MARK LLOYD BURSON (M.D.) – Urology Physician, NPI 1104808229

MARK LLOYD BURSON (M.D.) is a healthcare provider. based in Durango, Colorado. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. 0101265824 (VA). The NPI Number for MARK LLOYD BURSON (M.D.) is 1104808229

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
MARK LLOYD BURSON (M.D.)
NPI
1104808229
Phone
(970) 764-3845
Address
1010 Three Springs Blvd Ste 270
Enumeration Date
15 November 2005
Last Update Date
19 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4787425331
Graduation Year
1980 (46 years ago)
PAC ID
7113949728
Group Practice PAC ID
9830082825
Professional Enrollment ID
I20060406000066
Address ID
GA312178042MA330XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness85
Years active:20State licenses:4Digital endpointsOther names

244 UROLOGY in CO

Provider Addresses for MARK LLOYD BURSON (M.D.)

  • 1010 Three Springs Blvd Ste 270

    Durango, CO 813018296

    Phone: (970) 764-3845

    Fax: (970) 764-3823

    Type: Location

  • Tullahoma Post Office, West Grundy Street, Tullahoma, Coffee County, Middle Tennessee, Tennessee, 37388, United States

    TULLAHOMA, TN 373881718

    Phone: (931) 454-1955

    Fax: (931) 454-1956

    Type: Mailing

  • 107, Ledford Mill Road, Flowertown, Tullahoma, Coffee County, Middle Tennessee, Tennessee, 37388, United States

    TULLAHOMA, TN 373882278

    Phone: (931) 454-1955

    Fax: (931) 454-1956

    Type: Location

  • 107 Ledford Mill Rd

    Tullahoma, TN 373882278

    Phone: (931) 454-1955

    Fax: (931) 454-1956

    Type: Location

  • 1802 Braeburn Dr

    Salem, VA 241537357

    Phone: (540) 772-3702

    Fax: (540) 772-3703

    Type: Location

  • 330 HOSPITAL DR STE 315

    MACON, GA 312178042

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-07-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20060103000406IUrologyTNTBD
I20060406000066IUrologyGATBD
I20151202000364IUrologyALTBD
I20190507002859IUrologyVATBD
I20220711002591IUrologyMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes8141$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4340$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1814$0
52332Insertion of stent in ureter using an endoscope1414$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 81301)

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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: 9830082825View full group profile
NameSpecialtyState
General SurgeryGA
Nurse PractitionerGA
Critical Care (Intensivists), Pulmonary Disease, Sleep MedicineGA
-GA
Nurse PractitionerGA
-GA
General SurgeryGA
Surgical OncologyWA
R H E U M A T O L O G YGA
Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Pediatric MedicineGA

Reviews

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Frequently asked questions

Can I verify MARK LLOYD BURSON (M.D.) with an NPI only?
You can start verification with NPI 1104808229 for MARK LLOYD BURSON (M.D.), then check state licensing separately.
Does CMS list MARK LLOYD BURSON (M.D.) as active?
Yes — MARK LLOYD BURSON (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes MARK LLOYD BURSON (M.D.)?
For research purposes, treat MARK LLOYD BURSON (M.D.) as Urology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MARK LLOYD BURSON (M.D.)?
MARK LLOYD BURSON (M.D.)'s geographic hint is Durango, Colorado in our summary view.
Is the information about MARK LLOYD BURSON (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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