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CHAD BURTON
NPI 1891290409
Emergency Medicine in Lexington, VA

Active since March 26, 2018PECOS EnrolledAccepts Medicare Assignment
1 HEALTH CIR, LEXINGTON, VA 24450(540) 458-3300(540) 458-3366 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 4, 2022, Jul 21, 2021, Dec 16, 2020 and 1 more (4 updates tracked since 2018).

About Chad Burton NPPES

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

CHAD BURTON (NPI 1891290409) is an individual emergency medicine provider in Lexington, Virginia, licensed in Virginia (0102205943) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with The Outer Banks Hospital, Inc, and is a graduate of Edward Via Col Of Osteo Medicine-virginia Campus (2018).

NPPES Registry Identity

NPI1891290409
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCHAD BURTON
Location Address1 HEALTH CIRLexington, VA 24450-2448
Mailing Address213 S Jefferson St Ste 625Roanoke, VA 24011-1713 · (540) 224-5516 · Fax (540) 224-5684
Phone(540) 458-3300
Fax(540) 458-3366
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-virginia CampusGraduated 2018
Enumeration DateMarch 26, 2018
Last NPPES UpdateFebruary 4, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2022
✔ NPI 1891290409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in VA · 0102205943✔ Licensed in SC · 83697
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1 HEALTH CIR, Lexington, VA 24450
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Chad Burton 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 ID6002163458
PECOS Enrollment IDI20241215000082
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Chad Burton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vidant Medical Group LLC
188 mi
Multi-Specialty
2100 STANTONSBURG RD
Greenville, NC 27834
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,653 clinicians in this Medicare group
NPI 1477648731 (252) 847-2181
App Of South Carolina Ed PLLC
239 mi
Emergency Medicine
1304 W BOBO NEWSOM HWY
Hartsville, SC 29550
  • Reassigned Medicare billing, South Carolina enrollment
  • 160 clinicians in this Medicare group
NPI 1457878084 (843) 339-2100
Outerbanks Professional Services LLC
245 mi
Family Medicine
604 AMANDA ST
Manteo, NC 27954
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Outer Banks Professional Services, LLC
  • 346 clinicians in this Medicare group
NPI 1457686891 (252) 473-3478

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

The Outer Banks Hospital, Inc

Critical Access Hospitals · Nags Head, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341324
Location4800 South Croatan HighwayNags Head, NC 27959 · Dare County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24450 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

CARILION ROCKBRIDGE COMMUNITY HOSPITAL
Home Health
1 HEALTH CIR
LEXINGTON, VA 24450
Lexington City (540) 458-3111
SIAN ELLEN LEWIS-BEVAN
Emergency Medicine
1 HEALTH CIR
LEXINGTON, VA 24450
Lexington City (540) 458-3300
CARILION ROCKBRIDGE COMMUNITY HOSPITAL
Hospitalist
1 HEALTH CIR
LEXINGTON, VA 24450
Lexington City (540) 458-3300
DR. LYDIA JOY KUHN M.D.
Internal Medicine
1 HEALTH CIR
LEXINGTON, VA 24450
Lexington City (540) 458-3300
DR. WILLIAM LYLE MCCLUNG MD
Family Medicine
1 HEALTH CIR
LEXINGTON, VA 24450
Lexington City (540) 458-3300
BRYAN JAMES CAREY PA-C
Physician Assistant
1 HEALTH CIR
LEXINGTON, VA 24450
Lexington City (540) 458-3300
DR. CAROL A BERNIER D.O.
Emergency Medicine
1 HEALTH CIR
LEXINGTON, VA 24450
Lexington City (540) 458-3300
MR. JARED SCOTT CAMPBELL P.A.-C
Physician Assistant
1 HEALTH CIR
LEXINGTON, VA 24450
Lexington City (540) 458-3345

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 Chad Burton's NPI number?

The NPI number for Chad Burton is 1891290409. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Chad Burton located?

Chad Burton practices at 1 Health Cir, Lexington, VA 24450. The listed phone number is (540) 458-3300.

What is Chad Burton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Chad Burton enrolled in Medicare?

Yes. Chad 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.

Which organizations bill Medicare for Chad Burton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chad Burton reassigns Medicare benefits to 3 organizations: Vidant Medical Group LLC (Greenville, NC), App Of South Carolina Ed PLLC (Hartsville, SC) and Outerbanks Professional Services LLC (Manteo, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chad Burton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chad Burton accept?

Health plans from Cigna Healthcare list Chad Burton 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 Chad Burton affiliated with any hospitals?

According to CMS data, Chad Burton is affiliated with The Outer Banks Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Chad Burton was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.