DR. WALLACE F BURROUGHS II M.D.
NPI 1952306029
Family Medicine in Athens, TN

Active since June 16, 2005PECOS Enrolled
1031 W MADISON AVE, ATHENS, TN 37303(423) 745-6575 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Wallace F Burroughs Ii M.d. NPPES

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

DR. WALLACE F BURROUGHS II M.D. (NPI 1952306029) is an individual family medicine provider in Athens, Tennessee, licensed in Tennessee (MD09614) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952306029
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WALLACE F BURROUGHS IICredential: M.D.
Location Address1031 W MADISON AVEAthens, TN 37303-3498
Mailing Address1031 W Madison AveAthens, TN 37303-3498 · (423) 745-6575
Sole ProprietorNo
Enumeration DateJune 16, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1952306029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · MD09614
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1031 W MADISON AVE, Athens, TN 37303

Other Identifiers 2

Medicare UPINB60001TN
Medicare ID-Type Unspecified3185770TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Wallace F Burroughs Ii M.d. 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.

Areas of Expertise CMS Part B claims 25

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 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.
682 services401 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
292 services161 patients
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.
216 services141 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
210 services136 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.
167 services90 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.
107 services107 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37303 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 25

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
10 suppliers33 claims95 services$5.39 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers436 claims436 services$42.08 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers15 claims36 services$1.69 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers278 claims278 services$111.80 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers289 claims768 services$42.72 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers148 claims700 services$23.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Physician Assistant (Medical)
1031 W MADISON AVE
ATHENS, TN 37303
Nurse Practitioner (Gerontology)
1031 W MADISON AVE
ATHENS, TN 37303
Internal Medicine (Hematology & Oncology)
1031 W MADISON AVE
ATHENS, TN 37303
Nurse Practitioner (Adult Health)
1031 W MADISON AVE
ATHENS, TN 37303
Internal Medicine
1031 W MADISON AVE
ATHENS, TN 37303
Orthopaedic Surgery
1031 W MADISON AVE
ATHENS, TN 37303
Nurse Practitioner
1031 W MADISON AVE
ATHENS, TN 37303
Preferred Provider Organization
1031 W MADISON AVE
ATHENS, TN 37303

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 Wallace Burroughs's NPI number?

The NPI number for Wallace Burroughs is 1952306029. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Wallace Burroughs located?

Wallace Burroughs practices at 1031 W Madison Ave, Athens, TN 37303. The listed phone number is (423) 745-6575.

What is Wallace Burroughs's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wallace Burroughs enrolled in Medicare?

Yes. Wallace Burroughs is registered in the Medicare PECOS enrollment system.

What insurance does Wallace Burroughs accept?

Health plans from Alliant Health Plans, Inc. list Wallace Burroughs 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.

When was this NPI record last updated?

The NPPES record for Wallace Burroughs was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.