DR. RICHARD TYLER BURGNER (M.D.) – Diagnostic Radiology Physician, NPI 1053730481
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,168 DIAGNOSTIC RADIOLOGY in FL
Provider Addresses for DR. RICHARD TYLER BURGNER (M.D.)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Phone: (904) 953-2000
Type: Location
1915 Eisenhower Dr
Savannah, GA 314065027
Phone: (912) 356-2011
Type: Location
655 Jesse Jewell Pkwy SE
Gainesville, GA 305013854
Phone: (770) 535-9391
Fax: (770) 533-4701
Type: Location
725 Jesse Jewell Pkwy SE
Gainesville, GA 305013834
Phone: (770) 535-9391
Fax: (770) 533-4701
Type: Location
835 Austin Drive
Demorest, GA 305354513
Phone: (770) 535-9391
Fax: (770) 533-4701
Type: Location
801 Austin Drive
Demorest, GA 305354513
Phone: (770) 535-9391
Fax: (770) 535-4701
Type: Location
4500 San Pablo Rd S
Jacksonville, FL 32224
Phone: (904) 953-2000
Type: Location
1270 FRIENDSHIP RD
BRASELTON, GA 305175608
Phone: (770) 535-9391
Fax: (770) 533-4701
Type: Location
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: 2020-05-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171205003165 | I | Diagnostic Radiology | GA | TBD |
| I20190710001187 | I | Diagnostic Radiology | FL | TBD |
| I20200529001445 | I | Diagnostic Radiology | SC | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 3,650 | 37 | $0 |
| 71045 | X-ray of chest, 1 view | 1,004 | 838 | $0 |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 320 | 16 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 293 | 291 | $0 |
| 70450 | Ct scan head or brain without contrast | 260 | 244 | $0 |
Insurance plans in this area (ZIP 32224)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | MN | |
| Nuclear Medicine, Diagnostic Radiology | GA |
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