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DR. STEPHEN D BURTON MD
NPI 1902850001
Internal Medicine in St Petersburg, FL

Active since May 22, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
5500 DR MLK JR ST N, ST PETERSBURG, FL 33703(727) 525-5500(727) 821-7213 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 19, 2018, Sep 21, 2017, Jul 10, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Stephen D Burton Md NPPES

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

DR. STEPHEN D BURTON MD (NPI 1902850001) is an individual internal medicine provider in St Petersburg, Florida, licensed in Florida (ME132906) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of University Of Louisville School Of Medicine (1991).

NPPES Registry Identity

NPI1902850001
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. STEPHEN D BURTONCredential: MD
Location Address5500 DR MLK JR ST NSt Petersburg, FL 33703-1204
Mailing Address1839 Central AveSt Petersburg, FL 33713-8900 · (727) 322-1054 · Fax (727) 821-7213
Phone(727) 525-5500
Fax(727) 821-7213
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1991
Enumeration DateMay 22, 2006
Last NPPES UpdateJuly 19, 20184 updates tracked since enumeration
✔ NPI 1902850001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in FL · ME132906✔ Licensed in KY · 30716
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5500 DR MLK JR ST N, St Petersburg, FL 33703
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Other Identifiers 3

Medicaid021518100FL
OtherWPKK8FL · Florida Blue
Other000000368039KY · Anthem Id

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. Stephen D Burton Md 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 ID4082527247
PECOS Enrollment IDI20170918003576
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 6

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
1,388 services255 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
98 services98 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.
69 services51 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
59 services50 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
49 services13 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
38 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Villages Regional Hospital, The

Acute Care Hospitals · The Villages, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100290
Location1451 El Camino RealThe Villages, FL 32159 · Lake County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33703 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 4

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
9 suppliers17 claims47 services$6.68 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers24 claims24 services$80.13 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers24 claims24 services$32.42 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers17 claims17 services$7.97 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

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

DR. PEDRO JOSE MORALES MD
Family Medicine (Adult Medicine)
5500 DR MLK JR ST N
ST PETERSBURG, FL 33703
Pinellas County (727) 525-5500

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 Stephen Burton's NPI number?

The NPI number for Stephen Burton is 1902850001. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Stephen Burton located?

Stephen Burton practices at 5500 Dr Mlk Jr St N, St Petersburg, FL 33703. The listed phone number is (727) 525-5500.

What is Stephen Burton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Stephen Burton enrolled in Medicare?

Yes. Stephen 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.

Is Stephen Burton affiliated with any hospitals?

According to CMS data, Stephen Burton is affiliated with Adventhealth Orlando and Villages Regional Hospital, The.

When was this NPI record last updated?

The NPPES record for Stephen Burton was last updated on July 19, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.