DR. WELLAND DANE BURNSIDE MD GRADUATE MAY 2019
NPI 1912460858
Internal Medicine in Plattsburgh, NY
About Dr. Welland Dane Burnside Md Graduate May 2019 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. WELLAND DANE BURNSIDE MD GRADUATE MAY 2019 (NPI 1912460858) is an individual internal medicine provider in Plattsburgh, New York, licensed in New York (317488) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and maintains a secondary practice location in Wheeling.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Dr. Welland Dane Burnside Md Graduate May 2019 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.
Medicare Billing Reassignment
Medicare enrollment records show Welland Burnside reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Plattsburgh, NY 12901
- Reassigned Medicare billing, New York enrollment
- 675 clinicians in this Medicare group
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 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Champlain Valley Physicians Hospital Medical Ctr
Acute Care Hospitals · Plattsburgh, NYElizabethtown Community Hospital
Critical Access Hospitals · Elizabethtown, NYThe University Of Vermont Health Network-Alice Hy
Critical Access Hospitals · Malone, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PLATTSBURGH, NY 12901
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 Welland Burnside's NPI number?
The NPI number for Welland Burnside is 1912460858. It was assigned to this individual provider in the NPPES registry on April 8, 2019.
Where is Welland Burnside located?
Welland Burnside practices at 75 Beekman St, Plattsburgh, NY 12901. The listed phone number is (518) 561-2000.
What is Welland Burnside's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Welland Burnside enrolled in Medicare?
Yes. Welland Burnside 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 organization bills Medicare for Welland Burnside's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Welland Burnside reassigns Medicare benefits to Champlain Valley Physicians Hospital Medical Center (Plattsburgh, NY). The 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 Welland Burnside's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Welland Burnside affiliated with any hospitals?
According to CMS data, Welland Burnside is affiliated with Champlain Valley Physicians Hospital Medical Ctr, Elizabethtown Community Hospital and The University Of Vermont Health Network-Alice Hy.
When was this NPI record last updated?
The NPPES record for Welland Burnside was last updated on July 21, 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.
# Dr. Welland Dane Burnside, MD GRADUATE MAY 2019 · NPI 1912460858
Internal Medicine physician in Plattsburgh, New York. Individual provider, active in the CMS NPPES registry since April 8, 2019.
## Identity
- **NPI:** 1912460858 (Entity type: Individual)
- **Enumerated:** April 8, 2019
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 317488 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 75 BEEKMAN ST, Plattsburgh, NY 12901-1438
- **Phone:** (518) 561-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Champlain Valley Physicians Hospital Medical Center (NPI 1033270699, Plattsburgh, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1912460858) · Data from the CMS NPPES public registry.