Individual provider Active NPI

Michael Burrow, MD

  • Ophthalmology Physician
  • Chubbuck, ID
National Provider Identifier
1124480868
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
M17832 Issued in ID
Practice address
5620 Harvest Springs Blvd
Chubbuck, ID 83202-1061
Phone
(208) 232-4133
Fax
(208) 529-6602
NPI assigned
Mar 22, 2016
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X M17832 ID Primary

Addresses

Primary practice location

5620 Harvest Springs Blvd
Chubbuck, ID 83202-1061

Mailing address

2100 Providence Way
Idaho Falls, ID 83404-4951
Phone (208) 529-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200825003734 UT Practitioner - Ophthalmology 2567728223 Reassigns benefits to 1 organization
I20240614001899 ID Practitioner - Ophthalmology 2567728223 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Utah School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Eye Care of Eastern IdahoGroup PAC ID 2466611744, 11 clinicians

Practice addresses (Care Compare)

2100 Providence Way
Idaho Falls, ID 83404-4951
Phone (208) 529-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.96 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.54

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
Cataract surgery125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M17832IDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henrys Fork Surgery Center PLLC CurrentSince Jan 18, 2026 Accepting new patients
Rocky MTN Eye Care Associates LC Multi-Specialty CurrentSince Jul 27, 2020 Accepting new patients
Charles P. Lawless, M.D., P.a. Multi-Specialty CurrentSince Jun 3, 2024 Accepting new patients
Premier Eye Care of Eastern Idaho Multi-Specialty CurrentSince Jun 3, 2024 Accepting new patients

Locations

5620 Harvest Springs Blvd
Chubbuck, ID 83202
Phone (208) 232-4133

2100 Providence Way
Idaho Falls, ID 83404
Phone (208) 529-6600

1777 E Clark St
Pocatello, ID 83201

1777 E Clark St
Ste 310
Pocatello, ID 83201
Phone (208) 232-4133

4400 S 700 E
Ste 100
Salt Lake Cty, UT 84107
Phone (801) 264-4450

Interoperability endpoints

  • Direct secure messaging: mburrow@peceid.intellechartdirect.net

Organizations & group practices 4

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 2

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1124480868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 PROVIDENCE WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044951",
            "telephone_number": "208-529-6600",
            "fax_number": "208-529-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 HARVEST SPRINGS BLVD",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832021061",
            "telephone_number": "208-232-4133",
            "fax_number": "208-529-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROW",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "ID",
            "license": "M17832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chubbuck, ID

Sources for this page

Verify at the official NPI Registry.