DR. GRADY L BURLESON (MD) – Emergency Medicine Physician, NPI 1346208840

DR. GRADY L BURLESON (MD) is a healthcare provider. based in Fort walton beach, Florida. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. ME91868 (FL). The NPI Number for DR. GRADY L BURLESON (MD) is 1346208840

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. GRADY L BURLESON (MD)
NPI
1346208840
Phone
(904) 521-2555
Address
228 YACHT CLUB DR NE
Enumeration Date
3 May 2006
Last Update Date
16 April 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4694012386
Graduation Year
2002 (24 years ago)
PAC ID
0345267746
Group Practice PAC ID
0345523643
Professional Enrollment ID
I20051025000765
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. GRADY L BURLESON (MD)

  • 228, Yacht Club Drive Northeast, Fort Walton Beach, Okaloosa County, Florida, 32548, United States

    FORT WALTON BEACH, FL 325486422

    Phone: (904) 521-2555

    Type: Mailing

  • Fort Walton Beach Medical Center, 1000, Mar Walt Drive, Wright, Fort Walton Beach, Okaloosa County, Florida, 32547, United States

    FORT WALTON BEACH, FL 325476708

    Phone: (850) 863-7607

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Inari Medical, Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$14
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: 2005-10-25

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
I20051025000765IFamily PracticeFLTBD

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
99284Emergency department visit with moderate level of medical decision making106105$0
99283Emergency department visit with low level of medical decision making8583$0
99285Emergency department visit with high level of medical decision making2626$0
99291Critical care, first 30-74 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 32548)

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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: 0345523643View full group profile

Reviews

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Frequently asked questions

How do I look up DR. GRADY L BURLESON (MD) by NPI?
Use NPI 1346208840 when you need to reference DR. GRADY L BURLESON (MD) in forms, claims, or directories.
Is DR. GRADY L BURLESON (MD) currently active in the NPI registry?
CMS-published data lists DR. GRADY L BURLESON (MD) as an active registrant.
Does DR. GRADY L BURLESON (MD) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for DR. GRADY L BURLESON (MD). Clinical services aligned with this taxonomy classification.
Where is DR. GRADY L BURLESON (MD)'s primary listing?
We display Fort Walton Beach, Florida because that is what the record indicates for DR. GRADY L BURLESON (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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