PAUL D BURTON DO
NPI 1871532960
Orthopaedic Surgery in Redlands, CA

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
67.84/100
CMS Quality Rating
1901 W LUGONIA AVE STE 120, REDLANDS, CA 92374(909) 557-1600(909) 890-0218 Get Directions Write a Review

NPPES record last updated: February 24, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Paul D Burton Do NPPES

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

PAUL D BURTON DO (NPI 1871532960) is an individual orthopaedic surgery provider in Redlands, California, licensed in California (20A8514) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hemet, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1871532960
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NamePAUL D BURTONCredential: DO
Location Address1901 W LUGONIA AVE STE 120Redlands, CA 92374-9704
Mailing Address1801 Orange Tree Ln Ste 200Redlands, CA 92374-4587 · (909) 557-1600 · Fax (909) 557-1740
Fax(909) 890-0218
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJune 5, 2006
Last NPPES UpdateFebruary 24, 2020
NPI 1871532960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in CA · 20A8514
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.

1901 W LUGONIA AVE STE 120, Redlands, CA 92374

Secondary Practice Location 1

Location 11011 E Devonshire Ave, Suite 203Hemet, CA 92543-3033 · Phone (909) 557-1600 · Fax (909) 557-1740

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

Paul D Burton Do 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 ID5799779286
PECOS Enrollment IDI20040408000761
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 17

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.

X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
182 services134 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.
151 services141 patients
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.
128 services113 patients
Injection, ropivacaine hydrochloride, 1 mg J2795
Ropivacaine hydrochloride is a local anesthetic used to numb specific areas of your body during minor surgical procedures or to relieve pain. The medicine is injected into the area requiring anesthesia.
86 services33 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.
69 services58 patients
X-ray of hip, 1 view 73501
An X-ray of the hip, 1 view, is a quick, painless test where a small amount of radiation is used to produce images of the hip joint. This helps in diagnosing conditions like arthritis or fractures. You'll be positioned so that the X-ray machine can capture the best image of your hip.
61 services55 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92374 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

67.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality20.66
Promoting Interoperability52
Improvement Activities40
Cost91.3

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.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers20 claims20 services$38.97 avg. paid by Medicare
Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L1810
DME-Orthotic Devices · category DF011N
1 supplier15 claims19 services$100.17 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.

Physician Assistant
1901 W LUGONIA AVE STE 120
REDLANDS, CA 92374
Physician Assistant (Medical)
1901 W LUGONIA AVE STE 120
REDLANDS, CA 92374
Physician Assistant
1901 W LUGONIA AVE STE 120
REDLANDS, CA 92374
Physician Assistant
1901 W LUGONIA AVE STE 120
REDLANDS, CA 92374
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1901 W LUGONIA AVE STE 120
REDLANDS, CA 92374
Orthopaedic Surgery
1901 W LUGONIA AVE STE 120
REDLANDS, CA 92374
Podiatrist (Foot & Ankle Surgery)
1901 W LUGONIA AVE STE 120
REDLANDS, CA 92374
Physician Assistant
1901 W LUGONIA AVE STE 120
REDLANDS, CA 92374

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 Paul Burton's NPI number?

The NPI number for Paul Burton is 1871532960. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Paul Burton located?

Paul Burton practices at 1901 W Lugonia Ave Ste 120, Redlands, CA 92374. The listed phone number is (909) 557-1600.

What is Paul Burton's specialty?

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

Is Paul Burton enrolled in Medicare?

Yes. Paul Burton 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.

When was this NPI record last updated?

The NPPES record for Paul Burton was last updated on February 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.