MR. CRAIG W BURNS D.O.
NPI 1982605523
Family Medicine in Palm Harbor, FL

Q: What is Craig Burns's NPI number?

The NPI number for Craig Burns is 1982605523. It was assigned to this individual provider in the NPPES registry on August 4, 2005.

Q: What is Craig Burns's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Craig Burns was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 August 04, 2005PECOS Enrolled

94.93/100

CMS Quality Rating

4705 ALT 19, SUITE. B, PALM HARBOR, FL 34683(727) 935-6477(727) 935-6478 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Craig W Burns D.o. NPPES

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

MR. CRAIG W BURNS D.O. (NPI 1982605523) is an individual family medicine provider in Palm Harbor, Florida, licensed in Florida (OS8074) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Adventhealth North Pinellas, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1998).

NPPES Registry Identity

NPI1982605523

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMR. CRAIG W BURNSCredential: D.O.

Location Address4705 ALT 19, SUITE. BPalm Harbor, FL 34683-1440

Mailing Address4705 Alt 19, Suite. BPalm Harbor, FL 34683-1440 · (727) 935-6477 · Fax (727) 935-6478

Phone(727) 935-6477

Fax(727) 935-6478

Sole ProprietorNo

Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1998

Enumeration DateAugust 4, 2005

Last NPPES UpdateNovember 3, 2016

✔ NPI 1982605523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · OS8074

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.

4705 ALT 19, Palm Harbor, FL 34683

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Other Identifiers 3

Medicare ID-Type Unspecified24428FL · Group

Medicare UPINH54005FL

Medicare ID-Type UnspecifiedE6758YFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and more.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)

Mr. Craig W Burns D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244480572

PECOS Enrollment IDI20121023000530, I20160425002120

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 13

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.

731 services318 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.

252 services252 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.

39 services39 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

34 services30 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

31 services31 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.

21 services21 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

16 services16 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

15 services12 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

15 services15 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

15 services15 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

15 services15 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Adventhealth North Pinellas

Acute Care Hospitals · Tarpon Springs, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number100055

Location1395 S Pinellas AveTarpon Springs, FL 34689 · Pinellas County

Emergency services

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100127

Location300 Pinellas StClearwater, FL 33756 · Pinellas County

Emergency services Birthing friendly

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100173

Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34683 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

94.93/100

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

Scored through an Alternative Payment Model

Quality

77.03

Promoting Interoperability

100

Improvement Activities

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

8 suppliers19 claims42 services$6.09 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier12 claims12 services$24.87 avg. paid by Medicare

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028

DME-Wheelchairs · category DD021N

1 supplier12 claims24 services$13.62 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 4

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

MRS. GAYE S FICARROTTA ARNP CNM

Advanced Practice Midwife

4705 ALT 19, SUITE B
PALM HARBOR, FL 34683

Pinellas County (727) 935-6477

MR. ROBERT JAMES CORRIS II PT

Physical Therapist

4705 ALT 19, SUITE A
PALM HARBOR, FL 34683

Pinellas County (727) 781-3550

MR. BRIAN KEITH AURICH MSPT

Physical Therapist

4705 ALT 19, SUITE A
PALM HARBOR, FL 34683

Pinellas County (727) 781-3550

REGIONAL REHABILITATION SERVICES PA

Clinic/Center (Physical Therapy)

4705 ALT 19, SUITE A
PALM HARBOR, FL 34683

Pinellas County (727) 942-9040

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 Craig Burns's NPI number?

The NPI number for Craig Burns is 1982605523. It was assigned to this individual provider in the NPPES registry on August 4, 2005.

Where is Craig Burns located?

Craig Burns practices at 4705 Alt 19 Suite. B, Palm Harbor, FL 34683. The listed phone number is (727) 935-6477.

What is Craig Burns's specialty?

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

Is Craig Burns enrolled in Medicare?

Yes. Craig Burns is registered in the Medicare PECOS enrollment system.

What insurance does Craig Burns accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and UnitedHealthcare and 1 other insurer list Craig 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 Craig Burns affiliated with any hospitals?

According to CMS data, Craig Burns is affiliated with Adventhealth North Pinellas, Morton Plant Hospital and Adventhealth Tampa.

When was this NPI record last updated?

The NPPES record for Craig Burns was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.