DR. THOMAS B BURNISON MD
NPI 1922039643
Emergency Medicine in Shiprock, NM

Active since July 05, 2006PECOS Enrolled
55.65/100
CMS Quality Rating
US HWY 491 NORTH, SHIPROCK, NM 87420(505) 368-6001 Get Directions Write a Review

NPPES record last updated: April 18, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Thomas B Burnison Md NPPES

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

DR. THOMAS B BURNISON MD (NPI 1922039643) is an individual emergency medicine provider in Shiprock, New Mexico, licensed in Colorado (DR.0043984) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922039643
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. THOMAS B BURNISONCredential: MD
Location AddressUS HWY 491 NORTHShiprock, NM 87420
Mailing AddressPo Box 160Shiprock, NM 87420-0160 · (505) 368-6001
Sole ProprietorNo
Enumeration DateJuly 5, 2006
Last NPPES UpdateApril 18, 2019
✔ NPI 1922039643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CO · DR.0043984
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.
US HWY 491 NORTH, Shiprock, NM 87420

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas B Burnison Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Thomas Burnison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Acute Care Hospital
US HIGHWAY 491 NORTH
Shiprock, NM 87420
  • Reassigned Medicare billing, Texas enrollment
  • 572 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87420 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

55.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.51
Promoting Interoperability0
Improvement Activities40
Cost51.32

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.

Social Worker (Clinical)
US HWY 491 NORTH
SHIPROCK, NM 87420
Podiatrist
US HWY 491 NORTH
SHIPROCK, NM 87420
Registered Nurse
US HWY 491 NORTH
SHIPROCK, NM 87420
Pharmacist
US HWY 491 NORTH, NORTHERN NAVAJO MEDICAL CENTER PHARMACY DEPARTMENT
SHIPROCK, NM 87420
Nurse Practitioner (Family)
US HWY 491 NORTH
SHIPROCK, NM 87420
Family Medicine
US HWY 491 NORTH
SHIPROCK, NM 87420
Obstetrics & Gynecology
US HWY 491 NORTH
SHIPROCK, NM 87420
Pediatrics
US HWY 491 NORTH
SHIPROCK, NM 87420

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 Thomas Burnison's NPI number?

The NPI number for Thomas Burnison is 1922039643. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Thomas Burnison located?

Thomas Burnison practices at Us Hwy 491 North, Shiprock, NM 87420. The listed phone number is (505) 368-6001.

What is Thomas Burnison's specialty?

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

Is Thomas Burnison enrolled in Medicare?

Yes. Thomas Burnison is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thomas Burnison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Burnison reassigns Medicare benefits to Dhhs, Phs, Naihs, Shiprock Hospital (Shiprock, NM). 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 Thomas Burnison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Burnison was last updated on April 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.