JONATHAN TYLER BURNHAM (PA) – Surgical Physician Assistant, NPI 1740900927

JONATHAN TYLER BURNHAM (PA) is a healthcare provider. based in Deland, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9116438 (FL). The NPI Number for JONATHAN TYLER BURNHAM (PA) is 1740900927

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN TYLER BURNHAM (PA)
NPI
1740900927
Phone
(386) 734-9122
Address
740 W Plymouth Ave
Enumeration Date
30 August 2022
Last Update Date
22 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4077671200
Graduation Year
2022 (4 years ago)
PAC ID
8729464631
Group Practice PAC ID
9537059084
Professional Enrollment ID
I20220929003176
Address ID
FL327462551LA380XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for JONATHAN TYLER BURNHAM (PA)

  • 740 W Plymouth Ave

    Deland, FL 327203282

    Phone: (386) 734-9122

    Type: Location

  • 701 Platinum Pt

    Lake Mary, FL 327464871

    Phone: (407) 206-4500

    Fax: (407) 643-2802

    Type: Location

  • 740 W PLYMOUTH AVE

    DELAND, FL 327203282

    Phone: (386) 734-9122

    Type: Mailing

  • 1900 N ALAFAYA TRL STE 900

    ORLANDO, FL 328264737

    Phone: (407) 629-2444

    Fax: (407) 643-2804

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $1,110.

Total Amount is formed as General ($1,110) + Research ($0) + Ownership ($0) = $1,110.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Arthrex, Inc. ($595).

Total Amount

$1,110

General + Research + Ownership

Payments

15

Total payment records

General Amount

$1,110

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2022-09-29

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
I20220929003176IPhysician AssistantFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes165122$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg11025$0
99214Established patient office or other outpatient visit, 30-39 minutes9389$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg8231$0
20610Aspiration and/or injection of fluid from large joint6350$0
View full utilization report →

Insurance plans in this area (ZIP 32720)

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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: 9537059084View full group profile
NameSpecialtyState
Internal MedicineFL
O B S T E T R I C S/ G Y N E C O L O G YNY
Nurse PractitionerFL
Internal MedicineFL
Vascular Surgery, General SurgeryFL
Physical Therapist In Private PracticeFL
Sports MedicineOH
Nurse PractitionerFL
Internal MedicineFL
Internal MedicineIA

Reviews

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Frequently asked questions

What identifier follows JONATHAN TYLER BURNHAM (PA) across health systems?
The NPI 1740900927 uniquely identifies JONATHAN TYLER BURNHAM (PA) in U.S. healthcare data.
Should I treat JONATHAN TYLER BURNHAM (PA) as an active provider?
Patients and plans typically see JONATHAN TYLER BURNHAM (PA) as active in the national extract.
Which specialty label fits JONATHAN TYLER BURNHAM (PA)?
NPPES ties JONATHAN TYLER BURNHAM (PA) to Surgical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is JONATHAN TYLER BURNHAM (PA) tied to Deland, Florida?
If you are local to Deland, Florida, JONATHAN TYLER BURNHAM (PA) may be relevant to your search.
Why is information missing for JONATHAN TYLER BURNHAM (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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