1. Home
  2. Directory
  3. Connecticut
  4. Stonington
  5. Internal Medicine
  6. NPI Profile

DR. DAVID HOLLAND BURCHENAL MD
NPI 1922050632
Internal Medicine in Stonington, CT

Active since May 17, 2006PECOS Enrolled
93.27/100
CMS Quality Rating
213 ELM ST, STONINGTON, CT 06378(860) 535-3245(860) 535-3246 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. David Holland Burchenal Md NPPES

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

DR. DAVID HOLLAND BURCHENAL MD (NPI 1922050632) is an individual internal medicine provider in Stonington, Connecticut, licensed in Connecticut (032153) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922050632
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DAVID HOLLAND BURCHENALCredential: MD
Location Address213 ELM STStonington, CT 06378-1165
Mailing Address213 Elm StStonington, CT 06378-1165 · (860) 535-3245 · Fax (860) 535-3246
Phone(860) 535-3245
Fax(860) 535-3246
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1922050632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 032153
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.
213 ELM ST, Stonington, CT 06378
Open in Google Maps ↗

Other Identifiers 9

OtherZP208CT · Oxford
OtherP00090169Railroad Medicare
Other010032153CT01CT · Anthem Blue Cross
OtherOV5772Healthnet
Other409907RI · Blue Chip
Other231251RI · Ri Blue Cross
Other0161014Cigna
Other2032340Aetna
Other973603United Healthcare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David Holland Burchenal 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 David Burchenal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeast Medical Group, Inc.
67 mi
Internal Medicine
226 MILL HILL AVENUE, 3RD FLR
Bridgeport, CT 06610
  • Reassigned Medicare billing, Rhode Island enrollment
  • 139 clinicians in this Medicare group
NPI 1043278351 (203) 384-3975

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 7

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.
362 services271 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.
196 services160 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
188 services188 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
65 services45 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
24 services23 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06378 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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 suppliers23 claims55 services$5.89 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers13 claims750 services$0.09 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers14 claims14 services$24.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 David Burchenal's NPI number?

The NPI number for David Burchenal is 1922050632. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is David Burchenal located?

David Burchenal practices at 213 Elm St, Stonington, CT 06378. The listed phone number is (860) 535-3245.

What is David Burchenal's specialty?

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

Is David Burchenal enrolled in Medicare?

Yes. David Burchenal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Burchenal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Burchenal reassigns Medicare benefits to Northeast Medical Group, Inc. (Bridgeport, CT). 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 David Burchenal'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 David Burchenal was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.