ERICA BURNS PA-C
NPI 1952959801
Physician Assistant in Houston, TX

Active since September 03, 2019PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
6411 FANNIN ST, HOUSTON, TX 77030(713) 500-7116 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 10, 2021, Nov 19, 2019, Nov 1, 2019 and 1 more (4 updates tracked since 2019).

About Erica Burns Pa-c NPPES

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

ERICA BURNS PA-C (NPI 1952959801) is an individual physician assistant in Houston, Texas and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1952959801
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameERICA BURNSCredential: PA-C
Location Address6411 FANNIN STHouston, TX 77030-1501
Mailing Address4201 Garth Rd Ste 100Baytown, TX 77521-3154
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 3, 2019
Last NPPES UpdateJune 10, 20214 updates tracked since enumeration
NPPES CertifiedMay 24, 2021
NPI 1952959801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6411 FANNIN ST, Houston, TX 77030

Secondary Practice Locations 2

Location 14201 Garth Rd Ste 100Baytown, TX 77521 · Phone (281) 825-1866
Location 26431 Fannin St, JJL 270Houston, TX 77030 · Phone (713) 500-7116

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 and accepts Medicare assignment

Erica Burns Pa-c 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 ID8729497375
PECOS Enrollment IDI20210511001810
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
21 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

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.

Emergency Medicine
6411 FANNIN ST
HOUSTON, TX 77030
Radiology (Diagnostic Radiology)
6411 FANNIN ST
HOUSTON, TX 77030
Registered Nurse (Critical Care Medicine)
6411 FANNIN ST
HOUSTON, TX 77030
Anesthesiologist Assistant
6411 FANNIN ST
HOUSTON, TX 77030
Dentist (General Practice)
6411 FANNIN ST
HOUSTON, TX 77030
Emergency Medicine
6411 FANNIN ST
HOUSTON, TX 77030
Anesthesiology
6411 FANNIN ST
HOUSTON, TX 77030
Registered Nurse (Critical Care Medicine)
6411 FANNIN ST
HOUSTON, TX 77030

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 Erica Burns's NPI number?

The NPI number for Erica Burns is 1952959801. It was assigned to this individual provider in the NPPES registry on September 3, 2019.

Where is Erica Burns located?

Erica Burns practices at 6411 Fannin St, Houston, TX 77030. The listed phone number is (713) 500-7116.

What is Erica Burns's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Erica Burns enrolled in Medicare?

Yes. Erica Burns 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 Erica Burns accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Erica Burns 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 Erica Burns affiliated with any hospitals?

According to CMS data, Erica Burns is affiliated with Memorial Hermann - Texas Medical Center.

When was this NPI record last updated?

The NPPES record for Erica Burns was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.