NICHOLAS RAY BURNHAM DO
NPI 1962795559
Emergency Medicine in Great Falls, MT

Q: What is Nicholas Burnham's NPI number?

The NPI number for Nicholas Burnham is 1962795559. It was assigned to this individual provider in the NPPES registry on May 16, 2011.

Q: What is Nicholas Burnham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicholas Burnham was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 16, 2011PECOS Enrolled

80.46/100

CMS Quality Rating

1101 26TH ST S, GREAT FALLS, MT 59405(406) 455-5200 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2024, Jan 30, 2017 (2 updates tracked since 2017).

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About Nicholas Ray Burnham Do NPPES

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

NICHOLAS RAY BURNHAM DO (NPI 1962795559) is an individual emergency medicine provider in Great Falls, Montana, licensed in Michigan (5101019205) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962795559

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameNICHOLAS RAY BURNHAMCredential: DO

Location Address1101 26TH ST SGreat Falls, MT 59405-5161

Mailing Address1101 26th St SGreat Falls, MT 59405-5161 · (406) 455-5200

Phone(406) 455-5200

Sole ProprietorNo

Enumeration DateMay 16, 2011

Last NPPES UpdateApril 5, 20242 updates tracked since enumeration

NPPES CertifiedMay 6, 2021

✔ NPI 1962795559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MI · 5101019205

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.

1101 26TH ST S, Great Falls, MT 59405

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP.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)

Nicholas Ray Burnham Do 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 5

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

325 services296 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

242 services237 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

76 services75 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

63 services63 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.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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

$87.97 typical visit price

range $56.81 – $172.26

Typical copayment $21.99 (range $14.20 – $43.06)

Most-billed visit code 99203

Established Patient

$100.16 typical visit price

range $18.24 – $140.32

Typical copayment $25.04 (range $4.56 – $35.08)

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.

80.46/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

93.1

Promoting Interoperability

Improvement Activities

Cost

62.61

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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.

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