JEFFREY DANIEL BURRY (D.O.) – Otolaryngology/Facial Plastic Surgery Physician, NPI 1275698367

JEFFREY DANIEL BURRY (D.O.) is a healthcare provider. based in Lewiston, Idaho. specializing in OTOLARYNGOLOGY. They hold the professional credentials D.O.. They hold a License No. OP00001929 (WA). The NPI Number for JEFFREY DANIEL BURRY (D.O.) is 1275698367

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY DANIEL BURRY (D.O.)
NPI
1275698367
Phone
(208) 746-0193
Address
330 WARNER DR
Enumeration Date
27 December 2006
Last Update Date
18 July 2025

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2087460193
Graduation Year
2000 (26 years ago)
PAC ID
5698662229
Group Practice PAC ID
0840197166
Professional Enrollment ID
I20040806001198
Address ID
ID835014441LE330XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Digital endpointsOther names

49 OTOLARYNGOLOGY in ID

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Provider Addresses for JEFFREY DANIEL BURRY (D.O.)

  • 330, Warner Drive, Lewiston, Nez Perce County, Idaho, 83501, United States

    LEWISTON, ID 835014441

    Phone: (208) 746-0193

    Fax: (208) 746-7074

    Mailing address matches the actual address.

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 $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2004-08-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040806000513IOtolaryngologyWATBD
I20040806001198IOtolaryngologyIDTBD

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
99204New patient office or other outpatient visit, 45-59 minutes409409$0
99214Established patient office or other outpatient visit, 30-39 minutes270227$0
69210Removal of impacted ear wax164134$0
99213Established patient office or other outpatient visit, 20-29 minutes129114$0
31575Diagnostic exam of voice box using a flexible endoscope7470$0
View full utilization report →

Insurance plans in this area (ZIP 83501)

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Provider's Procedures

JEFFREY DANIEL BURRY (D.O.) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYID14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips1515
OTOLARYNGOLOGYID17003Destruction of 2-14 skin growths5218

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: 0840197166View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YID

Reviews

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Frequently asked questions

What unique ID ties claims to JEFFREY DANIEL BURRY (D.O.)?
NPI 1275698367 is assigned to JEFFREY DANIEL BURRY (D.O.) under the national enumeration system.
Does this profile mean JEFFREY DANIEL BURRY (D.O.) is currently active?
Yes — JEFFREY DANIEL BURRY (D.O.) appears active in the national provider directory.
What does JEFFREY DANIEL BURRY (D.O.) treat or focus on?
Patients typically see JEFFREY DANIEL BURRY (D.O.) under the specialty Otolaryngology/Facial Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place JEFFREY DANIEL BURRY (D.O.)?
The snapshot lists Lewiston, Idaho for JEFFREY DANIEL BURRY (D.O.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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