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TAMMY SUE BURTON NP-BC
NPI 1912339292
Nurse Practitioner in Parkersburg, WV

Active since August 08, 2013PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
600 18TH ST STE 512, PARKERSBURG, WV 26101(304) 424-4574 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2021, Mar 17, 2018, Mar 24, 2016 and 3 more (6 updates tracked since 2015).

About Tammy Sue Burton Np-bc NPPES

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

TAMMY SUE BURTON NP-BC (NPI 1912339292) is an individual nurse practitioner in Parkersburg, West Virginia, licensed in Ohio (COA.18341-NP) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Marietta Memorial Hospital, and maintains a secondary practice location in Marietta.

NPPES Registry Identity

NPI1912339292
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTAMMY SUE BURTONCredential: NP-BC
Location Address600 18TH ST STE 512Parkersburg, WV 26101-3236
Mailing AddressPo Box 449Marietta, OH 45750-0449 · (740) 374-4500 · Fax (740) 374-5887
Phone(304) 424-4574
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 8, 2013
Last NPPES UpdateJanuary 13, 20216 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2021
✔ NPI 1912339292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · COA.18341-NP
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN42951-FNP-BC (WV)
600 18TH ST STE 512, Parkersburg, WV 26101
Open in Google Maps ↗

Other Names 1

Former Name (1)Tammy Judy

Secondary Practice Location 1

Location 1400 Matthew St, Suite 302Marietta, OH 45750-1644 · Phone (740) 568-5207 · Fax (740) 568-5297

Other Identifiers 3

OtherP01604255OH · Railroad Medicare - Mhcpi
Medicaid0148929OH
Medicaid3810027316WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Tammy Sue Burton Np-bc 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 ID4385875202
PECOS Enrollment IDI20140318000947
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 2

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.
855 services585 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.
47 services44 patients

Hospital Affiliations CMS Care Compare 5

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

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360147
Location401 Matthew StreetMarietta, OH 45750 · Washington County
Emergency services Birthing friendly

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Camden Clark Medical Center

Acute Care Hospitals · Parkersburg, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510058
Location800 Garfield AveParkersburg, WV 26101 · Wood County
Emergency services Birthing friendly

Wetzel County Hospital

Acute Care Hospitals · New Martinsville, WV
OwnershipGovernment - Local
CMS Certification Number510072
Location#3 East Benjamin DriveNew Martinsville, WV 26155 · Wetzel County
Emergency services

Jackson General Hospital

Critical Access Hospitals · Ripley, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511320
Location122 Pinnell StRipley, WV 25271 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26101 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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. SHOWRI MADAN MANOHAR KARNAM MBBS
Internal Medicine (Interventional Cardiology)
600 18TH ST STE 512
PARKERSBURG, WV 26101
Wood County (304) 424-4574

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 Tammy Burton's NPI number?

The NPI number for Tammy Burton is 1912339292. It was assigned to this individual provider in the NPPES registry on August 8, 2013. The provider is also known as Tammy Judy.

Where is Tammy Burton located?

Tammy Burton practices at 600 18th St Ste 512, Parkersburg, WV 26101. The listed phone number is (304) 424-4574.

What is Tammy Burton's specialty?

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

Is Tammy Burton enrolled in Medicare?

Yes. Tammy 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.

What insurance does Tammy Burton accept?

Health plans from CareSource list Tammy 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 Tammy Burton affiliated with any hospitals?

According to CMS data, Tammy Burton is affiliated with Marietta Memorial Hospital, West Virginia University Hospitals, Inc, Camden Clark Medical Center, Wetzel County Hospital and Jackson General Hospital.

When was this NPI record last updated?

The NPPES record for Tammy Burton was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.