NPIMap

Individual provider Active NPI

Matthew Ryan Burton, M.D.

  • Neurological Surgery Physician
  • Lake Charles, LA
National Provider Identifier
1669730313
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
311945 Issued in LA
Practice address
4150 Nelson Rd Ste C10
Lake Charles, LA 70605-4169
NPI assigned
May 1, 2012
Last updated
Aug 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 311945 LA Primary

Addresses

Primary practice location

4150 Nelson Rd Ste C10
Lake Charles, LA 70605-4169

Mailing address

4150 Nelson Rd Ste C10
Lake Charles, LA 70605-4169
Phone (337) 240-7280

Other identifiers 1

IdentifierTypeStateIssuer
2510363MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190924000228 LA Practitioner - Neurosurgery 0042535841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Louisiana State University School of Medicine in Shreveport, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Physical Therapy Services of West Louisiana IncGroup PAC ID 0446388763, 92 clinicians
Neurosurgery Consultants, LLCGroup PAC ID 4789062837, 2 clinicians
Balance Center LLCGroup PAC ID 1254674799, 2 clinicians

Practice addresses (Care Compare)

301 W Fertitta Blvd
Suite 4
Leesville, LA 71446-4665
Phone (337) 238-9931

4150 Nelson Rd
BLDG C10
Lake Charles, LA 70605-4169
Phone (337) 240-7280

5250 Lake St
Suite a
Lake Charles, LA 70605-6574
Phone (337) 485-1250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.66 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.54

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion14
Laminectomy or laminotomy (partial removal of spine bones)23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgery Consultants, LLC Neurological Surgery CurrentSince May 1, 2022 Accepting new patients
Surgicare of Lake Charles LLC PastSince Mar 1, 2025 Accepting new patients

Locations

4150 Nelson Rd
Ste C10
Lake Charles, LA 70605
Phone (337) 240-7280

Interoperability endpoints

  • Direct secure messaging: mburton413332@christushealth.direct-ci.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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1669730313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 NELSON RD STE C10",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054169",
            "telephone_number": "337-240-7280",
            "fax_number": "337-240-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 NELSON RD STE C10",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-01",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "LA",
            "license": "311945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2510363",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.