Individual provider Active NPI

Carrine A. Burns, M.D.

  • MOHS-Micrographic Surgery Physician
  • Lewiston, ME
National Provider Identifier
1063451896
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
016721 Issued in ME
Practice address
70 Lincoln St
Lewiston, ME 04240-7792
Phone
(207) 795-7540
Fax
(207) 795-7528
NPI assigned
Jun 6, 2006
Last updated
Sep 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 016721 ME
MOHS-Micrographic Surgery Physician 207ND0101X 016721 ME Primary

Addresses

Primary practice location

70 Lincoln St
Lewiston, ME 04240-7792

Mailing address

70 Lincoln St
Lewiston, ME 04240-7792
Phone (207) 795-7540

Other identifiers 1

IdentifierTypeStateIssuer
431783899MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050831000523 ME Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 5294767133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of Virginia School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bates Mill Dermatology PLLCGroup PAC ID 7416971569, 5 clinicians

Practice addresses (Care Compare)

70 Lincoln St
Suite 1B
Lewiston, ME 04240-7791
Phone (207) 795-7540

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision52
Removal of skin lesions187
Removal of skin cancer265
Removal or shaving of skin growth1-10
Skin biopsy35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
016721MEMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bates Mill Dermatology, P.L.L.C. Dermatology CurrentSince Jan 1, 2011 Accepting new patients

Locations

70 Lincoln St
Ste 1B
Lewiston, ME 04240
Phone (207) 795-7540

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1063451896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 LINCOLN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407792",
            "telephone_number": "207-795-7540",
            "fax_number": "207-795-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 LINCOLN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407792",
            "telephone_number": "207-795-7540",
            "fax_number": "207-795-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "CARRINE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ME",
            "license": "016721",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "ME",
            "license": "016721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431783899",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.