Active NPI
Todd S Burry, M.D.
- Surgery Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01055481A
- Practice address
- 520 Mary St Ste 520
Evansville, IN 47710-1682 - Phone
- (812) 424-8231
- Fax
- (812) 435-8794
- NPI assigned
- Jul 21, 2005
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01055481A | IN | Primary |
| Surgery Physician | 208600000X | 40328 | KY |
Addresses
Primary practice location
520 Mary St Ste 520
Evansville, IN 47710-1682
Mailing address
520 Mary St
Suite 520
Evansville, IN 47710-1682
Phone (812) 424-8231
Other practice location 1
4133 Gateway Blvd Ste 290
Newburgh, IN 47630-7918
Phone (812) 424-8231
Other practice location 2
721 W 13th St Ste 220
Jasper, IN 47546-1817
Phone (812) 424-8231
Other practice location 3
801 Saint Marys Dr Ste 200E
Evansville, IN 47714-0518
Phone (812) 424-8231 ext. 2283
Other practice location 4
100 St Marys Epworth Xing Ste A400
Newburgh, IN 47630-9497
Phone (812) 424-8231
Other practice location 5
1305 N Elm St
Henderson, KY 42420-2783
Phone (812) 424-8231
Other practice location 6
1116 Millis Ave Ste 101
Boonville, IN 47601-2226
Phone (812) 424-8231
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40328 | Other | KY | KENTUCKY STATE LICENSE |
| 01055481 | Other | IN | INDIANA STATE LICENSE |
| 64049620 | Medicaid | KY | |
| 200356290 | Medicaid | IN | |
| 000000221511 | Other | IN | ANTHEM BLUE CROSS/SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Indiana University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1305 N Elm St
Henderson, KY 42420-2783
Phone (812) 424-8231
520 Mary St
Suite 520
Evansville, IN 47710-1682
Phone (812) 424-8231
Hospital & facility affiliations
- Deaconess Hospital Inc
- Ascension St Vincent Evansville
- Memorial Hospital and Health Care Center
- Deaconess Henderson Hospital
- Good Samaritan Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 37.54 of 100
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 65.72
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 23 |
| Removal of tissue | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01055481A | IN | MD | Surgery Physician |
| 40328 | KY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Hospital, Inc. | Past | Accepting new patients | |
| St Mary's Medical Group, LLC | Past | Accepting new patients |
Interoperability endpoints
- tburry25595@direct.deaconess.com
- todd.burry@evansvillesurgical.directbygreenway.com
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.
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
dba Ascension Medical Group St. Vincent Evansville
- Nephrology Physician
- Evansville, IN
- NPI 1619307873
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
dba Memorial Hospital & Health Care Center
- General Acute Care Hospital
- Jasper, IN
- NPI 1003895947
-
dba Center for Therapy and Sports Performance
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Vincennes, IN
- NPI 1073153474
Hospital
-
- General Acute Care Hospital
- Vincennes, IN
- NPI 1225032881
-
dba Ascension St. Vincent Evansville
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
-
dba Deaconess Henderson Hospital
- General Acute Care Hospital
- Henderson, KY
- NPI 1083759633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1215936190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 MARY ST",
"address_2": "SUITE 520",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101682",
"telephone_number": "812-424-8231",
"fax_number": "812-435-8794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 MARY ST STE 520",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101682",
"telephone_number": "812-424-8231",
"fax_number": "812-435-8794"
}
],
"practiceLocations": [
{
"address_1": "4133 Gateway Blvd Ste 290",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "IN",
"postal_code": "476307918",
"country_code": "US",
"telephone_number": "812-424-8231",
"fax_number": "812-435-8794",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "721 W 13th St Ste 220",
"address_purpose": "LOCATION",
"city": "Jasper",
"state": "IN",
"postal_code": "475461817",
"country_code": "US",
"telephone_number": "812-424-8231",
"fax_number": "812-435-8794",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 Saint Marys Dr Ste 200E",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477140518",
"country_code": "US",
"telephone_number": "812-424-8231 x2283",
"fax_number": "812-435-8794",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 St Marys Epworth Xing Ste A400",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "IN",
"postal_code": "476309497",
"country_code": "US",
"telephone_number": "812-424-8231",
"fax_number": "812-435-8794",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1305 N Elm St",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "KY",
"postal_code": "424202783",
"country_code": "US",
"telephone_number": "812-424-8231",
"fax_number": "812-435-8794",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1116 Millis Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Boonville",
"state": "IN",
"postal_code": "476012226",
"country_code": "US",
"telephone_number": "812-424-8231",
"fax_number": "812-435-8794",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURRY",
"first_name": "TODD",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2026-09-29",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01055481A",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KY",
"license": "40328",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY STATE LICENSE",
"identifier": "40328",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA STATE LICENSE",
"identifier": "01055481",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64049620",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200356290",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS/SHIELD",
"identifier": "000000221511",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.