.
NPI 1861475139
Nurse Practitioner in Phoenix, AZ

Active since November 21, 2005PECOS EnrolledAccepts Medicare Assignment
78.58/100
CMS Quality Rating
5779 E MAYO BLVD, PHOENIX, AZ 85054(480) 301-8000 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2020, Mar 20, 2019 (2 updates tracked since 2019).

About Mark W Burns N.p. NPPES

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

MARK W BURNS N.P. (NPI 1861475139) is an individual nurse practitioner in Phoenix, Arizona, licensed in Arizona (AP1901) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1861475139
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMARK W BURNSCredential: N.P.
Location Address5779 E MAYO BLVDPhoenix, AZ 85054-4502
Mailing Address5779 E Mayo BlvdPhoenix, AZ 85054-4502 · (480) 301-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 21, 2005
Last NPPES UpdateSeptember 10, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2020
NPI 1861475139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in AZ · AP1901
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

5779 E MAYO BLVD, Phoenix, AZ 85054

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

Mark W Burns N.p. 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 ID5698744779
PECOS Enrollment IDI20040927000169
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 4

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.
584 services406 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
342 services147 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
267 services171 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.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85054 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

78.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.05
Promoting Interoperability100
Improvement Activities40
Cost59.56

Other Providers at the Same Location NPPES 20

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

Urology
5779 E MAYO BLVD
PHOENIX, AZ 85054
Orthopaedic Surgery
5779 E MAYO BLVD
PHOENIX, AZ 85054
Physician Assistant (Surgical)
5779 E MAYO BLVD
PHOENIX, AZ 85054
Urology
5779 E MAYO BLVD
PHOENIX, AZ 85054
Student in an Organized Health Care Education/Training Program
5779 E MAYO BLVD
PHOENIX, AZ 85054
Obstetrics & Gynecology
5779 E MAYO BLVD
PHOENIX, AZ 85054
Internal Medicine (Nephrology)
5779 E MAYO BLVD
PHOENIX, AZ 85054
Plastic Surgery
5779 E MAYO BLVD
PHOENIX, AZ 85054

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 Mark Burns's NPI number?

The NPI number for Mark Burns is 1861475139. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Mark Burns located?

Mark Burns practices at 5779 E Mayo Blvd, Phoenix, AZ 85054. The listed phone number is (480) 301-8000.

What is Mark Burns's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mark Burns enrolled in Medicare?

Yes. Mark Burns 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 Mark Burns accept?

Health plans from Sanford Health Plan list Mark Burns 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.

When was this NPI record last updated?

The NPPES record for Mark Burns was last updated on September 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.