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SAMUEL O BURT CRNA
NPI 1942715412
Nurse Anesthetist, Certified Registered in Charlottesville, VA

Active since December 06, 2017Accepts Medicare Assignment
69.44/100
CMS Quality Rating
1139 E HIGH ST STE 203, CHARLOTTESVILLE, VA 22902(434) 817-8484(434) 817-8490 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2024, Dec 6, 2017 (2 updates tracked since 2017).

About Samuel O Burt Crna NPPES

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

SAMUEL O BURT CRNA (NPI 1942715412) is an individual nurse anesthetist, certified registered in Charlottesville, Virginia, licensed in Virginia (0024190708) and active in the NPI registry since December 2017. He is affiliated with Sentara Martha Jefferson Hospital, maintains 2 additional practice locations, and is a graduate of Florida State University College Of Medicine (2017).

NPPES Registry Identity

NPI1942715412
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameSAMUEL O BURTCredential: CRNA
Location Address1139 E HIGH ST STE 203Charlottesville, VA 22902-4849
Mailing Address7746 S 164th DrGoodyear, AZ 85338-5836
Phone(434) 817-8484
Fax(434) 817-8490
Sole ProprietorYes
Medical School CMSFlorida State University College Of MedicineGraduated 2017
Enumeration DateDecember 6, 2017
Last NPPES UpdateApril 25, 20252 updates tracked since enumeration
NPPES CertifiedApril 25, 2025
✔ NPI 1942715412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in VA · 0024190708✔ Licensed in AZ · 240773✔ Licensed in NH · 076895-21
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1139 E HIGH ST STE 203, Charlottesville, VA 22902
Open in Google Maps ↗

Secondary Practice Locations 2

Location 113677 W McDowell RdGoodyear, AZ 85395-2635 · Phone (800) 402-0881 ext. 505
Location 2250 Pleasant StConcord, NH 03301-7539 · Phone (603) 225-2711

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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

Samuel O Burt Crna 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 ID2163785080
PECOS Enrollment IDI20241127002608

Areas of Expertise CMS Part B claims 9

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
78 services77 patients
Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
35 services32 patients
Anesthesia for other procedure on nose and sinuses 00160
Anesthesia for procedures on the nose and sinuses involves administering medication to block sensation, ensuring comfort during the procedure. It can be local (numbing a specific area) or general (you're asleep). This helps prevent pain and discomfort during the procedure.
23 services23 patients
Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope 00918
This procedure involves using anesthesia to ensure comfort while a special instrument called an endoscope helps to locate, break up, and possibly remove kidney stones. The endoscope is a thin, flexible tube which is gently inserted and navigated to the area of concern.
20 services19 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
17 services16 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Sentara Martha Jefferson Hospital

Acute Care Hospitals · Charlottesville, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490077
Location500 Martha Jefferson DriveCharlottesville, VA 22911 · Albemarle County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22902 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
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.

69.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.33
Improvement Activities0
Cost69.53

Other Providers at the Same Location NPPES 2

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

ELLIOT Z SMITH MD
Internal Medicine (Gastroenterology)
1139 E HIGH ST STE 203
CHARLOTTESVILLE, VA 22902
Charlottesville City (434) 817-8484
OLD DOMINION ANESTHESIA LLC
Anesthesiology
1139 E HIGH ST STE 203
CHARLOTTESVILLE, VA 22902
Charlottesville City (434) 817-8484

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 Samuel Burt's NPI number?

The NPI number for Samuel Burt is 1942715412. It was assigned to this individual provider in the NPPES registry on December 6, 2017.

Where is Samuel Burt located?

Samuel Burt practices at 1139 E High St Ste 203, Charlottesville, VA 22902. The listed phone number is (434) 817-8484.

What is Samuel Burt's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Samuel Burt enrolled in Medicare?

Yes. Samuel Burt 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 Samuel Burt accept?

Health plans from Blue Cross Blue Shield of Arizona list Samuel Burt 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 Samuel Burt affiliated with any hospitals?

According to CMS data, Samuel Burt is affiliated with Sentara Martha Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Burt was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.