Michael Burrow, MD
Individual provider Active NPI Ophthalmology Physician · Chubbuck, ID
NPI 1124480868 · NPPES record last updated Aug 12, 2026
Key facts
- NPI
- 1124480868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- M17832 (ID)
- Practice address
- 5620 Harvest Springs Blvd
Chubbuck, ID 83202-1061 - Phone
- (208) 232-4133
- Fax
- (208) 529-6602
- NPI assigned
- Mar 22, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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 Idaho
Practice addresses (Care Compare)
2100 Providence Way
Idaho Falls, ID 83404-4951
Phone (208) 529-6600
Hospital & facility affiliations
- Portneuf Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.96 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 76.54
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 125 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in UT, ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200825003734 | UT | Practitioner - Ophthalmology | 2567728223 | Reassigns benefits to 1 organization |
| I20240614001899 | ID | Practitioner - Ophthalmology | 2567728223 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky MTN Eye Care Associates LC | Current |
Accepting new patients | |
| Henrys Fork Surgery Center PLLC | Current |
Accepting new patients | |
| Premier Eye Care of Eastern Idaho | Ophthalmology | Current |
Accepting new patients |
| Charles P. Lawless, M.D., P.a. | Ophthalmology | Current |
Accepting new patients |
Locations
5620 Harvest Springs Blvd
Chubbuck, ID 83202
2100 Providence Way
Idaho Falls, ID 83404
Phone (208) 529-6600
1777 E Clark St
Ste 310
Pocatello, ID 83201
Phone (208) 232-4133
1777 E Clark St
Pocatello, ID 83201
4400 S 700 E
Ste 100
Salt Lake Cty, UT 84107
Phone (801) 264-4450
Interoperability endpoints
- mburrow@peceid.intellechartdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | M17832 | ID | Yes |
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
Other providers in Chubbuck, ID
- Ashley Bringhurst
- Scott Broberg
- Jarrod Charles Brownsberger
- Blake J Buffat
- Leslie Irene Burnside
- Travis Burton
- Darren Hank Butler
- Michaela Sophia Butler
- Trey Shane Call
- Cameron Staley PHD LLC
All providers in Chubbuck, ID · Ophthalmology Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.