Active NPI
John Robert Burroughs, MD
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- 44251
- Practice address
- 300 Garden of the Gods Rd
Ste 100
Colorado Springs, CO 80907 - Phone
- (719) 473-8801
- Fax
- (719) 473-8581
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 44251 | CO | |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | 44251 | CO | Primary |
Addresses
Primary practice location
300 Garden of the Gods Rd
Ste 100
Colorado Springs, CO 80907
Mailing address
300 Garden of the Gods Rd
Ste 100
Colorado Springs, CO 80907
Phone (719) 749-3606
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF0561 | Other | RR MEDICARE | |
| 1003866484 | Other | NPI | |
| 21637229 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Maxillofacial Surgery
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
300 Garden of the Gods Rd
Suite 100
Colorado Springs, CO 80907-4246
Phone (719) 473-8801
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.69 of 100
- Quality
- 71.4
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44251 | CO | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John R. Burroughs MD PC | Ophthalmology | Current | Accepting new patients |
| Oculoplastic Surgery, Inc. | Ophthalmology | Past | Accepting new patients |
Locations
300 Garden of the Gods Rd
Ste 100
Colorado Springs, CO 80907
Phone (719) 473-8801
111 E Polk St
Colorado Springs, CO 80907
Phone (719) 473-8801
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Colorado Springs, CO
- NPI 1346421179
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Holladay, UT
- NPI 1578780805
Ophthalmology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1003866484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 GARDEN OF THE GODS RD",
"address_2": "STE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80907",
"telephone_number": "719-749-3606",
"fax_number": "719-473-8581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 GARDEN OF THE GODS RD",
"address_2": "STE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80907",
"telephone_number": "719-473-8801",
"fax_number": "719-473-8581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURROUGHS",
"first_name": "JOHN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CO",
"license": "44251",
"primary": false
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "CO",
"license": "44251",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DF0561",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1003866484",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "21637229",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.