Active NPI
Timothy R. Burnett, D.O.
- Family Medicine Physician
- Springfield, MO
National Provider Identifier
1477817377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2013027788
- Practice address
- 1530 E Republic Rd
Springfield, MO 65804-6530 - Phone
- (417) 269-1362
- Fax
- (417) 269-1372
- NPI assigned
- Jun 26, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2013027788 | MO | Primary |
Addresses
Primary practice location
1530 E Republic Rd
Springfield, MO 65804-6530
Mailing address
PO Box 802843
Kansas City, MO 64180-2208
Phone (417) 730-6430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201113110A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 N Old Wilderness Rd
Coxhealth Nixa
Nixa, MO 65714-9490
Phone (417) 269-2227
Hospital & facility affiliations
- Phoenix Home Care and Hospice
- Amedisys Home Health of Missouri
- Cox Medical Centers
- Cox Monett Hospital
- Cox Medical Center Branson
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.78 of 100
- Quality
- 74.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.21
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.07 of 100
- Quality
- 45.41
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 70.66
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 11 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lester E Cox Medical Centers | Family Medicine | Current | Accepting new patients |
| Lester E. Cox Medical Centers | Past | Accepting new patients |
Locations
501 N Old Wilderness Rd
Nixa, MO 65714
Phone (417) 269-2150
1423 N Jefferson Ave
Ste B100
Springfield, MO 65802
Phone (417) 269-3669
3805 S Kansas Expy
Ste A
Springfield, MO 65807
Phone (417) 269-6896
Interoperability endpoints
- timothy.burnett@khindirect.org
- timothy.burnett@cernerdirect.coxhealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Nixa, MO
- NPI 1346314556
-
- Physical Medicine & Rehabilitation Physician
- Springfield, MO
- NPI 1033291125
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Springfield, MO
- NPI 1053464651
-
- Critical Access Hospital
- Monett, MO
- NPI 1194757500
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1093740128
-
- Home Health Agency
- Springfield, MO
- NPI 1336437623
-
- General Acute Care Hospital
- Branson, MO
- NPI 1760443980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1477817377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 802843",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641802208",
"telephone_number": "417-730-6430",
"fax_number": "417-269-7567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 E REPUBLIC RD",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658046530",
"telephone_number": "417-269-1362",
"fax_number": "417-269-1372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "TIMOTHY",
"middle_name": "R.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-26",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2013027788",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201113110A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.