CLAY M BURNETT (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1790738466
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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Profile Insights
NPPES metrics only — not quality of care.
189 CARDIAC SURGERY in FL
Provider Addresses for CLAY M BURNETT (MD)
1824 King St
Ste 200
Jacksonville, FL 32204
Phone: (904) 384-3343
Fax: (904) 400-6671
Type: Location
2651 E Discovery Pkwy
Bloomington, IN 474089059
Phone: (812) 334-5081
Fax: (812) 334-5091
Type: Location
9411 N OAK TRFY STE LL1
KANSAS CITY, MO 641552262
Phone: (816) 691-1655
Type: Mailing
2790 CLAY EDWARDS DR STE 520B
NORTH KANSAS CITY, MO 641163276
Phone: (816) 691-5198
Fax: (816) 346-7095
Type: Location
1824, King Street, Riverside, Jacksonville, Duval County, Florida, 32204, United States
STE 200
JACKSONVILLE, FL 32204
Phone: (904) 384-3343
Fax: (904) 400-6671
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $393.
Total Amount is formed as General ($393) + Research ($0) + Ownership ($0) = $393.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Abbott Laboratories ($192).
Total Amount
$393
General + Research + Ownership
Payments
5
Total payment records
General Amount
$393
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $192 |
| ATRICURE, INC. | $132 |
| Zimmer Biomet Holdings, Inc. | $36 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $33 |
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: 2023-10-11
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 |
|---|---|---|---|---|
| I20100504000280 | I | Thoracic Surgery | MO | TBD |
| I20141120001206 | I | Thoracic Surgery | FL | TBD |
| I20231011002220 | I | Cardiac Surgery | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32204)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Critical Care (Intensivists), Internal Medicine | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Nurse Practitioner | FL | |
| Diagnostic Radiology | FL | |
| A N E S T H E S I O L O G Y | FL | |
| Family Practice | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Family Practice | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Critical Care (Intensivists), Internal Medicine, Pulmonary Disease | FL |
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