Individual provider Active NPI

Zachary Taylor Burr, DO

  • MOHS-Micrographic Surgery Physician
  • Grand Junction, CO
National Provider Identifier
1083237796
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
DR.0072963 Issued in CO
Practice address
2515 Foresight Cir Unit 100
Grand Junction, CO 81505-1156
Phone
(801) 372-4996
NPI assigned
May 28, 2020
Last updated
Jun 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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 5151014296 MI
MOHS-Micrographic Surgery Physician 207ND0101X DR.0072963 CO Primary

Addresses

Primary practice location

2515 Foresight Cir Unit 100
Grand Junction, CO 81505-1156

Mailing address

2515 Foresight Cir Unit 100
Grand Junction, CO 81505-1156
Phone (801) 372-4996

Other practice location 1

8906 Commerce Rd Ste 5
Commerce Township, MI 48382-4484
Phone (248) 363-5555

Other practice location 2

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (801) 372-4996

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ztburr@atsu.edu Direct
CONNECT URL regenesisplasticsurgery.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240530000226 CO Practitioner - Dermatology 6608297460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2515 Foresight Cir
Suite 200
Grand Junction, CO 81505-1018
Phone (970) 245-2400

2515 Foresight Circle
Suite 200
Grand Junction, CO 81505-1018

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.88 of 100Reported as group
Quality
86.4
Promoting interoperability
95
Improvement activities
40
Cost
80.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision52
Removal of tissue1-10
Removal of skin lesions852
Removal of skin cancer149
Removal or shaving of skin growth1-10
Skin biopsy253

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Annette C. Lacasse, D.O., P.C. Dermatology CurrentSince May 1, 2021 Accepting new patients
Colorado West Otolaryngologists PC Mohs-Micrographic Surgery CurrentSince Jul 1, 2024 Accepting new patients
Colorado West Otolaryngologists PC CurrentSince Jul 1, 2024 Accepting new patients

Locations

2515 Foresight Cir
Unit 100
Grand Junction, CO 81505
Phone (970) 242-8177

2515 Foresight Cir
Unit 200
Grand Junction, CO 81505
Phone (970) 245-2400

8906 Commerce Rd
Ste 5
Commerce Twp, MI 48382
Phone (248) 363-5555

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1083237796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 FORESIGHT CIR UNIT 100",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051156",
            "telephone_number": "801-372-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 FORESIGHT CIR UNIT 100",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051156",
            "telephone_number": "801-372-4996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8906 Commerce Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Commerce Township",
            "state": "MI",
            "postal_code": "483824484",
            "country_code": "US",
            "telephone_number": "248-363-5555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18101 Oakwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481244089",
            "country_code": "US",
            "telephone_number": "801-372-4996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURR",
        "first_name": "ZACHARY",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-28",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5151014296",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CO",
            "license": "DR.0072963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ztburr@atsu.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "29915 Old Bedford St",
            "city": "Farmington Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483312287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "regenesisplasticsurgery.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "2515 Foresight Cir Unit 100",
            "city": "Grand Junction",
            "state": "CO",
            "country_code": "US",
            "postal_code": "815051156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.