Chadler R Burgoyne, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

A99619 Issued in CA

Practice address

Sansum Orthopedic Clinic
4151 Foothill Rd - BLDG a
Santa Barbara, CA 93110

Phone

(805) 681-7500

NPI assigned

Sep 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Orthopedic Surgery

Education

Medical University of South Carolina College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Inyo Healthcare DistrictGroup PAC ID 8921992090, 104 clinicians

Sansum ClinicGroup PAC ID 3678471976, 320 clinicians

Southern Mono Health Care DistrictGroup PAC ID 9830002401, 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Assisted Home Health Home health agency, Santa Barbara, CA, CCN 058324
• Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010
• Goleta Valley Cottage Hospital Hospital, Santa Barbara, CA, CCN 050357
• Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cburgoyne308381@hisp.ehr.sutterhealth.org

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.

• Sansum Clinic

  • Multi-Specialty Clinic/Center
  • Santa Barbara, CA
  • NPI 1154354504
  Medicare reassignment Care Compare group NPD
• Northern Inyo Healthcare District

  • Critical Access Hospital
  • Bishop, CA
  • NPI 1922198712
  Medicare reassignment Care Compare group
• Southern Mono Health Care District

  • Critical Access Hospital Clinic/Center
  • Mammoth Lakes, CA
  • NPI 1962444059
  Medicare reassignment Care Compare group
• Acute Care Surgery Medical Group, Inc.

  • Surgery Physician
  • Sacramento, CA
  • NPI 1700069549

  Orthopaedic Surgery

  Medicare reassignment NPD
• Surgical Affiliates of California

  • Surgery Physician
  • Los Banos, CA
  • NPI 1932440781
  Medicare reassignment NPD
• Sansum Clinic

  • Ambulatory Surgical Clinic/Center
  • Santa Barbara, CA
  • NPI 1144648015
  NPD
• Sansum Clinic

  • Multi-Specialty Clinic/Center
  • Santa Barbara, CA
  • NPI 1932121514
  NPD
• Goleta Valley Cottage Hospital

  • Skilled Nursing Facility
  • Goleta, CA
  • NPI 1679587224
  NPD (past)
• Sansum Clinic

  • Ambulatory Surgical Clinic/Center
  • Santa Barbara, CA
  • NPI 1649296807
  NPD (past)
• Santa Barbara Cottage Hospital

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1477554152
  NPD (past)
• Santa Ynez Valley Cottage Hospital, Inc

  • General Acute Care Hospital
  • Solvang, CA
  • NPI 1952301863
  NPD (past)
• Grande Ronde Hospital, Inc.

  • Critical Access Hospital
  • La Grande, OR
  • NPI 1467446195
  NPD (past)

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

• Assisted Home Recovery, Inc.

  • Home Health Agency
  • Santa Barbara, CA
  • NPI 1558862946
  Care Compare affiliation
• Central Coast Home Health Inc

  • Home Health Agency
  • San Luis Obispo, CA
  • NPI 1609044924
  Care Compare affiliation
• Goleta Valley Cottage Hospital

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1225038136
  Care Compare affiliation
• Santa Barbara Cottage Hospital

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1477554152
  Care Compare affiliation

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1508052333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SANSUM ORTHOPEDIC CLINIC",
            "address_2": "4151 FOOTHILL RD - BLDG A",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93110",
            "telephone_number": "805-681-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANSUM ORTHOPEDIC CLINIC",
            "address_2": "4151 FOOTHILL RD - BLDG A",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93110",
            "telephone_number": "805-681-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOYNE",
        "first_name": "CHADLER",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-14",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD154654",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A99619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME NPI",
            "identifier": "1326287434",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312851",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX ID #",
            "identifier": "57-0634057",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "1701",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH DME",
            "identifier": "20076508",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH FIRST CHOICE",
            "identifier": "20081812",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI #",
            "identifier": "1225006760",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Louise Bullock, RN,CDE
• Kyle Bunker, MD
• Danielle Alyse Burbank, SLP
• Daryl W Burgess, D.O.
• Linda Burgess
• Adriana Pavelle Burke
• Chris P Burke Sr., CADC-CAS
• Lisa Kay Burke
• Thomas F. Burke, O.D.
• Nicholas Burkey, BCBA

• Sports Medicine (Orthopaedic Surgery) Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.

Verify at the official NPI Registry.