DR. ANTOINETTE THEODORA BURNS (DO) – Pediatric Pulmonology Physician, NPI 1043315211

DR. ANTOINETTE THEODORA BURNS (DO) is a healthcare provider. based in Peterson afb, Colorado. specializing in SLEEP MEDICINE, PEDIATRIC MEDICINE, PULMONARY DISEASE. They hold the professional credentials DO. They hold a License No. 5101017113 (MI). The NPI Number for DR. ANTOINETTE THEODORA BURNS (DO) is 1043315211

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANTOINETTE THEODORA BURNS (DO)
NPI
1043315211
Phone
(719) 556-1058
Address
559 VINCENT ST BLDG 959
Enumeration Date
13 September 2006
Last Update Date
21 October 2024

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
7207771234
Graduation Year
2005 (21 years ago)
PAC ID
4486972213
Group Practice PAC ID
3476465667
Professional Enrollment ID
I20200928001508
Address ID
CO800457106AU13123AVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

63 SLEEP MEDICINE in CO

Provider Addresses for DR. ANTOINETTE THEODORA BURNS (DO)

  • 559 VINCENT ST BLDG 959

    PETERSON AFB, CO 809141541

    Phone: (719) 556-1058

    Type: Location

  • 559 Vincent St Bldg 959

    Peterson AFB, CO 809141541

    Phone: (719) 556-1058

    Type: Location

  • PO BOX 110429

    AURORA, CO 800420429

    Phone:

    Type: Mailing

  • 4125 BRIARGATE PKWY

    COLORADO SPRINGS, CO 809207804

    Phone: (720) 777-5652

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $133.

Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.

Last reported payment date: 2024-04-16 • Largest payer in this snapshot: Avadel CNS Pharmaceuticals, LLC ($109).

Total Amount

$133

General + Research + Ownership

Payments

2

Total payment records

General Amount

$133

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200928001508ISleep MedicineCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80914)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476465667View full group profile
NameSpecialtyState
-CO
Family PracticeCO
Advanced Heart Failure And Transplant Cardiology, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineCO
Emergency MedicineCO
Emergency MedicineCO
-CO
-CO
Emergency MedicineCO
-CO
-CO

Reviews

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Frequently asked questions

What number should I use to identify DR. ANTOINETTE THEODORA BURNS (DO) for billing?
Administrative and clinical systems typically use NPI 1043315211 for DR. ANTOINETTE THEODORA BURNS (DO).
Is DR. ANTOINETTE THEODORA BURNS (DO) currently accepting referrals based on NPI status?
Registry metadata lists DR. ANTOINETTE THEODORA BURNS (DO) as active.
Which specialty label fits DR. ANTOINETTE THEODORA BURNS (DO)?
NPPES ties DR. ANTOINETTE THEODORA BURNS (DO) to Pediatric Pulmonology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. ANTOINETTE THEODORA BURNS (DO)?
DR. ANTOINETTE THEODORA BURNS (DO) is associated with Peterson Afb, Colorado in the same public data insurers reference.
Who maintains DR. ANTOINETTE THEODORA BURNS (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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